With the square-shaped buttock, typically the patient’s skin is not very tight. In order to change this shape, I need to do liposuction at the top. This will decrease the horizontal distance on top of the buttock; in this way I can change the proportion of the top to the lower part to create the A shape or hourglass shape, whichever is your preference. The other way to change the square-shaped buttock, assuming that the skin tone is not very tight, is to create an hourglass shape by essentially putting fat in the middle third of the buttock. If I draw a line through the middle third of the buttock, this is exactly where it is going to be located. If you have square-shaped buttocks, there is a greater chance of having a nice result than with V-shaped buttocks. The square shape, although difficult to correct, can be fixed by applying principles of buttock augmentation surgery.