Butt (Buttock) / Hip Augmentation and Buttock /Hip Implants in Los Angeles and Beverly Hills, CA
(Enhancing the size and shape of the buttocks)
Simply put, any male or female who feels or perceives their buttock size, shape, &/or proportions are not adequate. This could be due to genetic or developmental factors, fluctuations in weight (especially weight loss), changes from pregnancy or aging, or trauma. Unfortunately, many patients have tried but cannot achieve the buttock they want with good old fashioned diet and exercise.
Buttock Augmentation can be accomplished in two ways.
1) “Autologous” Fat Grafting (a.k.a Brazilian Butt Lift) in which “your own fat” is harvested, by way of liposuction, from areas of excess (donor fat) and then re-injected (grafted) into the buttocks. Although this method can work for some patients, most are not good candidates. Because much of the fat dissolves over the first year after surgery most potential patients do not have enough donor fat to produce a significant long-lasting result. Additionally, fat grafting is very labor intensive and therefore relatively expensive.
2) Buttock Implants (a.k.a. gluteal implants) utilize very soft semi-solid silicone implants, the kind that cannot rupture and leak, placed under or within the buttock muscles through an approximately 2.5-inch mid-line incision overlying the tailbone. Typically the resultant scar is well concealed between the upper buttock cheeks. The advantages over fat grafting are that implants provide a reliable, reproducible, and relatively predictable permanent result for about only two-thirds of the cost.
Additional Pertinent Surgical Details
Like any booming fad or fashion, there are always scammers looking to get a piece of the action and make quick/easy profits. Well as the saying goes, “anything too good to be true, usually is (not true)”. Unfortunately the ripe new world of buttock augmentation has become the next victim with a bunch of nonsense magical creams, potions, lotions and pills…NONE OF WHICH WORK AND ARE NOT FRAUGHT WITH SERIOUS SIDE-EFFECTS/COMPLICATIONS. It is not yet possible to take a substance that only and exclusively make your derrière grow. Other than being genetically blessed in the buttock and/or consistent rigorous exercise, there is no “natural” way to grow the buttock other than surgery. Please read on for more surgical details:
In short, a combination of sculpting your waistline with liposuction and augmenting your buttock with implants provides the best chance for a long lasting “hour-glass” figure. I currently see at least 2 – 3 patients, domestic and international, per week that failed “brazilian buttock lift” (i.e. the fat melted away after 10 – 12+ months and/or the projection result was grossly insufficient) and are now seeking a more reliable and permanent option (i.e. buttock and/or hip implants).
Allow me to share with you some information that you may not hear elsewhere. There are only two proven safe and relatively effective methods for Buttock Augmentation and Hip Augmentation: 1) Autologous Fat Transfer (using your own fat, transferring from one area of the body to the other) and 2) Buttock/Hip Implants (semi-solid silicone rubber implants that cannot rupture &/or leak). Both are options but what it comes down to, like any surgery, is proper patient selection and long-term results.
Indeed because at least 80+ % of the fat transferred will melt away within a year, most patients are not good candidates because they lack an adequate amount of fat to harvest. Another tip is that if you purposely gain weight (i.e. fat) for the procedure, the fat you lose first as you get back to your baseline weight is that very same fat that was transferred into your buttock…so don’t fall victim to this recommendation. Even those patients that had adequate amounts of fat pre-operatively, still end up seeking buttock implants after a year or so because most of the fat transferred melted away leaving them with minimal result.
Although overall using your own fat is relatively safe, it not infrequently melts away unevenly leaving one butt cheek bigger than the other or with dimpling or hard fat cysts. The one serious complication that can rarely (< 1%) happen is “fat embolism” in which some of the fat gets into the blood stream and travels up into the lungs, heart, and/or brain causing serious problems. This complication is more likely to happen with the larger amount of fat being transferred. This is even more likely to happen when using fillers like liquid silicone, PMMA, Sculptra, and hyaluronic acids. Also fillers, when injected in large quantities, have a relatively high infection rate, guaranteed tendency to migrate away from the original area they were injected, and almost always stimulate a lot of inflammation with a subsequent and disastrous amount of scar tissue/hardening.
Thus buttock/hip implants are a relatively very good, safe, and long term reliable option for most patients seeking buttock/hip augmentation. Contrary to nieve claims by many other plastic surgeons, intended to scare patients away from buttock implants, my overall complication rate is only ~5%.
