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Physical alteration with no downtime and visible results in a matter of months may as well be a tagline from the outdated infomercials of the ‘90s – these in-office options seem too good to be true, right? Before getting into aesthetic medicine, I viewed non-surgical [body contouring](https://aedit.com/procedure/body-contouring-solutions) as a gimmick to get people in the door. Often promising instant benefits, it felt as though there was some trickery going on behind the scenes. However, after speaking with countless experts, reading testimonials, and seeing other patients’ results ([here’s one example](https://aedit.com/aedition/what-its-like-to-get-emsculpt-neo)), I knew I wanted to try a [non-invasive body contouring](https://aedit.com/aedition/best-surgical-nonsurgical-body-contouring-procedures-for-women) procedure myself. 

With the announcement of Cutera’s [truSculpt® Flex+](https://www.cutera.com/solutions/trusculptflex/), it felt like a breakthrough in technology to deliver better results in less time. But wait, there's more! The treatments shave 30 minutes off the [45-minute version](https://aedit.com/procedure/trusculpt) of years past. The muscle-stimulation device calls for four 15-minute sessions within a two-week period to improve strength, tone, and tautness. 

For me, the goal has always been to increase strength and add volume to my buttocks, which I haven’t been able to achieve with workouts alone. Basically, I was looking for the results of a [butt lift](https://aedit.com/procedure/buttocks-enhancement-solutions) without, you know, the surgery or extensive downtime. If this non-invasive treatment could provide me with even the slightest gains and an improvement in my lifting, it would be worth it. So, needless to say, when I was invited to try truSculpt® Flex+ with Edward Alvarez, DDS, at [Madison Avenue Face and Body](https://madisonavenuefaceandbody.com/) in New York City, I couldn't book fast enough. 

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/KTCKeRS7NOCAz859np1ac/d7391c2ae8208abd81d407d88a3f5f9c/TruSculptBefore.jpeg}>
  The writer before treatment.
</CaptionImg>

Did my dreams of a perkier posterior come true? Read on to find out – and to see my before and after photos for yourself.
 
## **What Is truSculpt® Flex+?** 
In simplest terms, truSculpt® Flex+ “is an electrical muscle stimulation machine,” Dr. Alvarez explains. It is cleared by the United States Food and Drug Administration (FDA) for the improvement of abdominal tone, strengthening of the abdominal muscles, and development of a firmer abdomen. It is also cleared for strengthening, toning, and firming the buttocks and thighs. At his practice, the technology is regularly employed on the arms, abs, glutes, thighs, and calves.

For two weeks in January, Dr. Alvarez became my personal trainer of sorts – shaping my buttocks while offering insight into the treatment and, at times, providing me with emotional support during the more intense parts of the glute-building experience. A diplomate of the [American Academy of Aesthetic Medicine](https://www.aaamed.org/) and member of the [American Academy of Cosmetic Surgery](https://www.cosmeticsurgery.org/), Dr. Alvarez informed me that truSculpt® Flex+ uses a proprietary Multi-Directional Stimulation technology “to target specific areas of the muscle imitating the motions we would do at the gym.” What separates this from a workout, however, is that “the Flex+ allows us to do it in 15 minutes,” he notes. 

So, what happens in these 15 minutes of muscle-growing? “It’s 54,000 contractions, different motions of the muscle such as pulling, compressing, twisting, and even bouncing to stimulate them,” he explains. “This replicates the motions we’d do in the gym, but it surpasses that past exhaustion.” 

## **What Is the truSculpt® Flex+ Treatment & Recovery Like?**
Unlike other muscle-building procedures on the market that have one or two paddles, truSculpt® flex+ has the ability to treat eight areas simultaneously. In my case, all eight squares were placed on my buttocks (four on each butt cheek), but they could theoretically be spread out to treat more than one area at a time. “Once a person comes in, and their medical history is assessed, we examine the areas to make sure we don’t treat over bone,” he explains. Then the gel pads are placed on the target areas, followed by the electrodes that contract the muscles. 

