A number of vigorous exercise can be recommended to achieve this bodily ideal, however, the result stays usually short of what was desired. Exercise may certainly help to tighten the buttocks to some degree, but it usually does not make them larger.
There are two recognized methods of buttock augmentation. One is through autologous fat transplantation, a so-called Brazilian buttock lift, which has recently gained in popularity due to the refinement of the transfer method and new insights into the process. Fat is extracted from a body region suffering from fat distribution dysfunction, and, upon appropriate preparation (“washing”) freely transplanted into the buttocks. The amount of transplanted fat is usually between 200 and 400cc.
As with all other fat transplants, fat loss may occur within the first 6-12 weeks. Nevertheless, studies show that a considerable proportion of 70-80% is incorporated. Still, a second operation may be necessary. Postoperatively you will have to wear a special corsage day and night for a period of 6 weeks. It is recommended that you prophylactically take an antibiotic for a couple of days after the surgery. All sports activities should rest for a period of 3-4 weeks. You are not to sleep on your back for the first few days, but you will be able to sleep on the side or on your front. Sitting may be somewhat risky, but if you put your weight more on your thighs and legs, you are allowed to sit temporarily. An incapacity for work for a period of 1-2 weeks is to be expected. You will experience hardly any pain.
The second method is an augmentation with implants. This method can be applied if not enough extractable fat can be found in the body. The advantage of this method is that only one operation is necessary and, a good progression provided, no further surgical treatment is necessary. The downside of this method is that, as is the case with breast augmentation, it can lead to the development of a capsular fibrosis, which would require the replacement of the implants.
Through a small incision between the buttocks, it is possible for Dr. Matejic to form a pocket either behind or between the gluteal muscles that is large enough to hold the implant. The implant is placed above the ischium, so that its position is not affected while sitting. The rest of the operation is equivalent to an autologous fat transplantation.
A detailed consultation is the basis for any successful operation. The operation is performed under full anesthesia and lasts 1.5 – 2 hours. A surgical method for a buttock lift exists as well, however, due to the extreme scarring, it is only recommended in exceptional cases and after in-depth consultation. In this procedure, the lower, sagging buttock parts are excised where they meet the back of the thigh, and the wounds are sutured.