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2017 Was the 'Year of the Rear'

2017 Was the 'Year of the Rear'

Thousands of squats, dozens of sets of leg lifts and climbing endless flights of stairs are just a few things women do to boost and lift their butts, but many other women are opting for a faster and easier route: cosmetic buttock augmentation.

In fact, the number of women choosing the buttock augmentation is rapidly increasing, according to the American Society of Plastic Surgeons. Buttock augmentation using silicone implants rose 18 percent between 2015 and 2016, while buttock augmentation using fat grafting increased 26 percent for the same period.

The American Society for Aesthetic Plastic Surgery reports that butt-augmentation procedures totaled 20,673 last year, making 2017 the "Year of the Rear."

"Buttock-enhancement procedures are increasingly popular among both men and women," said Dr. Bill Johnson.

Johnson is a Dallas, Texas, physician who performs buttock augmentation using fat grafting, also known as the Brazilian Butt-Lift.

"Genetics, aging, pregnancy and weight loss can all affect the shape and size of the buttocks. Over time, the butt can droop or sag, which can make it look out of proportion to the rest of the body and even make women feel self-conscious about their appearance in certain clothing," Johnson said.

Johnson performs the Brazilian Butt-Lift procedure using liposuction to remove unwanted fat from another part of the patient’s body. He then injects it into the buttocks.

"We usually take fat from the midsection or 'muffin top' area, or another area where there is unwanted fat," said Johnson.

The transferred fat helps to both reshape and increase the size of the buttocks. The Brazilian Butt-Lift also has additional benefits.

"The fat-transfer procedure causes the body to produce more collagen, which tightens the skin and causes the butt to perk up – hence the name Brazilian Butt-Lift," Johnson said.

Many women choose the Brazilian Butt-Lift procedure because results are seen very quickly compared to spending hours in the gym. The procedure also takes less time than the more invasive implant augmentation surgery, which can take several hours to complete.

The buttock implant augmentation surgery not only takes much longer than the Brazilian Butt-Lift, but it also requires more recovery time.

"Downtime after the Brazilian Butt-Lift is significantly less than the silicone buttock implant surgery, and overall there are fewer risks to the procedure," Johnson said.

Risks associated with silicone buttock implants include a chance of infection and potential rejection of the implant. This contrasts with butt-augmentation procedures that use the patient’s fat.

"Your body will not reject your own fat," Johnson said.

The body also forms scar tissue around buttock implants, a process known as encapsulation, which can affect how implants both look and feel.

Implants can also be visible under the skin.

"If silicone buttock implants are on top of the buttock muscles, they will become very noticeable when they begin to sag. They can also begin to sag at different times, which will leave patients with a very uneven appearance," Johnson said.

The results of the Brazilian Butt-Lift last a very long time, giving patients the perky posterior they desire for many years.

Fat has uses beyond enhancing the buttocks. It has a wide range of applications for cosmetic procedures and can be used to complement breast augmentation and face-lift surgeries, Johnson said.

"Fat is increasing in popularity for use as a natural way to augment the breasts, as part of anti-aging treatments and scar revision treatments," he said.


Women's Health Magazine. Butt augmentation procedures are on the rise—but are they totally overrated? 30 January 2018.

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