To avoid high risk of healing problems with the central single incision, I prefer to insert the buttock implants through a 1 1/2 inch long incision along the inner curve of each upper buttock cheek at the level of the tailbone, similar to two opposing parentheses “)(” (concealed within the crevice between the buttock cheeks) and the hip implants through a ~ 1 inch incision just below the beltline above the hip region.
The buttock implant should always be placed under or within (muscle thickness permitting) the gluteus maximus muscle. In this position, the implant is much less palpable & visible (ie. it kind of looks and feels like an Olympic sprinter’s butt), and does not sag or shift/migrate over time unlike implants placed on top of the muscle or “subfascial”. On the other hand, hip implants are placed under just the fascia because no significant muscle exists in this region. Because they are much smaller and lighter, their likelihood of migration is relatively low.
It is extremely important to seek consultation with a board certified plastic surgeon who specializes in this procedure so that the implant placement is precise for both locations. In my surgical practice, the infection rate is only ~1% (much lower than and contrary to popular belief by many other surgeons not experienced in buttock implants). In general, risks and potential complications of buttock implants are very similar to breast implants (wound separation, bleeding/hematoma, fluid collection/seroma, malposition/migration – each under 2% risk in my practice). One main difference is while breast implants have a nearly 20% risk of hardening from excessive scar tissue formation surrounding the implant (aka “capsular contracture”), buttock implants have only ~2% risk of this. Another major advantage is that buttock implants are permanent whereas breast implants can rupture/leak and thus should be removed approximately every ten 10 years.
Depending upon the amount of your current fat reserves and their distribution, you may or may not be a reasonable candidate for fat transfer. If you are wanting to utilize the fat to further augment your buttock/hips in addition to implants, then I highly caution you against this. The reason being that the fat needs to be placed into the buttock muscles for optimal survival, however, this is exactly where the implant needs to reside and thus risks infection and/or death of the fat. Because of this high risk/low reward, I avoid fat grafting into a buttock/hip that has an implant.
More so, the hip area has no good muscle to inject the fat into so survival here is inherently very poor. Bottom line, I strongly recommend consulting with a board certified plastic surgeon specialist in buttock augmentation, including implants, to determine what option is best for you.
Surgical prices vary by region, surgeon reputation, and surgical experience. Keep in mind however that very few plastic surgeon truly specialize in buttock implants and the first time around has the absolute best chance for aesthetic success. Revision for botch-jobs are not only very expensive but extremely challenging to achieve at least a good, not great, final outcome. For this reason, I literally have at least 60% of my patients fly in from other states or other countries as far as the Canada, UK, Norway, Holland, Australia, Hong Kong, Italy, Germany, India, Saudi Arabia, Dubai, Turkey, etc.
Glad to be of help….Dr. Stanton
Commonly Asked Questions.
The answer is relatively universal, young women coming to me for butt implants want a more (millennial) sexy derrière (ie more perky, projected, full-figured and curvaceous).
In one phrase: more sex appeal. Given the fact that most patients have already had breast augmentation with implants, buttock implants provide posterior counter-balance for that head to toe full-figured curvaceous body.
The most crucial elements to a successful buttock implant surgery is A) selecting the right size and shape of implant and B) placing the implant within or under the gluteus maximus muscle. If both of these are done correctly, the patient will have a natural contoured and athletically fit and feeling buttock that lasts a lifetime….much unlike fat transfer techniques such as Brazilian Butt Lift (aka “BBL”) which melts away within 12 – 14 months after the procedure.
First 2 weeks is the most challenging with swelling, tightness, and discomfort. Also sitting is prohibited for these 2 weeks. Patients may return to work after 2 – 3 weeks as sitting and basic daily activities become easier. For those whom work from home, return to work resumes much sooner if they can work standing, kneeling, and/or lying down reclined in the “dentist chair” position. After 2 weeks patients may sit for up to 30 minutes at a time, 3 weeks for an hour, and at 4 weeks unlimited. At 3 weeks patients can resume upper body exercises while standing only, at 4 weeks upper body exercises while seated may be added. By 6 weeks, all restrictions are lifted as life nears normal again, all exercise (including squats and lunges) and sports may be resumed again.
My fee starts at $9500…more than any other plastic surgery procedure, i do not recommend going on the cheap for buttock implants, there’s a good reason the very few of us specialists charge what we do.
6. Have you seen an increase in the number of women requesting butt implants since the rise of the Kardashians and “big butt” culture?
