When a patient wants to augment her buttocks, there are two options, and the choice between them is not a matter of preference. It is a matter of anatomy.

Fat grafting, known as BBL, uses the body’s own fat. I remove it from areas such as the waist, back, or abdomen and reposition it in the buttocks. The result feels natural to the touch and also slims down the areas from which the fat was taken. But there is one condition: the patient must have enough fat to be transferred. Very thin women do not always have the necessary material for the volume they desire.

Buttock implants address exactly this situation. It is a silicone prosthesis positioned to create volume even when there is no fat available. It provides projection for those who are thin and would not achieve this result with grafting alone.

Each technique has its indications, advantages, and limitations. The most common mistake is for the patient to decide on a technique before knowing what her body can handle. Sometimes the best choice is to combine the two: an implant for projection and fat to refine the surrounding contour.

The evaluation determines the path. Not the other way around.

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