The decision for a specific buttock shaping procedure will be made based on your individual factors and personal wishes. A basic distinction is made between buttock tightening operations (with or without liposuction) and enhancement operations (augmentations) with implants or the patient's autologous fat tissue (lipofilling/dermal fat flaps).
1. Buttock lift (gluteoplasty)
During a buttock lift, excess skin is surgically removed. Most often, the excess skin is removed from the upper border of the buttocks, in rare cases from the lower buttock crease. Then the buttock skin is lifted and tightened. In the same procedure, excess fat deposits on the buttocks or adjacent body regions (hips/thighs) can be removed by liposuction. Missing buttock volume can also be (re)created with a silicone implant, by means of autologous fat injections (lipofilling) or with dermal fat flap surgery.
2. Buttock augmentation with autologous fat injection (lipomodelling/lipofilling)
In so-called lipomodelling or lipofilling, we will remove excess fatty tissue from other areas of the body (e.g. abdomen, hips or thighs) by liposuction. We will then especially prepare the fat tissue and then inject it into the fatty tissue and muscles of the buttocks. This is done using fine cannulas in order to shape and enlarge your buttocks according to your wishes and to compensate for any irregularities in the contours. By removing persistent fat deposits, a more harmonious body silhouette is achieved overall.
Since autologous fat is the body's own tissue, which is often available in sufficient quantities, it does not carry the same risks as the use of a foreign matter and has high plasticity.
3. Buttock augmentation with silicone implants (gluteal augmentation)
If you do not have enough autologous fat tissue in other parts of your body for sufficient augmentation of the buttock volume, the use of silicone implants is advised. Implants are highly stable in form, allowing for a precise planning of outcomes. Today, implants are mostly inserted into the gluteal muscle. Implants of different shapes, sizes and projections are available and can be integrated into the preoperative planning according to your individual needs. Buttock augmentation with implants can also be combined with liposuction of the thighs or hips to create a harmonious body contour.
4. Buttock augmentation with dermal fat flaps (gluteoplasty)
In people who have lost a lot of weight, so-called dermal fat flaps can be used to simultaneously tighten the skin and enlarge the buttocks with the body's own tissue. In buttock augmentation with dermal fat flaps, the excess skin is first removed. Then, the underlying fatty tissue, including the supply of its vessels, is used to build up volume in the buttocks. In contrast to lipofilling, dermal fat flaps are fatty tissue that is supplied with blood. This has a higher survival rate than injected fatty tissue. The scars of buttock augmentation with dermal fat flaps - as with a simple buttock lift - are usually located at the upper borders of the buttock contour.