The only effective solution that can be used to increase the size of the buttocks safely and for long-term is butt augmentation surgery. The procedure is mostly performed on an outpatient basis, and it can take about two hours to be performed, but it depends from patient to patient. Several different techniques and procedures have been developed starting from the classic butt augmentation procedure, all aiming to deliver results that are better, more reliable, or target other areas of the body as well. There is no doubt about the fact that a vast majority of patients achieve spectacular results when undergoing butt implant surgery, especially if they have the procedure performed by a talented and experienced, board-certified plastic surgeon. What is important to know is that the plastic surgeon can recommend different combinations between butt augmentation with implants and other procedures to correct the shape of the body or other imperfections in other areas. For example, combining butt implant surgery with fat transfer is becoming more and more popular nowadays. The aim of this procedure is not only to increase the projection of the buttocks considerably but also to enhance the overall shape of the buttocks. When butt implants are used, the results to be expected are an increase in the upper part of the booty since the implants are inserted into the gluteal muscles and they are positioned on the upper part of the butt. But this means that when using just implants, there are little changes that will occur on the sides of the butt or the lower part. This is why the plastic surgeon might recommend combining fat transfer with implants. If we also transfer fat after inserting the implants, we can provide better coverage for the implants, ensuring a more natural result. We can also correct and improve the overall shape of the butt, making them rounder and more alluring. Another combination of procedures can be butt implant surgery with fat transfer to the hips. The procedure is also known as the hourglass butt augmentation and is a modern variation of the classic procedure. The plastic surgeon will start with liposuction on the abdominal wall and the flanks to minimize the dimensions of the waist. After this stage, the fat will be purified to be used in the last step for transfer to the hips. After liposuction and before injecting fat into the hips, the surgeon will put in the implants. This procedure is recommended for patients with small and flat buttocks who also have narrow hips and a wide waist. It aims to improve body shape creating curves in all the right places and a beautiful hourglass figure.