{Aired 04.19.14}

This week we want to educate the public about the distinction between the Brazilian Butt Lift, Butt Implants, the traditional Butt Lift and Injections commonly done in the general population by lay (non-medical) personnel. The goal is to help the public become aware and understand the need for caution when considering the options.

Hollywood stars like Kim Kardashian, JLo, Beyonce and Nicki Minage  are setting new trends, inspiring women in their quest for fuller, rounder buttocks.  Recent data from the American Society of Plastic Surgeons shows 10,000 women had buttock augmentation in 2013  – a 15% increase over the previous year.

Brazilian Butt Lift

The most popular of these trends is the Brazilian Butt Lift where there is an upside, a “2 for 1” procedure where you get liposuction to remove unwanted fat from other parts of the body  like the tummy, thighs and back and recycle the fat into the buttocks. This makes for a fuller and “higher” look, ideal for many patients.  However if a patient is not exactly a candidate for this procedure meaning they do not have enough fat to be harvested, the surgeon may ask the patient to gain 15 or more pounds  in order for there to be enough fat to inject into the buttocks.

Butt Implants

Another option for butt augmentation includes butt implants, a procedure men tend to prefer. Butt Implants are made from an FDA approved silicone. This is  not not the silicone implants used for breast augmentation but a more firmer material. Since this is a harder material there is less of a natural feel.

Butt Lift

A butt lift is a popular procedure among people that have had massive weight loss and are looking to tone the buttocks. This technique is performed by removing excess skin and fat from area resulting in a firmer look. This does not necessarily create volume int he buttocks region.


Due to the delicate nature of this procedure, patients are asked to not put any pressure on their buttocks for 2 weeks. This means no sitting or driving. Patients must lay on their stomachs for the majority of the day and refrain from returning to work for 2 weeks (especially those desk jobs).

After the 2 week period patients are asked to use a cushioned do-nut to sit on instead of sitting as usual. Following this you may be asked to return after 6-9 months to evaluate the results. At this time a revision might be requested by the surgeon or patient if the buttocks has not had a satisfactory result , however this is a rare occurrence.

Buyer Beware – Not Without Risks

There is an increasing number of  uncertified, inexperienced or otherwise negligent doctors/lay people that  are advertising their services – with disastrous results. Know that there are only 2 FDA approved techniques to increase your buttocks size – butt implants and body fat transfer. No other injections have been approved. This means industrial grade silicone, mineral oil, hydrogel, or any other foreign substance found on the “black market” should not be injected into your body…EVER!

We’ve mentioned her name before, Apryl Michelle Brown a successful hair stylist in California who received butt injections with industrial grade silicone. Her outcome was and is the most horrifying experience anyone can imagine. She knew something was wrong but lived with the uncomfortable side effects such as itching and hardness for almost 5 years. Finally the injection was so infected she was rushed to the hospital and underwent sever procedures to save her life which meant amputating her arms and legs. Read more of her story here.

Preventing the Worst

In order to avoid dangerous life threatening outcomes, it’s important for you to properly research the procedure and the surgeon. Always know what is being injected into your body when considering this procedure. Here are some tips to keep in mind when planning for a butt augmentation.

  • Have healthy expectations about this procedure, after all you are only you
  • Select a board certified plastic surgeon to perform the procedure
  • Make sure your requested butt projection is in proportion to your own body
  • Typically must be 20lbs above your ideal weight to have enough fat to be harvested; you may be asked to gain weight if considering fat transfer
  • Never allow a non medical lay person to inject anything into your body outside of any medical facilities (i.e. residential homes, medical spas, hair salons, etc.)

Special thanks to Dr. Wilberto Cortez, a specialist in Butt Augmentation, for contributing to the conversation.