If performed by a buttock implant specialist, buttock implant are no more dangerous than fat transfer or breast inplants:
Risks and potential complications of buttock implants are very similar to breast implants. One main difference is while breast implants have a nearly 20% risk of hardening from excessive scar tissue formation surrounding the implant (aka capsular contracture), in my experience buttock implants have ~2% risk of this.
On the other hand , because at least 80+ % of the fat transferred will melt away within a year, most patients are not good candidates because they lack an adequate amount of fat to harvest. Another tip is that if you purposely gain weight (i.e. fat) for the procedure, the fat you lose first as you get back to your baseline weight is that very same fat that was transferred into your buttock…so don’t fall victim to this recommendation. Even those patients that had adequate amounts of fat pre-operatively, still end up seeking buttock implants after a year or so because most of the fat transferred melted away leaving them with minimal result.
Although overall using your own fat is relatively safe, it not infrequently melts away unevenly leaving one butt cheek bigger than the other or with dimpling or hard fat cysts. The one serious complication that can rarely (< 1%) happen is “fat embolism” in which some of the fat gets into the blood stream and travels up into the lungs, heart, and/or brain causing serious problems. This complication is more likely to happen with the larger amount of fat being transferred. This is even more likely to happen when using fillers like liquid silicone, PMMA, Sculptra, and hyaluronic acids. Also fillers, when injected in large quantities, have a relatively high infection rate, guaranteed tendency to migrate away from the original area they were injected, and almost always stimulate a lot of inflammation with a subsequent and disastrous amount of scar tissue/hardening. Thus buttock/hip implants become a very good, safe, and long term reliable option for most patients seeking buttock/hip augmentation (at least in my practice).
See also above. Although sitting is prohibited x 2 weeks, my patients are allowed to sit up for 10-15 minutes to eat or a short car ride (eg for a post-op visit) and of courses for using the bathroom. Otherwise lying/sleeping on either their stomach or back is ok and standing with short walks is encouraged. Yes believe it or not, the technique i have adopted and refined for creating and closing the muscle layer and skin incision allows for resting and sleeping on your back.
Only if someone has medical/health problems preventing them from undergoing just about any elective surgery should they then not undergo buttock implants, at least until their health is optimized and cleared by a primary care physician. I have successfully and safely done buttock implants on all types, shapes, sizes, and ages of patients from 15 – 71 years old for both reconstructive and cosmetic purposes.
10. What is the difference between "old" or "standard" round and oval implants and Dr. Stanton's patented Anatomic implants?
The Stanton Anatomic Buttock Implant is not round but rather symmetrically oval (ie ellipsoid) thereby eliminating the dreaded >30% risk of clockwise/counter-clockwise rotation of the old traditional “oval” asymmetrical teardrop shaped implants. The other key difference is, the Stanton Anatomic Buttock Implant has a much more natural and desirable shape – the maximum point of projection has been moved upward to the mid-portion of the buttock and a radius of arc coming off of the small of the back created that simulates that often requested perky athletic curve.
And in comparison to round implants, the benefit of a true oval implant is the fact that >80% of women patients have more of an oval shaped buttock cheek than round shape, thus an oval implant creates much more of a natural and harmonious buttock contour. Frequently round implants are visibly noticeable when the patient bends over, however, this is much less the case with a well fitted and appropriately sized oval implant.
11. What is smallest implant you have? What is the largest? Are there restrictions on volume for your implants?
Even in the most petite patient, I have found a 300 cc implant is necessary to provide that desired curvaceous perky derrière. On the other hand, extremely rarely does an implant larger than 600 cc fit under the muscle first time around even in larger framed patients. Thus, the Stanton Anatomic Buttock Implant ranges in sizes from 300 – 600 ccs with larger sizes possible on a case by case custom made basis.
Indeed just like breast implants, buttock implants are typically high and smashed flat at first. As the swelling resides and the muscle relaxes, the implant descends into position and the buttock become much more naturally rounded and perky. Although looking good months sooner, this process usually takes 6 – 7 months until complete.
The Stanton Anatomic Buttock Implants are patented and licensed for manufacturing to only one company here in California. Additionally the manufacturing plant as well as the implants are FDA approved.
Approximately 90% of my but I can have some patients also undergo some liposuction, especially of the “love handles”. A combination of sculpting the waistline with liposuction and augmenting the buttock with implants provides the best chance for a long lasting and desired sexy “hour-glass” figure.