During the sessions, Dr. Alvarez increases the intensity of each paddle. He is a de facto personal trainer in the sense that he observes the patient's needs and pain tolerance to determine intensity. Being no stranger to [injectables](https://aedit.com/aedition/qwo-for-cellulite-before-and-after-photos) and other [high-tech devices](https://aedit.com/aedition/what-its-like-to-get-tracie-martyn-red-carpet-facial), I was game to push myself to the limit in an effort to maximize results. Anyone who has tried a muscle-stimulating body sculpting device knows that it creates a tingling, almost ticklish sensation during the contractions. The body spazzes and releases all on its own. In the first few minutes – the “tone” portion, as Dr. Alvarez explained – the experience was ticklish, but it soon progressed to the “sculpt” setting where a more uncomfortable feeling kicks in. 

At the end of my first session, I managed to progress to 70 percent intensity, which took a while to adjust to. By the end of my last session, I had reached the mid-nineties. If I’m being honest, it hurt. However, as the machine switched off, the pain instantly went away. The best thing I can compare it to is the pins and needles of a leg falling asleep – multiplied by a thousand. Alas, no pain, no gain.   

As far as recovery and post-treatment soreness, there was none. After each 15-minute session, I walked out of Dr. Alvarez’s office and forgot about any discomfort in a matter of minutes. Soreness was also nonexistent for me, unlike the aching inability to walk after a heavy lifting session. Consider me a convert. 

## **Who Is a Candidate for a truSculpt® Flex+ Butt Lift?** 
Apart from those with a recent surgical scar, certain injuries, or metal device in their body (think: pacemaker or internal defibrillator), most people are candidates for truSculpt® Flex+. “This machine is great for someone who has some [sort of injury](https://aedit.com/aedition/emsculpt-for-post-surgery-recovery) and isn’t ready to go back and put in the work, but they need to strengthen those muscles for their mobility,” Dr. Alvarez says. Those seeking improvement in their muscle tone and strength will see gradual enhancement. 

While many might perceive this as a fat-burner, truSculpt® Flex+ does not provide those benefits. Instead, [truSculpt® iD](https://www.cutera.com/solutions/trusculptid/) is monopolar radiofrequency (RF) body sculpting platform for fat reduction, and the procedures pair well together for patients who are candidates. “There is no fat loss associated with truSculpt® Flex+,” Dr. Alvarez says. “You’ll build those muscles, but you have the fat layer on top and the skin.” If you think the treated area looks leaner, it’s just an illusion. “Because the muscle increases, it compresses the fat,” he explains. “So, what you are seeing is not actual fat loss.” 

I am 30, have built a decent amount of muscle on my own, and have no conditions that would prevent me from getting the treatment. My age and relatively healthy lifestyle theoretically set me up for success and speedy results. However, truSculpt® Flex+ isn’t just for the young and fit. During a session, I met another one of Dr. Alvarez’s patients who is in her fifties. Like me, she treated her bum and saw a marked improvement in volume, shape, and even quad definition. Clearly, age isn’t a factor with the multi-directional device.  

## **When Do You See Results From a truSculpt® Flex+ Butt Lift?** 
Because I opted to go higher on the intensity level, I was able to see results quickly. Individual results vary (especially when you consider diet and lifestyle factors), but, for my behind, there was a visible improvement by the two-week mark. A perkier and more volumized posterior were the first signs. And, when it came to function, I was truly impressed.

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/6hddHRhjDbLgevqdv5UqRS/4689b5b7cdbfc3b30213f1b32de38e64/TruSculptAfter.jpg}>
  From left: The writer's results one week, two weeks, one month, two months, and three months after treatment.
</CaptionImg>

For the duration of the treatments, Dr. Alvarez told me to lay off any glute workouts. “I usually tell patients to wait 24 to 48 hours before doing any other exercise,” he says. “It is like going to the gym – the recovery period is also important.” Having opted to dial back my workout regimen per Dr. Alvarez’s instructions, I focused the few workouts I did on the upper body during that two-week period. But, after my treatments were complete, I immediately felt the difference and it helped me surpass my plateau. While my quads and hamstrings required a jumpstart to get back on track, my glutes were able to handle more weight. 

When it came to [diet](https://aedit.com/aedition/meal-plans-diet-before-after-cosmetic-surgery) (a huge element of successful body contouring treatments), Dr. Alvarez recommended sticking to high-protein and larger water intakes as my body adjusted and recovered. I followed his specifications and increased my protein intake with a [protein shake](https://aedit.com/aedition/whey-protein-acne-breakouts) immediately after each session. 

