Buttock Augmentation Featured Patient

26-year-old patient following buttock augmentation with buttock implants

Buttock Augmentation today can be performed by either fat graft transfer, coined Brazilian Butt Lift, or silicone butt implants, also called a Buttocks Implant Augmentation. These two procedures can be performed separately or combined to achieve the desired buttock size and shape. In addition to augmenting the buttocks, improvements in overall buttock shape can be achieved by contouring the body regions surrounding the central buttock cheek.

These areas may include the lateral thigh, flanks, lower back, and medial thighs with either liposuction or tucking procedure. These maneuvers smoothen the transition between the newly augmented buttock and lateral hips and the waistline, located above the buttock, and the upper legs, situated below the buttock. A lateral thigh and buttock tuck may be required when there is sagging of the buttock, skin redundancy of the lateral thighs, or cellulite's appearance throughout the lower buttock cheek and upper posterior thighs. A medial thigh tuck may make sense when the upper inner thighs demonstrate skin redundancy or poor, crepe skin texture.

In summary, Buttock augmentation surgery can increase the fullness, roundness, and projection of your buttock cheeks and lateral hips and correct any asymmetry, suboptimal shape, contour irregularities. Improving your body shape will balance out your figure, result in the ideal "hourglass" figure or the Tilde curve, the describes the exaggerated curve of a maximally narrowed waistline and robust buttocks. Correcting contour irregularities will eliminate undesirable cellulite appearance that is caused by skin redundancy.

If you are unsatisfied with your buttocks' shape and size and are looking to enhance the balance of your body shape, then butt augmentation surgery may be the right option for you. Dr. Mowlavi is a board-certified plastic surgeon world-renowned for his stunning results using his high definition buttock augmentation protocols. At your consultation, Dr. Mowlavi will complete several measurements and customize your surgical design to ensure the perfect outcome, including:

  1. Accurate evaluation of your buttocks' aesthetic and body contour to determine if you will be best treated by fat grafting, buttock implant, or both.
  2. Precise measurement of your buttocks cheek height, width, projection, lateral cheek dimple position, and the intergluteal crease will help choose the ideal buttock implant.
  3. Tally up all of your fat depots to assess how much fat volume will be available for your fat transfer.
  4. Thorough pre-operative consulting to:
  • Minimize the risk of infection
  • Maximize your blood count
  • Optimize nutrition for quicker healing
  1. Comprehensive intra-operative measures to:
  • Reduce the risk of infection by using his proprietary closed-loop fat collection canister
  • Minimize the risk of fat embolism using his proprietary fat grafting cannula with ultrasound guidance fat injection
  • Ensure stable intramuscular placement of the implants
  • Optimize your fat viability using ultrasound-assisted fat harvesting
  1. Thorough postoperative measures, including:
  • Complete counseling regarding sleeping positioning
  • A tutorial regarding sitting techniques
  • A review of temporary physical limitations and expectations.

How Much Does a Buttock Augmentation Cost?

The average cost of buttock augmentation with implants starts at $8,500. The average price of a Brazilian Butt Lift (fat transfer) starts at $10,000. However, the final cost is affected by the volume of fat harvested and desired fat transfer. And if tucking procedure is required as surgical excisions will require extra surgical time. The final buttock augmentation pricing:

  • Surgeon's fee
  • Facility fee
  • Anesthesia fee
  • Garment fee
  • Postoperative lymphatic message fees
  • Overnight stay care fee if required

The prices listed above are an estimation only. Please schedule a complimentary consultation to confirm that you are a good candidate for buttock augmentation surgery and receive an accurate quote.

Patients travel to Laguna Beach from throughout the country to take advantage of buttock augmentation surgery either for the first time or to have buttock augmentation revision surgery. This video will give you a glimpse into the operating room with Dr. Mowlavi, and the photo gallery below will show you the fantastic results!

If you have been thinking about buttock augmentation or unhappy with your buttock augmentation results, we encourage you to schedule either an in-house or virtual consultation with Dr. Mowlavi.


Book a Free Consultation for Buttocks Augmentation

It's important to understand the cost of your cosmetic procedure after you have a consultation. You will be asked to complete the Brazilian Buttock Lift Assessment tool and consider whether you will have fat transfer or implants before your consultation.

When Dr. Mowlavi meets with you to learn about your choice in buttock size and shape based on the assessment tool, he will provide you a customized surgical plan and accurate pricing. 

30-year-old female patient following buttock augmentation with Brazilian Butt Lift (BBL) with fat transfer to the buttock cheeks and lateral hips

59-year-old female patient following buttock augmentation with lateral thigh and buttock tuck lift to improve lower buttock sag and posterior thigh cellulite. 

Butt Lift and Augmentation FAQs

VASER liposuction would help you achieve the hourglass look you desire. This is achieved by liposuctioning the flanks and love handles as well as the lateral thighs and with fat transfer into mid buttock region. In order to exaggerate the hourglass look, not only will your buttocks be built up but your waistline must be maximally narrowed.

