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Buttock Augmentation Surgery

Orange County Buttock Augmentation Surgery

Dr. Hootan Daneshmand

Buttock Rejuvenation

Attractive buttocks are often associated with health and sensuality, as seen in classic art as well as current fashion and popular culture. Although what is deemed the perfect bottom may vary among cultures and individuals, some attractive qualities are nearly universal.
Orange County Board Certified Plastic Surgeon Dr. Hootan Daneshmand at Silhouette Plastic Surgery Center performs buttock rejuvenation surgery to help women and men have the full, rounded buttocks they want.
To find out more about buttock rejuvenation procedures such as the Brazilian butt lift, request a consultation with Orange County Board Certified Plastic Surgeon Dr. Hootan Daneshmand. You can call our office at (949) 727-9099 to schedule your appointment.

Benefits of Buttock Rejuvenation

Like other parts of the body, the shape and contour of the buttocks change with age, weight fluctuations, and fitness level. You may notice that your bottom isn't as "perky" as it once was, which may be due to changes in the muscle or skin tone that occur with time. There are a variety of buttocks rejuvenating and shaping procedures available to help correct these changes and return the shape and contour of your buttocks to their youthful state.
At Silhouette Plastic Surgery Institute, buttock rejuvenation surgery can lift sagging skin and tissue, add volume to flattened buttocks, and restore a more rounded shape to the buttocks. Many men and women often have buttock rejuvenation performed along with a thigh lift or a tummy tuck for more complete lower body contouring.

Our Body Contouring Specialist

Orange County Board Certified Plastic Surgeon Dr. Hootan Daneshmand has the skills and experience necessary to help you achieve your goal of having beautiful buttocks. Dr. Daneshmand has extensive knowledge of the most current buttock reshaping techniques including the Brazilian Butt Lift which enlarges and shapes the buttocks through fat grafting.

What is a Buttock Augmentation?

Buttock augmentation surgery involves using implants, fat grafting or sometimes a combination of both to increase the size of your buttocks.
  • This procedure can:
  • Increase fullness, roundness and projection of your buttock.
  • Improve the balance of your figure.
  • Enhance your self-image and self-confidence.
Buttock augmentation surgery is right for someone who does not like the shape of their buttock or is looking to balance their body. It is performed in one of two ways, with implants or fat transfer: The fat transfer procedure is commonly known as a Brazilian butt lift.

Is Buttock Rejuvenation right for me?

Buttock augmentation is a very personal procedure and you should do it for yourself, not for someone else.
  • It is a good option if:
  • You are physically healthy.
  • You have realistic expectations.
  • You are bothered by the feeling that your buttock is too small.
  • You are unhappy with the roundness or general shape of your buttock.
  • Your buttock is asymmetrical.

Consultation & Preparing for Surgery

  • During your consultation, be prepared to discuss:
  • Why you want the surgery, your expectations and the desired outcome.
  • Medical conditions. drug allergies, and previous medical treatments.
  • Current medications, vitamins, herbal supplements, alcohol, tobacco, and drug use.
  • Your plastic surgeon will also:
  • Evaluate your general health status and any pre-existing health conditions or risk factors.
  • Take photographs.
  • Discuss your options and recommend a course of treatment.
  • Discuss likely outcomes of buttock augmentation and any risks or potential complications.
  • Prior to surgery, you may be asked to:
  • Get a blood test.
  • Take certain medications or adjust your current medications.
  • Stop smoking.
  • Avoid taking aspirin and certain anti-inflammatory drugs, as they can increase bleeding.
Buttock augmentation surgery may be performed in an accredited outpatient or ambulatory surgical center or a hospital. Be sure to arrange for someone to drive you to and from surgery and to stay with you for at least the first night following surgery.

Be sure to ask your plastic surgeon questions. It’s very important to understand all aspects of your buttock augmentation. It’s natural to feel some anxiety. Whether it’s excitement for your anticipated new look or a bit of preoperative stress. Don’t be shy about discussing these feelings with your plastic surgeon.

The Procedure.

Your buttock augmentation surgery can be achieved through either the use of implants, through transferring your existing fat, or sometimes a combination of both. Your surgeon may choose between a variety of incision patterns and techniques.
  • The appropriate technique for you will be determined based on:
  • Buttock size and shape.
  • The amount of fat you have on your body that is available for use through liposuction.
  • Your goals and activity level.
  • Skin quality and elasticity as well as the amount of extra skin.
Medications are administered for your comfort during the surgical procedures. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you. No matter which type of buttock augmentation procedure you have, anesthesia will be used to ensure your comfort during the procedure.

