Butt augmentation has gained widespread popularity as plastic surgery techniques have evolved to match the increasing demand. Importantly, butt augmentation should be viewed as both a volume and shape procedure. The idea that bigger is better is simply not true. The art in this procedure is to give both the proper size and shape in proportion to the height and weight of the patient.

The two methods of butt augmentation are implant placement and fat grafting. The advantage of implants is that they can be used in patients who might not have enough fat to harvest for augmentation. They are also permanent. However, implants also have many common side effects including chronic pain, infection, seroma formation (fluid collections around the implants), and hardening with unnatural feel. Because of these possible complications, most surgeons, including myself, prefer fat injections.

Fat grafting has the advantage of being completely natural. Liposuction is used to “harvest” the fat by removing fat from unwanted areas such as the abdomen, love handles, thighs, and around the buttocks. The liposuction part of the procedure can be used to shape the butt and to improve other areas of the body. This fat is washed, specially treated, and then carefully injected into the butt to give it a perfect shape. In some cases, the augmentation can be combined with a lift procedure for an optimal result.


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Patient Focus 1

Procedures: Brazilian Butt Lift/Augmentation


*All patients are unique and results may vary

Patient Focus 2

Procedures: Brazilian Butt Lift/Augmentation

 *All patients are unique and results may vary



Length: 2- 4 hours (depending on the extent of the procedure and number of liposuction donor sites needed and amount of fat needed) 

Anesthesia: General 

In/Outpatient: Outpatient

Side Effects: Temporary swelling, bruising, some pain, and need to avoid pressure on the fat grafted area for several weeks

Risks: Pain, bleeding, infection, incomplete improvement, contour irregularity, loss of fat graft, and rare fat embolism

Recovery: Back to work: 1 week.  More strenuous activity: 2 - 3 weeks

Final Appearance: 1-2 months for swelling to resolve

Duration of Results: Permanent if stable weight maintained.  A variable portion of the fat graft can be expected to be reabsorbed.


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Body Contouring Plastic Surgery and Your BMI

Peer reviewed plastic surgery research indicates that the complication rates from breast and body contouring plastic surgery are much lower if your Body Mass Index is in the normal range.  For obese or morbidly patients, complication rates such as deep venous thrombosis, wound healing problems, and infection are much higher.  We encourage all of our patient to know their BMI and if at all possible achieve a normal BMI before embarking on elective cosmetic surgery. 


To assist our patients with knowing and managing their BMI, we recommend the Taking Measures App


TakingMeasures is a free application designed to provide education and awareness about metabolic health for users of all ages at home or on the go. This interactive, educational tool calculates users’ Body Mass Index, or BMI, explains what this number means, its effects on overall health, and tracks users’ BMI history. The application includes a survey that helps users assess their readiness to change and provides customized tips on nutrition and physical activity. Taking Measures also includes a fun and exciting game called “Percy’s Pick-e-plate Challenge” where users learn about healthy eating by helping Percy prepare healthy meals. This application is not intended to provide a diagnosis and all users should visit their health care professional for a full examination.

Specialized Fat Grafting System Used by Dr. Burns