The amount of fat to be removed by liposuction and grafted to your buttocks is decided between you and the doctor at the time of your consult, and only by reviewing the areas you want worked on. 

There are no hard-and-fast mathematical amounts and it’s dependent upon your body and the results you’re going for. In general, 30 to 40% of the total amount of liposuctioned fluid and aspirate can be transferred back. For example, if you have 4500cc of liposuctioned aspirate, you will have approximately 1500cc of fat available for transfer back into the buttocks or breasts.

Fat grafting to the breast and to the buttocks (BBL) is absolutely possible at the same time. Remember that although the up to 1500cc of fat can be transferred to the buttocks, no more than 200 to 300 cc can be transferred into breast. As long as you have enough fat to graft both the buttocks and breast you can do both at the same time.

Fat was once injected into the gluteus muscle to increase it’s girth and tilt the pelvis, giving a curvier appearance. However, this is now outlawed as it carries the tremendous risk of a life-threatening fat embolus. 

For the safety of our patients, we utilize ultrasound during our BBL’s to assure that we DON’T inject any fat into the muscle of the butt. As far as viability of the grafted fat, it is dependent upon the quality of the fat harvest. The optimal outcomes are achieved with VASER liposuction to harvest the fat, a closed looped system to process the fat, and strategic micro-packet transplant technique. These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight.

Using the VASER liposuction, you don’t lose any significant amount of fat transferred to the buttocks. As long as you use VASER fat harvesting, you should be fine to sleep and sit after the procedure. VASER has a 95% viability of the fat cells and retention of the volume. Thus, you do not have to worry about having a tummy tuck and sitting for extended periods. 

In summary, you can perform your BBL and tummy tuck at the same time.

A BBL can be performed before or after pregnancy. However, pregnancy can cause changes to the body if you gain more than 30 pounds and this may affect your overall contour. The decision to get a BBL is a personal one and can be performed before or after kids.

The cost for a BBL is dependent on your weight because it depends on how much time is required to remove the fat. It also depends on if you want to liposuction just the front, the back, or 360 degrees (circumferential). We do not charge you for replacing the fat back into your buttocks as this doesn’t take very long.


Yes, it is possible to have buttock implants removed and have a BBL at the same time. This is because the pocket where the implant is removed is sealed shut. In addition, the fat is transferred using ultrasound guidance, so that it is not inadvertently placed into buttock implant pocket. In this way, fat viability is preserved.

There are no complications to becoming pregnant and having children after a BBL

When considering any type of liposuction or augmentation, it is important to get your body to a level that you will be comfortable with for the rest of your life. You want to keep the same activity level as you had prior to the procedure. However, losing a couple of pounds, i.e. less than 10 pounds, is not likely to affect your overall proportions.

Heart vs Round Shape Buttocks

Any surgeon should be able to communicate with you exactly what your butt will look like after the procedure. You should be wary of a surgeon who cannot adequately demonstrate and communicate what your buttocks will look like post-op. Also, our Buttock Assessment tool shows exactly what you are talking about in terms of upper, middle vs lower pole maximum fullness as well as overall size.

Neuropathy does not prohibit a BBL surgery necessarily. If you are determined to be a good candidate for a BBL, we would ask for help from your primary care physician to have you worked up for pre-operative clearance, making sure that it is safe for you to undergo the anesthesia and surgery.

In order to completely eliminate your cellulite on your buttock, posterior thighs, lateral thighs, we will typically have to tuck your skin using a lateral thigh and buttock tuck. This is because cellulite is created by skin redundancy that needs to be eliminated. Even though the skin redundancy may be on the mid and lower buttocks, by tucking it from the upper buttock skin, the tightness is transcended to the lower and mid buttock.

A tummy tuck is widely regarded as a much more painful procedure due to the repair of the muscle required. Liposuction and BBL are much gentler. You will still feel discomfort but since the muscle is not directly manipulated, the pain level is much more tolerable.

Essentially, it is dependent on your skin elasticity to determine if an additional skin tightening procedure may be needed. Most people in their 20-30s have good elasticity. However, skin tightening is needed if the skin has been stretched out from excessive fat or following aggressive weight loss, or even with natural aging. Renuvion skin tightening may occur if you have minimal to moderate skin redundancy. Excising the skin may be utilized if there is moderate to severe skin redundancy.

There is no filler that will fix this hip dip better than your own fat can. In addition, the filler is temporary and not permanent. This hip dip is the result of a lack of mid-butt fullness. It is one of the most popular areas to target during a BBL and can be easily remedied with the use of VASER liposuction and fat grafting.

I do not recommend gaining weight for a BBL as this will only make your fat cells get injured and die during the transfer process. This is because when you gain weight, the fat cells get larger in size thus making them prone to injury as they travel through the small holes of the cannulas used to harvest fat. 

The definitive technique for you, since you are thin, is ultrasound assisted liposuction which should be performed by a high definition body contouring specialist. Additionally, the use of our Buttock Assessment Tool to determine the ideal buttock shape and size for you is critical.