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/16lZ5r6uuPt5JuroXwO3TE/ba78fc6763924c096fabcbf5160861de/TruSculptBA.jpg}>
  The writer before (*left*) and three months after (*right*) treatment.
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Technically, the ‘final’ results are enjoyed after three months after your final session. Because it’s a muscle-building treatment, that increased mass [needs to be maintained](https://aedit.com/aedition/what-to-do-after-nonsurgical-body-contouring). Needless to say, you’re not going to be able to replicate 54,000 contractions in 15 minutes at the gym, but bum-sculpting exercises can help prolong the effect. You can also head back in for maintenance truSculpt® Flex+ treatments. The results can only get better (and bigger) with time. 

## **How Does truSculpt® Flex+ Compare to a Traditional Butt Lift?** 
Four sessions of truSculpt® Flex+ gave me the butt lifting effect I was after, but Dr. Alvarez emphasizes that not everyone will see the same results and the results are not meant to compare to a [surgical butt lift](https://aedit.com/procedure/butt-lift) or [Brazilian butt lift (BBL)](https://aedit.com/procedure/brazilian-butt-lift). A traditional butt lift removes sagging and excess skin and places strategic sutures to provide internal support that firms and contours the backside. A [BBL](https://aedit.com/aedition/brazilian-butt-lift-procedure-safety), meanwhile, takes liposuctioned fat from one area of the body and injects it into the buttocks for increased volume and more lifted appearance.

truSculpt® Flex+ builds and strengthens the glutes, which lifts and sculpts the buttocks. Depending on your aesthetic goals, the increased muscle mass may be too subtle for your liking. But, as someone who is not willing to commit to the downtime and recovery associated with surgical butt enhancement, a perkier posterior in two weeks without any impact on my daily life is about all I could ask for.

## **My Takeaway** 
It’s safe to say that, by word of mouth, the 15-minute treatment has gotten a lot of buzz in my circles. Personally experiencing the powers of this technology, I was able to put the gimmick perception I had to rest while converting a few others. With no recovery – and I mean none – I was able to go about my life, feel strong, and have the confidence of knowing I went to the right provider.  

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/1dlcwbhupi2NsAobRIoWFt/013e462728675f7046b1124c14f7d3bf/TruSculptBA2.jpg}>
  The writer before (*left*) and three months after (*right*) treatment.
</CaptionImg>

So, for those seeking ab definition or wanting a bigger bum with no time to spare, truSculpt® Flex+ is a game-changer. While the results may not be as drastic as an invasive surgery can provide, I was able to improve my self-esteem, my lifting, and my wardrobe.

Patient Perspective

Not interested in an arduous BBL recovery process, I tried truSculpt® Flex+ to give my posterior more lift and volume. Here’s how my body changed in three months.

What It's Like To Get truSculpt Flex+ For A Non-Surgical Butt Lift: Before And After Photos

I Tried truSculpt Flex+ For A Non-Surgical Butt Lift – Here Are The Results

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The idea of a perfectly round, smooth, and sculpted backside has propelled significant demand for the [Brazilian butt lift (BBL)](https://aedit.com/procedure/brazilian-butt-lift). Despite the fact that the infamous procedure has had its time in the spotlight for a myriad of reasons — celebrities who embrace the bigger-is-better booty push the surgery to the top of many women's surgery wishlists, while the dangerous links to embolisms and even death make the BBL front-page chatter — its popularity has hardly waned. New and improved versions, as well as plenty of [safety regulations](https://aedit.com/aedition/brazilian-butt-lift-procedure-safety), keep the butt-boosting surgery in the public eye.

Aesthetic trends and beauty ideals are ever-changing. For some, a larger-than-life posterior remains the goal. But that level of curvaceousness isn't on everyone's agenda. If a tweak is more your speed, then you'll be happy to meet the so-called skinny BBL. The traditional BBL isn't going anywhere (it's still a much-requested option for those with enough fat to achieve the voluminous look), but the toned-down skinny BBL is better suited for those with a limited amount of donor fat who are desiring a subtler enhancement. 

This time around, it's less about volume and more about contour, says [Alexander Earle, MD](https://www.pureplasticsurgery.com/about-us/dr-earle/), a board certified plastic and reconstructive surgeon in Miami. “Typically, the skinny BBL patient wants a curvier look – not an exaggerated one – that from the front has more of an hourglass shape and looks like an upside-down heart from the back," he says. So, who is a candidate for this slimmed down version and how does it differ from the original? We’re breaking down everything you need to know about the skinny BBL.

