Finn Plastic Surgery

Buttock Enhancement

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Gluteal augmentation, or buttock enhancement, is used to improve the shape, size, and contour of the buttocks. This may be done with a buttock implant, or with fat transfer.

What is Buttock Enhancement?

  • Gluteal augmentation, or buttock enhancement, is used to improve the shape, size, and contour of the buttocks. This may be done with a buttock implant, or with fat transfer.
  • The term “Brazilian Butt Lift” (BBL) refers to fat transfer to the gluteal area using cannulas. First, fat must be obtained with liposuction. The most common places liposuction is used are: the abdomen (love handles, muffin top, etc.), and the hips & thighs.

Who can benefit from Buttock Enhancement?

  • Buttock Enhancement is an excellent operation for people who are looking to increase the roundness, fullness, and projection of their gluteal area.
  • Buttock Enhancement can also help balance the proportion of your body
  • The ideal patient is healthy, a non-smoker, and has specific goals for what they want to achieve with surgery.

What’s the difference between buttock implant and Brazilian Butt Lift?

  • A buttock implant is a silicone device, inserted by the surgeon into the deep tissues of the buttock.
  • A Brazilian Butt Lift is fat transfer to the gluteal area, using your own fat, taken from elsewhere in your body (most commonly the abdomen and flanks).
  • Recent changes to protocol allow surgeons to perform Brazilian Butt Lift in a much safer fashion than before, but there are limits on how much fat can be transferred in a single surgery.
  • Not sure? The best way to find out is to schedule a personalized consultation with Dr. Elkins-Williams. After a thorough discussion of your goals and a physical exam, Dr. Elkins-Williams will discuss all of your options and help you choose the course of treatment best for you!

What to Expect

Our team will:

  • Ask about your goals and expectations for Buttock Enhancement
  • Ask about your overall health, including other medical conditions, prior surgeries, medications and drug allergies.
  • Examine and measure your buttocks and abdomen
  • Take photographs

The Consultation

  • You will have a detailed discussion with Dr. Elkins-Williams to determine your goals and realistic outcome of the surgery. Dr. Elkins-Williams will discuss all of your options and recommend a course of treatment.
  • Every woman’s body is unique. Dr. Elkins-Williams is broadly trained in a wide variety of surgical techniques that he can adapt to each individual patient to deliver the very best results. During your consultation, Dr. Elkins-Williams will help you determine the right operation and right technique for your unique circumstances.


  • There are a few very small incisions, closed with sutures that are under the skin and absorbable. With no wound care, the only thing you have to worry about after surgery is healing and making a full recovery.
  • Buttock Enhancement typically requires about 5 or more hours to perform under general anesthesia. You will have some pain and swelling immediately after surgery. Most patients will require pain medication for a few days. You will need to hold off on aerobic exercise for at least 2 weeks after surgery; Dr. Elkins-Williams will advise you when strenuous activity can be resumed.
  • You will need to refrain from prolonged sitting for a least 2 weeks after surgery. This is to ensure the transferred fat is not damaged, or the implant is not displaced.
  • You will wear a compression garment under your clothes for several weeks after surgery, to help reduce swelling and smooth the contour of the donor sites.
  • Swelling will gradually improve over a period of around 3 months. Though results are visible immediately, the final outcome will reveal itself over several months as theswelling resolves.
  • Enjoy improved confidence in your new body!

Deciding to Schedule

You will receive a surgical quote and any clearance forms required at your consultation. Should you decide to proceed, we will connect you with our patient care coordinator, Shannon Jones. To finalize your preferred surgical date, a non-refundable, non-transferrable booking fee will be required upon scheduling. Once the surgery date is set, we schedule a pre-operative appointment two weeks prior to surgery.


At your pre-op, you will have ample time to discuss your upcoming procedure in great detail and have all your questions answered. We will review all pre- and post-operative care, prescribed medications, and any provisions we may give you for use pre- and post-surgery. You will review and sign the consent for surgery, and the balance will be due at the conclusion of this appointment.

What to Avoid Before Surgery

Avoid blood thinning medications/supplements for two weeks prior to surgery. This includes any aspirin or aspirin-containing products as well as any anti-inflammatories such as ibuprofen or naproxen (including Motrin, Aleve and Advil). Generally, you may take Tylenol (Acetaminophen). Avoid supplements such as Vitamin E, multi vitamins, and omega 3 fatty acids (fish oil and flax seed oil.) You will be given a complete list of medications/supplements to avoid at your pre-op. All these medications can contribute to bleeding problems following surgery and can increase the amount of bruising.


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