The hourglass buttock augmentation steps

The hourglass buttock augmentation steps

05th Nov 2018

The Hourglass buttock augmentation is a plastic surgery procedure used to enhance the buttocks. It is a type of surgery that uses your own body fat to make your butt perky, lively, and fuller so that your body outline will look like an hourglass figure. The results achieved via hourglass butt augmentation are more natural than the results provided by butt implants.

How the procedure is performed differs from surgeon to surgeon; however, the core steps of the Hourglass butt augmentation remain the same. The surgical approaches applied by your plastic surgeon will not only affect the aesthetic outcomes of the intervention but also the longevity of the results.

Step 1: Fat extraction

The Hourglass butt augmentation, which is performed under general anesthesia or IV sedation, starts with the removal of excess fat from the different areas of your body. If you have no excess, unwanted fat in your body, you will not qualify for the surgery. The fat is extracted with the help of liposuction. The common fat donor sites include the abdomen, sides, love handles, upper back, and thighs. Removing the fat from these areas results in a smaller waist; this is a core feature of the hourglass body.

The surgeon first injects a tumescent solution into the fat donor site to help extricate the fat cells from the surrounding tissues. Next, a tiny incision is placed in the area, followed by the insertion of a hollow tube called “liposuction cannula” into the liposuction site. The back and forth motion of the liposuction tube helps release the fat cells from the surrounding tissues.

A suction tube or a special syringe connected to the liposuction cannula is then used to remove the dislodged fat cells. It is important to keep in mind that meticulous care needs to be taken during the fat extraction process. The surgeon will try his best to keep as many fat cells intact and alive as possible. For that reason, the surgeon may use special syringes to remove the fat instead of high-pressure suction pump.

The most common body areas to be suctioned during this step include the abdomen, sides, flanks, thighs, and the upper back region. Also, the surgeon will contour these areas during liposuction so they look more pronounced and aesthetically enhanced. The liposuction alone will make your backside look prominent by removing the stubborn fat deposits from the surrounding area.

Step 2: Processing of the fat

After removing the excess fat from your body, the fat cells will be processed and purified in a decanting and centrifugation process. It is important to keep in mind that out of all the fat cells removed from your body, only the healthiest and most intact cells will be picked for transfer to your buttocks. It means that after removing the fluids, blood, and damaged fat cells, only a portion of the total fat will qualify for transfer. In majority, only 30-35 percent fat will be injected to your buttocks.

Step 3: Fat transfer to the butt and hips

The third and last step of the Hourglass butt augmentation is called “fat grafting”. During this step, the fat cells processed and selected from step 2 are re-injected inside the buttocks and hips with special needles. The plastic surgeon will inject tiny amounts of the processed cells into different regions of the butt and hips at varying distances and depths, so the parts become beautifully contoured, and the body does not absorb the fat.

It is vital to make sure that the right methods and techniques are used to inject the fat cells in the buttocks and hips. The doctor will take your desired results, aesthetic goals, and aesthetic flaws in consideration during the fat transfer procedure. Also, careful transfer of the fat will help achieve an even, prominent, natural and sexier buttock.

Normally, the average volume of fat that is injected into each butt is between 550cc to 590cc. However, this amount varies depending on your aesthetic goals, the condition of your buttocks, availability of excess fat in your body, and the fat distribution techniques used. Patients with more unwanted fat in their body and aims to achieve bigger butts can expect to get up to 900cc of fat in each buttock.

As a result of the fat transfer to the hips and butt, the hips will become wider, and the buttocks will appear fuller and bigger. These aesthetic qualities will give your body the hourglass shape.

The surgical technique used for the Hourglass butt augmentation

Ask any experienced and board-certified plastic surgeon about the surgical techniques for the Hourglass butt augmentation and most of them will say that it depends on the aesthetic flaws in the buttocks and the desired results of the patient. There is no doubt that the success of the intervention depends, to a greater degree, on the surgical techniques and approaches used.

You should keep in mind that the goal of the Hourglass butt augmentation is not just adding projection to your booties but also to make your hips appear wider, sexier, and voluptuous. This calls for the use of specialized techniques and methods, both during the fat extraction and fat grafting process. Additionally, it requires an eye for details, a great sense of aesthetics, and artistry, besides the surgical skills and techniques.

In order to get the best outcomes with the hourglass butt procedure, be sure to choose only a board-certified plastic surgeon to perform it. Plastic surgeons certified by the American Board of Plastic Surgery know exactly what it takes to sculpt your butt in an artistic way. Also, make sure to ask the doctor what approaches he will use during the surgery to make sure the desired outcomes are achieved.


The steps of the Hourglass butt augmentation can vary from surgeon to surgeon; however, the basic philosophy and steps of the operation remain the same. The procedure starts with performing liposuction to remove the excess fat from different areas of your body. The fat is then processed and purified. Only the best quality and healthy fat cells are collected for transfer to your backside. Lastly, the fat cells are then re-injected into the buttocks and hips with special needles. The specific surgical techniques used by the plastic surgeon can make a difference to the results achieved in this surgery.

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