Step I - Buttock Implant Procedure

An incision will be made. Your surgeon will place incisions toward the top on both sides of the upper buttock, toward the bottom in both of the gluteal creases (the areas where your "cheeks" meet the top of the thighs), between both cheeks (hidden in the crease) or will use one incision placed down the center of the sacrum (the crease between the buttocks). The length of the incision and scar is directly related to the affected areas.

Step 2 - Implant Placement

A silicone implant specially made for the buttocks is inserted either in the muscle or above the gluteal muscle on each side. The method for inserting arid positioning implants depends on the type of implant, degree of enlargement desired, you body type, and your surgeon's recommendations.

Step 3 - Closing the Incisions

lncisions are closed with layered sutures in the buttock tissue and with skin adhesive or surgical tape.

Step 4 - See the Results

The results of buttock augmentation are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover and realize the fulfillment of your goal for fuller buttocks. Results of this surgery are permanent.

Fat Grafting/Brazilian Butt Lift Procedure

Step I - Liposuction

Liposuction is performed through small, inconspicuous incisions. First, diluted local anesthesia is infused to reduce bleeding and trauma. The cannula, or a thin, hollow tube, is inserted through the incisions to loosen excess fat using a controlled, back-and-forth motion. The dislodged fat is then suctioned out of the body using a surgical vacuum or syringe attached to the cannula. In general, your surgeon may use liposuction to remove up to three times the amount of fat than what will actually be injected into the buttocks.

Step 2 - Fat Injection

The fat tissue and blood that were removed through liposuction are then processed. The syringes are then connected to a special cannula. Your surgeon will use this cannula to add the fat to the buttocks through small injections all over your buttocks.

Step 3 - See the Results

The results of buttock augmentation are immediately visible: however, you will not see your final results until up to a year after the surgery, as it takes a while for the fat to "take". This procedure offers natural looking and feeling results, but the projection of the buttocks may decrease over time. Some of the initial volume you experience after your fat grafting procedure will fade as the fat is absorbed by your body (on the average, patients will retain 60% of the transferred fat, in some cases more, in others less). Satisfaction with your new image should continue to grow as you recover and realize the fulfillment of your goal for a fuller buttock.

Risk and Safety

The decision to have buttock augmentation surgery is extremely personal. You will have to decide if the procedure will achieve your goals and if the risks and potential complications are acceptable. You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks and potential complications.
  • Risks of buttock augmentation with implants include:
  • Infection.
  • Bleeding.
  • Opening of the incisions with implant exposed, requiring removal.
  • Scarring.
  • Nerve damage.
  • Firmness.
  • Implant rupture.
  • Implant migration.
  • Fluid accumulation (seroma).
  • Pressure on your sciatic nerve.
  • Anesthesia risks.

  • Risks of buttock augmentation by fat transfer include:
  • Excessive loss of blood.
  • Blood clots and bruising.
  • Deep vein thrombosis, cardiac and pulmonary complications.
  • Possibility of revision surgery.
  • Numbness and pain.
  • Fat embolism, injection of fat into the bloodstream. that causes inflammation in the lungs.
  • Infection.
  • Fluid shifts and lidocaine toxicity.
  • Complications of liposuction.
  • Complications of anesthesia.
  • Swelling and bruising.
  • Asymmetry.
  • Possible need for revisional surgery at a later date.
  • Fatty tissue found deep in the skin might die (fat necrosis).
  • Anesthesia risks.
  • Oil cyst and Hematoma.
  • Stretch marks and Cellulite.

Recovery After Surgery

After surgery you will be taken into a recovery area to be closely monitored. You may be permitted to go home after a few hours. Before leaving, you will be given specific instructions that may include how to care for your buttocks and any areas that may have been liposuctioned following surgery, medications to apply or take orally to aid healing and reduce the risk of infection, and when to follow-up with your plastic surgeon. You will be instructed to wear a support garment "around the clock" following your surgery. Your surgeon will tell you how long you need to wear the garment and if there are any other garments that you may have to wear during your recovery. Each buttock augmentation procedure has specific steps that you need to take to ensure a healthy recovery and good results:

Fat Grafting Recovery:

You will be asked to avoid prolonged sitting for about two weeks (some surgeons prefer longer). This is very important because prolonged sitting will damage the fat. You will also be encouraged to sleep face down or on your side. When you do have to sit you will have to use a pillow or cushion placed behind the legs (hamstring muscles) to help raise the buttock avoiding pressure onto the fat grafts.

Buttock Augmentation with Implants:

You will need to wear a support garment for approximately two to three weeks after your procedure. This will help the skin redrape properly and provide support to the augmented buttocks. Final results are noticeable three months after surgery. At this point, most of the swelling will be gone and the implants will be settled in their normal position.
You will also be provided with a support garment that will apply even compression to the areas that were treated with liposuction. In addition, small, temporary drains may be placed in existing incisions beneath the skin to remove any excess blood or fluid. You will be given specific instructions that may include how to care for the surgical site and drains, specific concerns to look for in your general health, and when to follow up with your plastic surgeon. Your surgeon may encourage you to seek a lymphatic massage from a licensed massage therapist. You can generally resume exercise after six to eight weeks.