You can travel after 2 weeks with such a long flight after BBL. This is to ensure that all of the fat cells have been revascularized.  I would also recommend getting an in isle seat so you can stand up and walk at least once every hour so that you take the pressure off of your buttock.

To get an accurate surgical plan, I recommend contacting us to do a Same-Day virtual consultation so I can see your current body type. There are various ways I can perform a buttock shape optimization. The key to body contouring is taking into account the excess fat as well as the amount and quality of the skin. 

High definition liposuction, RENUVION skin tightening, buttock tuck, thigh tuck, and lower body tuck are all tools I can use to get you to your ideal shape and size.

Deciding on the ideal buttock shape is a critical step in any butt enhancement surgery! Through the use of my Buttock Assessment Tool you can tell me the EXACT butt shape and size you want and that’s what you will get. Through the use of VASER© Liposuction, RENUVION© skin tightening and surgical cutting, the possibilities are endless so it is important that you take the time to research different body types and come to a conclusion with your surgeon about your ideal figure.

We also do Virtual Consultations daily to assist patients that are stuck between different surgical options.

A High Definition BBL is safe after silicone implants and can be protective of them extruding if the fat is layered superficially to pad the silicone implants from making their way out. We only use VASER liposuction for the harvest of your fat cells due to the improved fat volumes and fat cell survivability. In addition, we use high resolution ultrasound to direct fat graft transfer to avoid injury of the implant or placement of fat near the implant which would result in fat non-take.

Ideal Buttocks shape is often achieved through contouring the surrounding areas and actually reduce the buttocks. Butt size can be reduced using two techniques:

1) Butt HD liposuction using VASER and Renuvion skin tightening.

2) Butt lift

Whichever of these procedures is ideal for you depends on the amount of fat versus skin redundancy you have and the butt shape that you desire. Please observe some of our Brazilian Buttocks Lift Before and After Photos.

Incredible waistline and female silhouette shaping is achieved through the use of VASER HD Liposuction BBLs. The optimal BBL outcomes are achieved with: 1) use of VASER liposuction to harvest the fat from problems areas (in your case it would be the hips), 2) a closed looped system such as Puregraft to process the fat, and 3) strategic micro-packet transplant technique. 

These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight. As an official VASER trainer, I am routinely referred unhappy BBL patients. One of the most common reasons for disgruntled BBL patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons.  

A buttocks assessment tool can be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring.

The buttocks assessment tool is a figurative survey tool that allows you to choose the exact shape and volume of buttocks cheeks desired. It allows you to define the lateral prominence size and position desired on your buttocks cheek as well projection located over the central buttocks. Figures were created with the waist kept constant but the buttocks size and shape altered in order to determine each patient’s desired preferences. Dr. Mowlavi has been able to consistently deliver desired buttocks shapes and sizes to patients treated from around the world using the buttocks assessment tool.

This is a very important question since most patients struggle with conveying to their surgeon exactly the buttocks size and shape. As a specialized center for high definition liposuction and Brazilian buttocks lift (BBL) surgeries, we see unhappy BBL patients weekly. The two most common complaints are that patients did not get adequate buttocks cheek volumes and the second complaint is that the buttocks shape was not created to the likening of the patient. The reason why adequate volumes of buttocks cheek are not routinely attained include:

1) Inadequate fat volume harvest with use of traditional liposuction. Instead, VASER liposuction allows for harvest of both the deep and superficial fat which results in 40 % more volume on average than other liposuction modalities.

2) Fat volume that is reduced in viability since it has been injured in the fat removal process. For example, with traditional liposuction, the semi-solid fat is drilled using liposuction cannulas. Another example is Laser or Smart liposuction, where a laser beam literally pierces the fat in the melting process. In contrast, the Vaser ultrasound gently tickles the fat cells into single cells without injuring the outer cell membrane. As a result, the fat cells provide near 90 % viability when transferred to the buttocks.

The benefits of Vaser liposuction include 90 plus percent graft take to the buttocks. As such, what you see right after surgery is what you are going to keep with respect to shape and volume. This is why Dr. Mowlavi has created the Buttocks assessment tool which allows you to convey to him exactly the buttocks shape and volume you are desiring.

The reason that a 60% buttock volume retention is published on the internet is because most techniques used to harvest the fat graft are suboptimal. For example, the added force required to harvest fat cells with traditional liposuction techniques results in unnecessary damage to the fat cells. Another example, involves use of the Laser liposuction technique(marketed as Smart Liposuction) that results in directly piercing the fat cells. As a result, it is not unreasonable to appreciate why a 60% volume retention is published on the internet.

Instead, the Ultrasound energy of Vaser liposuction gently loosens the fat cells so that they can be siphoned off with minimal trauma. This results in 90 plus % viability of the fat cells. This means that what you see is what you get permanently.

Are You Ready to Become A Masterpiece?

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