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Butt Augmentation: Overview

A businesswoman in her late 30s is contemplating on undergoing butt augmentation. After 10 years of sheer hard work and hard-earned money, she now wants to make her dream a reality. Meanwhile, an upcoming male model in his 20s is also opting for butt enhancement procedure to complement his rock hard abs and muscular thighs. The former finds her derriere too flat, while the latter too small. Both are considering buttock implants surgery.

What is Buttock Implant Surgery?

Is an aesthetic procedure that involves the surgical insertion of artificial implants into the buttocks to enhance and/or change their size and shape. It is frequently sought by women who are unhappy with the size of their buttocks. Others feel their buttocks lack shape, while some want to have a more sensuous backside, by making them larger and rounder. Men who have underdeveloped buttocks can benefit in this procedure, as the implants can provide them with a more balanced figure.

“Round and shapely buttocks is perceived to be sexy, youthful and attractive. The size and shape of the buttocks have significant influence on the aesthetics of the torso for both men and women. Round, shapely butts can make our waist and thighs look smaller, thus giving us more proportionate figure,” says Dr. Alonzo.

Moreover, it is the preferred method for patients who do not have excess fat stores, or whose excess fat is not sufficient to allow for buttock enhancement by fat injection.

Besides having realistic expectations and wanting to improve your appearance, you have to be 20 years or above, in good physical health and psychologically stable to qualify in this procedure. 

What will be discussed during the initial consultation?

Before you undergo the buttocks augmentation, Dr. Alonzo will ask you questions about your medical history and general physical condition. He stresses the importance of heart-to-heart talk during your initial consultation, as butt augmentation is a highly personal decision, not his. You should be ready to discuss with him your wishes and expectations and desires like how large and shapely you want your buttocks to be, and all your concerns in the procedure such as pre-to-post-surgery care, the advantages, risk and complications associated with butt implant surgery, and cost. 
There are wide choice of implants varying in size, surface, filling and shape. But we always use implants filled with a highly cohesive silicone gel. These prostheses feel very natural and cannot leak in the event of tearing. Buttock implants are firmer than female breast implants and softer than male pectoral prostheses.
This type of implant ensures the most natural result. Dr. Alonzo will also explain the type of anesthesia he will use during your surgery, if it’s general anesthesia or local anesthesia with sedation.  

How butt augmentation is done?

Dr. Alonzo will make an incision in the butt area, through which an implant is inserted under each buttock muscle, where scars are not noticeable. (The implant is rounded, anatomically similar to a teardrop or oval, and shaped like an egg.) After performing the same procedure on the other buttock, the doctor makes sure the buttocks are symmetrical and look natural, then he stitches up the incisions. The wound inside is sutured in layers with dissolving thread. However, for the skin, the doctor will use a non-dissolvable thread.

Butt implant surgery usually takes about 2 to 4 hours to complete. The length of procedure varies according to the technique used, placement of the implants, the patient’s anatomy and type of anesthesia used. Usually Dr. Alonzo performs this procedure at the hospital with an overnight stay.
What can I expect after the surgery?

After the operation, you will wear a compression garment to provide support and minimize inflammation. This garment should be worn day and night for the next few days following your surgery. Buttock augmentation stretches the tissue, so expect pain especially within the first 48 hours. It is important to take the medications prescribed to you before and after your surgery to help you cope, prevent infection of the incisions and hasten the healing process.

Swelling and slight bruising are normal, but they will gradually diminish after several weeks. The stitches will come out within a week to ten days. You can go back to work after a few days of rest, but avoid physical exertion like exercise, lifting things or playing sports within a month or two until the soreness subsided. Avoid sleeping on your back (only on your side or belly) and sit up straight during the first 6 months following your surgery. Refrain from activities that require sitting on your buttocks for long periods of time like lengthy flights, car rides, and the likes, also for a period of 6 months.

Dr. Alonzo will continue to monitor you for the next 6 months to check your healing progress. It will take several months before the buttock muscles become fully stretched to accommodate the implants, then gradually your buttock will feel tight until your skin has adapted to its new buttock size and shape. Result varies from person to person. Most of our patient says that they see a good impression of the final result after three months, while some took longer.


Pre- operative laboratory works is required for this procedure. Laboratory test needed includes: Clotting time bleeding time, Chest X-ray, CBC w/ platelet count, and ECG. Medical clearance from cardiologist is also required.



See Before and After Pictures