Buttock augmentation with own fat? Questions to PD Dr. Mathias Tremp

In recent years, buttock augmentation with autologous fat has become increasingly popular. In this procedure, fat is, for example, suctioned from the abdomen and, after it has been cleaned and prepared, placed in the buttocks area. An alternative possibility is buttock augmentation with implants.

Also read: Aesthetic and reconstructive surgery on the body, body lifting, buttock lifting and pomodelling, female intimate area

When is buttock augmentation with own fat suitable?

This technique is suitable if there is enough fat and at the same time an improvement in shape is desired, for example on the stomach or thighs. In principle, the fat can be removed from different regions and even slim patients are suitable for this technique.

How deep is the fat brought in?

If the fat is introduced into the muscle, there is a risk of a so-called fat embolism (vascular occlusion due to the fat introduced). To avoid this, we inject the fat superficially into the fatty tissue.

When is buttock augmentation with implants suitable?

Buttock augmentation with implants is recommended for very slender patients who want a larger and shapely bottom. The implants are placed in the muscle.

What is the better method for buttock augmentation: autologous fat or implants?

If there is insufficient fat and a significant increase in volume is desired, buttock augmentation with implants is the better method.

Does buttock augmentation with autologous fat have to be performed several times?

A certain percentage of the fat graft dissolves again in the first 3-6 months after the operation. Depending on the desired increase in volume, a second treatment may be necessary.

Can a buttock lift be performed at the same time as the buttock augmentation?

This combined treatment is of course possible. The buttock lift is particularly suitable for patients who have lost a lot of weight. However, the scars must be taken into account. Buttock augmentation with implants or the patient's own fat alone does not lead to a buttock lift.

What kind of anesthesia is necessary for buttock augmentation?

Buttock augmentation with autologous fat or implants can be performed under so-called twilight sleep or epidural anaesthesia. If a simultaneous buttock lift is planned, a general anaesthetic is recommended.

How is the healing process and how long am I incapacitated for work?

The pain is minor. For one week, complete flexion of the hip is limited. The inability to work with own fat is about 3-5 days, with implants about 10-14 days. You will be given a compression suit which you must wear for 4 - 6 weeks. During this time you should avoid sitting as much as possible.

What are the risks of buttock augmentation?

Swelling, infection or bruising may occur. By injecting the fat in a superficial layer, the risk of vascular occlusion is very small. After the patient's own fat treatment, there is a possibility that a relevant percentage will dissolve again. In this case, a second treatment may be necessary or the use of implants should already be discussed initially.

What are the costs of buttock augmentation?

The procedure is mainly aesthetic and is very rarely covered by the health insurance. The costs depend on the type of procedure and are adjusted individually.

Do you have questions about buttock augmentation and modelling?

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PD Dr med Mathias Tremp Surgery

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