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DR. ABDOLLAH MALEK: Buttock augmentation is a wonderful part of what we do, is well publicized, and people are very, very familiar with the contour of the body. Buttock is a very important part of attractive appearance of the gentleman as well as ladies. Buttock especially is very interesting because in the different buttocks will look different. For example, Brazilian buttock may be different than the northern European buttocks. But overall, if the buttock size or shape can be improved, there are different ways of doing it.

And typically, one of the most simple ways that we can make the buttock look better is by liposuctioning the lumbar and hip area. Typically what I hear is that patients come and tell me that my butt is too big. But as a matter of fact, a lot of time it is because the lumbar roll and the above the butt, gluteal area, is too heavy. By liposuctioning those areas, you can bring the buttock area into a nice contour and shape and make it sculptured and very beautiful.

But if someone says that I like my buttock to be enlarged or bigger, then we have different options. Obviously implants have been around and is a good option but is not the best option. And a majority of the times, fat can be harvested from other parts of the body and can be infiltrated or basically injected or transferred with autologous transfer into the buttock area. And with the modern technique that we have, we can make the buttock very nicely and very shapely without the use of implants which is ideal.

The fact that we used to suction and throw away, we can filter it and clean it up and get the blood and everything away from it and inject it into the buttock and it looks very beautiful and round but it is 50 to 70 person that the fat can remain and that’s very long lasting without the use of implant. So the buttock augmentation with the implant is basically reserved for the people who do not have fat anywhere else, typically body builders. Body builders basically they do not have much fatty tissue anywhere else and for those the buttock implant could be a good choice and of course on those group of patients, buttock implant, now we know that the best way of putting it is putting it underneath the muscle in the gluteal area.

In another group that the buttock implant will be very, very helpful are the people who have had a lot of weight loss and they have post-bariatric surgery and they have a lot of extra skin that occasionally we can use the extra skin and extra tissue and rotate it and remove it from the area we don’t want it and make the buttock that we want it. So a lot of different options available. But we have got a lot more to our autologous. It means using your own tissue to augment the buttock and make it better. And the implant is always available for the people who do not have their own tissue as a best choice.