With either procedure, it is important to be informed about the steps you can take to aid your recovery. Be sure to ask your plastic surgeon specific questions about what you can expect during your individual recovery period:
  • Where will I be taken after my surgery is complete?
  • What medication will I be given or prescribed after surgery?
  • Will I have dressings/bandages after surgery?
  • How long will I wear the compression garment?
  • Are stitches removed? When?
  • When can I resume normal activity and exercise?
  • When do I return for follow-up care?
It may take several months for the swelling to fully dissipate. As it does, your new contours and enhanced self-image should continue to develop.

Following your physician’s instructions is key to the success of your surgery. It’s important that the surgical incisions are not subjected to excessive force, swelling, abrasion, or motion during the time of healing. Your doctor will give you specific instructions on how to care for yourself.


The results of your buttock augmentation surgery are immediately visible. Overtime, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover from surgery. Incision lines are permanent, but will continue to fade over time. The final results of your buttock augmentation with implants will appear over the next few months as your buttock shape and position continue to settle.
If your procedure was performed with fat transfer, it can take up to a year to see your final results. Some of the fat that leads to the initial shape after surgery will be reabsorbed by your body. it is also important to keep in mind that this fat can behave like any other fat in your body. As you gain or lose weight, your results may change as the transferred fat can grow or shrink just as any other fat in tour body.
The results of your buttock augmentation surgery will be long lasting. Over time, your buttock size and shape can continue to change due to aging and gravity. You'll be able to retain your new look longer if you:
  • Maintain your weight.
  • Keep a healthy lifestyle.


Cost is always a consideration in elective surgery. A surgeon’s cost for buttock augmentation may vary based on his or her experience, the type of procedure used, and geographic location. Many plastic surgeons offer patient financing plans, so be sure to ask.
  • Cost may include:
  • Surgeons fee.
  • Hospital or surgical facility costs.
  • Anesthesia fees.
  • Prescriptions for medication.
  • Post-surgery garments.
  • Any special pillows that may be required for your recovery.
  • lmplant fees.
  • Medical tests.
NOTE: Most health insurance do not cover cosmetic surgery or its complications.

Your new look

For many women, the result of buttocks rejuvenation can be satisfying, even exhilarating, as they learn to appreciate their fuller appearance. Regular examination by your plastic surgeon and routine check ups at prescribed intervals will help assure that any complications, if they occur, can be detected early and treated. Your decision to have buttocks rejuvenation procedure is a highly personal one that not everyone will understand. The important thing is how you feel about it. If you've met your goals, then your surgery is a success.

Our practice is based on honesty, integrity, and a dedication
to excellence in plastic surgery.

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News and Events
Dr. Daneshmand's Humanitarian Trip
Doctor Daneshmand's trip to Sohag Egypt
more information on this event
Volunteer Work
Doctor Daneshmand, in partnership with Rotaplast International, has been traveling to underpriviledged countries for the past 26 years. During those missions he has treated hundreds of children with the cleft lip and palate anomaly who would otherwise not receive surgical intervention.
These Past Missions Include:
1983, 1984: Mexico;
1994, 1995: La Serena, Chile;
1996 Tunuyan, Argentina;
1997: Nuevo Progressivo, Guatemala;
1998: Cumana, Venezuela;
1999: Cumana and Maracaibo, Venezuela;
2000: Santa Cruz, Bolivia;
2001 and 2002: Caracas, Venezuela;
2005: Guatemala;
2006: Maracaibo, Venezuela;
DR. D's Blog
This Plastic Surgeon blog is designed to provide real-time information about this rapidly evolving field, and allow for the exchange of ideas through questions, answers, and comments. View Blog...
Surgery Center
All procedures are performed at the Foothill Ranch Surgery and Medical Center, conveniently located off the 241 Toll Road and Portola, and at the Laguna Hills Surgery Center, located 5 minutes off the 5 freeway in Laguna Hills Read More...
Contact Our Main Office
Phone: (949) 727-9099
27462 Portola Pkwy
Foothill Ranch, CA 92610
Dr. Hootan Daneshmand specializes in cosmetic plastic surgery, including breast augmentation & breast lift, breast reconstruction, breast reduction, facelift, liposuction, tummy tuck, Botox® and other non-surgical options and plastic surgery for Orange County and Bakersfield area. Click for directions to our Orange County plastic surgery fully accredited surgical facility centers.