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Updated: Feb 25, 2021

Out of nowhere, the booty has become the latest accessory!!  I call it an accessory because at the moment it is for sale, just like a Gucci handbag or a Hermes wallet.  I today’s world, anyone with some funding in the bank can buy themselves a booty. We have heard horror stories of liquid industrial silicone disfiguring peoples butts.  Yet people will go through hell and high water to get the bootylicious, even if they cannot afford it.  Be very careful when getting buttocks enlargement, make sure you go to a practitioner that is highly respected in this field and has consistent results. There are several types of butt enhancing procedures and also multiple techniques.  I will let you know the most popular and most current methods being used.

1. Butt Implants 2 Injectable Fillers typically used in other areas now adapted for butt volumizing (Voluma, Sculptra,) 3. Injectable butt fillers (Macrolane, Aquafiling) 4. Body Fat 5. Renuva

Most of the above, apart from butt implants, are not permanent. Even transferred fat decreases in size at first and then normalizes. So let’s take a brief a look at the world of butt enlargers.


Butt implants are the most popular, and from what I’ve heard they hurt like hell if implanted under the muscle. It may take a while for the muscles to stretch after implantation. An incision is usually placed between the butt cheeks. The implants are harder than regular breast implants but are also filled with silicone gel.

Butt implants come in various sizes, but you are however limited by anatomy when it comes to choosing a size. Though implants can be put over the muscle, in the buttocks area, this is not advisable; they may move and cause your butt to look irregular. When thinking of having butt implants try and make sure they will look regular. You do not want something that seems out of the normal and makes you look like a monster or something. The advantage being at least you do not have to replace them intermittently or refill them, unlike most other fillers.

Secondly on the list is body fat. If you are one of the lucky few that happens to have hardly any body fat, this technique is not for you. This technique involves sucking body fat from one part of the body (liposuction) and transferring it to another. Firstly your surgeon will identify what part of your body is best to find some fat. This is usually around the abdomen area. The fat is then sucked out through various liposuction techniques depending on the surgeon. This fat is then purified to make sure it maintains a high stem cell count and is then injected into your buttocks.

I must note here that different plastic surgeons use different liposuction techniques. Some surgeons do not purify the fat before injecting.  Using your own fat may seem like the best solution, however, to get any drastic changes you need to have quite a bit of fat. This is because once the fat settles in usually the volume could decrease by up to 50%.  The procedure is generally done under local or light sedation.  However, for larger areas, you may need full general anaesthesia. It’s not easy trying to get bootylicious.

Injectable Body Fillers (Macrolane and Aquafilling)

Macrolane is a body-contour filler marketed by Q-Med in the UK since early 2008. It claims to be a less invasive alternative to surgical breast enlargement; offering an increase of one cup size through injections that take between 30 and 90 minutes. This is colloquially referred to as the “30-minute boob job”. More recently, Q-Med has discontinued promoting Macrolane as a breast enhancer due to the lack of consensus amongst radiologists. Macrolane has also been used in Minor butt augmentation by some surgeons as it is known to be great for enhancement and volume. Macrolane is usually injected in buttocks and can last up to a year.

A recent study showed that Macrolane complication may appear after months or years from treatment. High-frequency ultrasound and Magnetic Imaging Resonance are helpful to diagnose the nature of complication, with typical Macrolane imaging features. Patients must be warned that it can be impossible to remove Macrolane entirely, once implanted.


Aqufilling like Macrolane is an injectable filler that claims to be made up of 98% water. AQUAfilling is a hydrophilic biodegradable gel which is biocompatible. AQUAfilling® provides a non-invasive and non-surgical way to make human tissues look more attractive and natural. The hydrogel in AQUAfilling® is exceptionally compatible with the human tissues because it is composed of 98% of a physiologic solution of sodium chloride, a natural substance of the human body, and 2% of polyamideAQUAfilling is a hydrophilic gel, which acts as a depot for normal physiologic 0,9 % sodium chloride solution, locked in the matrix of a three-dimensional spatial permolecular structure of synthetic linear polyamide.

Thanks to its positive charge the gel attracts soluble, negatively charged molecules of the extra-cell matrix – collagen and elastin, thus providing long-lasting elasticity and strength of the skin. This gel can be used in butt augmentation as well as the breast and lasts for about 2 years before it dissolves back into the body. Aquafilling is a high-quality product but not yet FDA approved in the USA, however, it is available in Europe through some plastic surgeons. Aquafilling does give good results but may be expensive in the long run as one needs to go back every two years for a top up.


This product is dried out hydrolyzed fat that can be used to fill out dimples and imperfections in the buttocks area or other parts of the body. Renuva® adipose Matrix is a small volume fat transfer treatment. The entire procedure is performed in the doctor’s office and involves tiny injections into one or more affected areas. Renuva is great for :

Scarring from a previous liposuction procedure Small skin defects Cellulite dimpling Ageing hands

Renuva is an injectable treatment performed by transferring small amounts of allograft fat tissue into your existing fat tissue. Allograft tissue comes from donors and is tested and screened in accordance with the U.S. Food and Drug Administration’s requirements for donor tissue. After harvesting, the tissue is sterilized to ensure a safe transfer to the recipient’s body. Once transplanted into your body, Renuva forms an adipose matrix which acts as a scaffold system to build and regenerate tissue. Your body uses this matrix to improve skin tone, texture, volume, and appearance. This product I must say is suitable for small fills only. I would not use it for larger areas or anything that involves trying to enlarge the buttocks dramatically. Renuva is however great or those small filling procedures.


That said you can also use fillers like Sculptra and Juvederm to fill your butt as well. However, both thee products work in different ways. Sculptra Aesthetic is an FDA-approved injectable that helps gradually replace lost collagen; an underlying cause of facial ageing — for results that can last more than two years. This has now been adopted by many plastic surgeons as a temporary butt filler, and many seem to be satisfied with the results. As a poly-L-lactic acid (PLLA) collagen stimulator, Sculptra Aesthetic is different. It works with your body within the deep dermis, rather than topically, to help revitalize collagen production and help restore your skin’s inner structure and volume.

On the other hand, Juvederm is made from hyaluronic acid (HA). What’s interesting about HA is that it’s a natural substance in the skin that delivers nutrients, helps the skin retain moisture and softness, and adds volume. Both Sculptra and Juvederm products cannot give massive amounts of volume but will provide you with just enough to fill your butt and make it smooth and round. These dermal fillers were not initially invented for use in the buttocks area but have been adopted by surgeons over time to be used in this area.

It seems the leading contenders If you want drastic volume increase are Implants, Fat grafts or Aquafilling if you want to get a really reasonably larger size than what you have now. I would recommend you see a plastic surgeon that can help you make your decision and also deciding what the end result you are trying to achieve is important. Each technique has its risks and costs vary as well.


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