How is a buttock reduction surgery performed?

How is a buttock reduction surgery performed?

15th Oct 2018

Most women prefer to undergo buttock augmentation surgery to add projection to and increase the size of their butt; meanwhile, there are those who want to reduce the size of theirs. While there is no doubt that bigger behinds look more voluptuous and sexier, overly large buttocks appear weird, abnormal, and aesthetically unpleasant.

Many women also experience a lower self-esteem as a result of overly developed buttocks. The modern beauty standards for women prefer that the butt size be in conformity with your overall body shape, outline, and size. When the butt grows more than this limit, it looks unpleasant. As such, the patients with overly developed rear ends seek ways to reduce the size of their booties. Buttock reduction is an effective plastic surgery procedure to decrease the size of your butt, so they look normal and more aesthetically appealing.

How is the butt reduction surgery performed?

The buttocks are an important area of the human body. It is composed of fat, tissues, muscles, and skin. Most cases of overly developed buttocks occur as a result of the over-accumulation of fat in the area. The buttock reduction surgery is an effective and reliable procedure to decrease the size of the backside by removing the excess fat.

The surgery is normally performed under local anesthesia in association with tumescent anesthesia; general anesthesia or IV sedation can also be used for patients who want to be fully asleep throughout the procedure. The surgery starts with the placing of incisions on the buttocks. In the second step, liposuction is performed on the butt to remove the excess fat.

Liposuction involves the insertion of a liposuction cannula inside the butt through the incision. Before inserting the cannula into the target area, a tumescent solution is injected into the region. This solution helps limit bleeding and makes the process more comfortable for the patient.

The liposuction cannula is a hollow tube that is connected to a liposuction pump or a special syringe. After inserting the cannula into the target area, the cannula is moved back and forth under the traditional method to release the fat cells from the tissues. Then, the dislodged fat is suctioned out from the area with the help of a suction pump or a syringe. The same process is repeated on the other butt cheek until both buttocks are reduced and contoured.

The latest versions of liposuction technologies have revolutionized the buttock reduction surgery. For example, if the laser-assisted liposuction or the ultrasound-assisted is used, there will be no need to dislodge the fat cells from the surrounding tissue manually. Instead, these technologies now use ultrasound rays or laser technology to melt the fat inside the buttocks before suctioning it out.

In most cases, especially if your skin quality is not good, liposuction alone will reduce your butt size but leave you with a saggy one. Removal of the fat has the tendency to make the buttocks loose and hanging. In order to treat this condition, the excess skin will have to be removed. This procedure can only be performed under general anesthesia.

Most plastic surgeons prefer to perform the skin removal surgery during the butt reduction procedure; however, there are others who think that it should be performed separately. Make sure to select your plastic surgeon for the butt reduction and skin excision very carefully. An inexperienced surgeon can leave your butt in a poor aesthetic shape besides leaving you with other health complications.

The skin excision surgery starts with the placing of a big incision on your butt. After placing the incision, the excess skin will be removed, and the remaining will be redraped, sutured, and closed. Unfortunately, the skin removal can leave behind visible scars. If the surgeon places the incisions in places where they can be camouflaged, the scars will be less visible.

Risks of buttock reduction surgery

Like all other major plastic surgery procedures, there are many risks associated with the butt reduction surgery. If you have poor health or are suffering from specific health complications, the risks can even be greater for you. The common risks of butt augmentation include infection, bleeding, blood clotting, nerve damage, seroma, hematoma, and loss of skin sensation.

In order to reduce these risks, make sure to share your complete health and medications history with your chosen plastic surgeon. Select your doctor carefully and during the recovery period, follow the surgeon’s instructions completely and take all of your medications on time.

Recovery after the butt reduction surgery

After the buttock reduction surgery, the patient will have to observe a full recovery process just like any other major operations. You must take the first 2 weeks off of work for recovery after the intervention. If the surgery involves skin excision, the recovery process may increase by one week. During the first 2 weeks following the operation, make sure to stay in bed and take enough rest. You can get up and take short and slow walks after every few hours.

Make sure not to sleep on your back or sit for the first 2 weeks because that can ruin the achieved aesthetic results. You need to allow your butt enough time to recuperate from the surgical trauma. Avoid physically demanding activities like running, weight lifting, jumping, stretching, and bending for at least 3 weeks after the intervention. If your doctor has recommended you to wear compression garments, be sure to wear them for the recommended time period.


Butt reduction surgery is an effective plastic surgery procedure to decrease the size of overly developed buttocks. A very large backside may look abnormal and may become a source of embarrassment for the patient. Butt reduction involves liposuction of the butt to remove the excess fat, causing its decreased size. The procedure may also involve removal of the excess skin if the liposuction leaves your skin saggy in the butt area.

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