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    Plastic Surgeons Discuss What's Behind Uptick in Butt Enhancement Procedures

    Does This Surgery Make My Butt Look Big?

    Who’s Behind the Uptick? continued...

    “We can credit J-Lo as having influenced this category,” says Wendy Lewis, a New York City-based plastic surgery consultant and author of several books, including Plastic Makes Perfect.

    “There is a new focus on body-shaping procedures among consumers, and buttock augmentation is definitely on the rise with the advent of better methods for fat grafting,” she tells WebMD. By contrast, buttock implants are less desirable and their results are not as predictable, she says.

    “Most consumers prefer the idea of using their own fat to create a soft and natural shape and contour to the buttock region,” she says. What’s more, “many people want some of the fat removed from their thighs or tummies during liposuction, transferred to where they need volume -- such as the buttocks, breast, and face.”

    Justin Yovino, MD, a plastic surgeon in private practice in Fort Lauderdale, Fla., says people have been calling his office to inquire about buttock enhancement procedures. He spent some of his time at the recent ASAPS meeting taking courses on how to perform buttock enhancement.

    “South Florida has a heavy Latin flavor and is really a gateway to South America, where the culture is to have a little more junk in the trunk,” he says. “Curvy and shapely bodies are more in than the rail thin, straight-line look,” he says.

    Yovino plans to begin offering fat injections to the butt. “I think it’s safe and allows us to mold better than we could using a single implant,” he says.

    Junk in the Trunk?

    Safety should always come first. There are some charlatans out there who will inject just about anything -- including the industrial silicone used to caulk bathtubs -- into behinds.

    “It costs $3 a tube, and it’s just tragedy because these things are not tissue compatible,” Eaves says.

    In general, off-the-shelf fillers such as collagen and hyaluronic acid do not have a place in butt augmentation, Eaves says. These fillers could be used off-label for butt augmentation, but it would be so expensive for the volume needed to augment the butt.

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