The first thing you need to realize about the Brazilian buttock augmentation is that this is a buttock enhancement procedure. It is not a belly procedure, a back procedure, or a thigh procedure. Patients get confused and believe that when they undergo this procedure, all of a sudden every single area of the body is going to be enhanced and no additional surgery is going to be required. Although, yes, liposuction is used to enhance the buttocks and fat is removed from multiple areas including the thighs, abdomen, sides, flanks, and upper and lower back, this does not necessarily mean that the areas where fat was removed will look completely normal. The main goal of the Brazilian buttock augmentation is to give you an hourglass shape and enhanced buttocks. Many patients who have this procedure—as a matter of fact, most patients—have gained weight, have lax skin, have had babies, etc. So, what does this mean? It means that when fat is harvested, let us say, from the abdomen, how your tummy looks will depend on the tone of your skin and the excess skin that you have. For example, if you have very good skin tone, you may have a bikini-ready tummy with the procedure and need no additional procedures to enhance your belly, but if you have excess skin, you are still going to have excess skin after the surgery.Remember, the liposuction cannula is not a magic wand. You have to be realistic about what the procedure can do for you. The liposuction cannula does not suck the skin out. So, what happens after the procedure is that the skin is going to stay and look lumpy, bumpy, and uneven, and you will require a tummy tuck six months after the first Brazilian buttock augmentation.Let me explain this concept in a very easy way to understand. Let’s assume that a circle, which is red on the outside, is the skin, and the yellow is the fat we are going to remove. Now, let’s see what happens when we do liposuction and fat is removed. Notice that the yellow circle of fat has shrunk down to half the size, but the red circle of skin is still a big circle, meaning that when the healing has subsided, this skin will remain and bunch up over the smaller body. You need to understand the limitations of the procedure. It is not that you are trading one thing for the other. It only means that some patients will require additional procedures to enhance all the areas that the Brazilian buttock augmentation is not intended to do.