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Reconstruction of the buttocks through plastic surgery is one way to enhance one's physical appearance at the backside. This procedure may involve either butt augmentation or butt reduction to improve the contour of the body. Of the two, reduction of fat from the buttocks is more commonly performed. However, the number of people who have undergone butt augmentation have risen over the past few years.

Cosmetic surgery of the buttocks is often done for people who want to improve the shape of the butt, especially after losing weight or after a traumatic injury that resulted in deformity of the muscles in the butt. Doctors may recommend butt reconstruction if you have a misshapen, asymmetrical, deficient, or prominent buttock. However, since this is an elective surgery that may have its own risks, people who have significant medical problems may not be advised to undergo such a procedure.

How It is Done

Reconstruction surgery to improve a deformed butt may involve inserting a silicone gel implant under the butt muscle (gluteus maximus muscle). Another alternative is to remove fat from the abdomen or the thighs through gentle liposuction and to inject this fat into the butt. When needed, some doctors may also rearrange some tissues into flaps to perfect the shape of the butt if fat injection or silicone implants are not enough. These procedures may be done under general anesthesia or local anesthesia with sedation.

Silicone gel implantation may take about two hours as an outpatient procedure. However, some doctors ask their patients to have an overnight stay at the hospital. It involves an incision over the tail bone. This is usually done in people who do not have much fat in other places of the body, which are available for liposuction and transfer to the butt. Furthermore, compared to fat injection, it involves more pain and longer recovery period (4 to 6 weeks), after which one can resume his/her usual activities.

Augmenting the butt using fat injection taken from other parts of one's own body is a less invasive procedure, which takes less time to recover. Incisions are smaller and minimal scarring is expected. One can resume normal activities within two weeks and there is little risk for foreign body reaction or rejection since the patient receives his own fat tissues. However, fat resorption can occur and repeated sessions may be done to achieve desired results.

According to the American Society for Aesthetic Plastic Surgery, an average buttock lift may cost about $4,600, and $4,200 for butt augmentation with silicone implants.

Risks and Complications

Some of the risks and complications involved in buttock reconstruction include those common to other surgeries, such as excessive bleeding, pain, numbness, fluid build-up in the tissues, infection, and scarring. Risks and complications which are specific to silicone implantation include patient dissatisfaction with the results, rupture of the silicone implant, nerve injury, implant shift or implant exposure. With fat injection, asymmetrical buttocks, fat resorption, butt irregularity, abscess formation and cellulitis are possible risks.

Reoperation and scar revision may be needed if results are unsatisfactory. However, one must not expect immediate results, as it takes several months for the skin, muscles and other tissues to heal completely and yield optimal cosmetic results.

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