Buttock surgery is procedure that has become increasingly popular and is also one of the 5 most frequent procedures we perform; to augment the buttocks exist 3 options: silicone implants, autologous fat grafting involving injection of fat obtained from the same patient by liposuction (known as Brazilian Butt Lift or BBL) and the last one, is an intramuscular injection of high molecular weight hyaluronic acid (although due to the high cost and short duration of this one is impractical and has fallen into disuse). The first two procedures mentioned are intended to improve the contour of the buttock and are generally performed in combination with liposuction of some regions (hip, buttock fold, buttock crease and lumbar region).
An international Safety Committee has recently been established for this procedure and we have made great strides as a guild in the safety of these procedures, particularly autologous fat injection. At the first time consultation we explained this as well as the benefits and disadvantages of each of the three techniques.
The time of surgery varies from 1 hour for uncomplicated cases to 2.5 hours in combined cases. The surgery is always performed in a hospital or clinic; uncomplicated cases are managed on an outpatient basis, some combined cases can be managed with 1 night of hospitalization. Initial recovery ( to return to work) can be as soon as 7-10 days for uncomplicated cases and 2 weeks for combined cases.
The definitive results can be appreciated after 4-6 months, therefore photographs on the internet of patients right after surgery are worthless (in fact, I consider that showing photos in the operating room is a scam), since the period of inflammation, disinflammation and normal fat absorption has not yet taken place.