Buttock Augmentation: Methods, Procedure, Costs and Results

Buttock augmentation (gluteoplasty) is a surgical procedure to enlarge and shape the buttocks — through implants (silicone gluteal implants) or autologous fat transfer (Brazilian Butt Lift). Modern aesthetic and plastic surgery offers several proven procedures tailored to individual starting points and wishes.

Why Choose Buttock Augmentation?

Flat or minimally developed buttocks despite sport and training
Genetic predisposition to low fat storage in the gluteal region
Loss of volume through aging or weight loss
Asymmetric buttock shape
Desire for a fuller, rounder silhouette

Methods of Buttock Augmentation

Brazilian Butt Lift (BBL)

The most popular method worldwide. Fat is harvested from other body areas (abdomen, flanks, thighs) via liposuction, processed, and injected into the buttocks. Advantages: natural material, body contouring effect, no implant required. The procedure should only be performed by experienced surgeons as incorrect injection depth (intramuscular) can lead to serious complications.

Gluteal Implants

Silicone implants are placed either subfascially (above the gluteal muscle), intramuscularly (within the muscle) or submuscularly (below the muscle). Suitable for patients without sufficient fat reserves for BBL. Longer recovery, higher risk of capsular contracture compared to BBL.

Combination: Implants + Fat Transfer

For very flat buttocks or pronounced asymmetry, a combination of implants and autologous fat can achieve optimal results.

Costs

Method	Costs
Brazilian Butt Lift (BBL)	€5,000–€10,000
Gluteal implants	€6,000–€12,000
Combination procedure	€8,000–€15,000

Recovery

No sitting directly on the buttocks for 2–6 weeks (BBL: fat survival)
Compression garment for 6–8 weeks
Sports after 6–8 weeks
BBL final result after 3–6 months (some fat resorption expected)
Implants: final result after 3–4 months

Risks

BBL: Fat embolism (most serious risk — requires experienced surgeon), seroma, uneven fat survival, partial resorption (20–40%)
Implants: Capsular contracture, implant displacement, infection, nerve damage

Frequently Asked Questions (FAQ)

How long do BBL results last?

After an initial resorption phase (20–40% of transferred fat), the remaining fat cells are permanently established. With stable body weight, results last many years. Weight fluctuations affect the result proportionally, as the transferred fat cells behave like normal body fat.