## **The BBL Basics**
The popular BBL brings to life the notion of taking fat from where it's unwanted and putting it where it is. First, your plastic surgeon performs [liposuction](https://aedit.com/procedure/liposuction) to remove unwanted fat from the lower back, waist, stomach, or other areas. Then, the donor fat is purified and transferred to the hips and butt to create a [lifted, shapelier buttocks](https://aedit.com/procedure/buttocks-enhancement-solutions) with a dramatic difference between the waist and hips.

In order to achieve this result, a decent amount of fat is needed. As such, “it is not uncommon for traditional BBL patients to be a little overweight by medical standards,” says [Zachary Filip, MD](https://www.aiplasticsurgery.com/zachary-filip-md/), a board certified plastic and reconstructive surgeon in Temecula, CA. This usually means there is enough excess fat for harvesting purposes, especially when a significant increase in volume is the ultimate desire.

## **The Skinny on the Skinny**
A skinny BBL is a modified version of its big sister, the traditional BBL. Its name stems from the lesser amount of fat used and that the procedure accommodates leaner and smaller-framed patients who may not have as much donor fat. The skinny BBL is similar to a traditional BBL in just about every way except for the outcome. It is designed for those who want a more natural, athletic-looking result. 

Another key difference between the two BBLs is the amount of fat harvested and injected, says [Kevin Tehrani, MD](https://aedit.com/provider/kevin-tehrani-md-91), a board certified plastic and reconstructive surgeon in New York City. Less fat leads to more emphasis on shape rather than size. “Similarly to patients who [pick smaller breast implants](https://aedit.com/aedition/how-to-choose-the-right-breast-implants), those who choose skinny BBL are interested in minor buttock enhancement,” he shares. Rather than completely overhauling the backside and taking it from small and flat to large and voluptuous, the skinny BBL creates more of a ‘booty pop,’ similar to the results of a diligent yet intense workout routine. It also corrects stubborn hip dips.

A standard BBL removes up to 5,000 cubic centimeters (CCs) of fat via liposuction and places 1,000 to 2,000 CCs into each butt cheek. The remaining fat can be used elsewhere, like under the eyes, or discarded. Since there's less fat removal with the modified technique (think 500 to 1,000 CCs), about 500 to 700 CCs or slightly more per cheek is put into the butt to create its new shape. Keep in mind that, in either case, a percentage of this fat will be reabsorbed by the body (more on that below).

Another plus to the skinny BBL is that the added fat addresses [hip dips](https://aedit.com/aedition/cosmetic-procedures-for-hip-dips) (a.k.a. trochanteric depressions). These indentations or inward-facing curves are hard to correct with exercise and diet. In fact, Dr. Earle says that the more you work out, the worse they can get. One thing to note: this area does not ‘hold’ fat like the buttocks, so there is a chance that the hip dips may return at some point.

## **Who Is the Skinny BBL Best For?**
A skinny BBL makes the BBL a viable option for leaner patients who do not necessarily have stubborn or problem areas of extra fat but want to improve the shape of their butt. “Patients usually weigh in the lower half of ‘normal’ for their height,” Dr. Filip says. Most patients have a BMI of about 20 to 24. In the past, plastic surgeons often rejected these patients for BBLs because they were ‘too skinny’ with too little fat for harvesting purposes. However, the procedure is now safe and effective for lower-BMI patients thanks to improved fat harvesting techniques and [cannulas](https://aedit.com/aedition/guide-to-injectable-techniques-needles-for-botox-filler).
 
So, can someone be too thin for even the skinny version? It is possible (particularly if a patient has a BMI under 20), but plastic surgeons can perform a skinny BBL on thinner patients because the fat removal is from more unconventional areas like the inner knees, arms, calves, and back of the armpits. “We are almost always able to harvest enough fat,” Dr. Tehrani says. “[Water-assisted liposuction](https://aedit.com/procedure/water-jet-assisted-liposuction) is a great option since studies show that the technique allows us to harvest more fat compared to other liposuction techniques.” Another benefit? “There is also better take of the fat, so more of it survives," he adds.
 
Besides fat, other options for thinner patients who want to enhance their rear end are biostimulatory [Sculptra®](https://aedit.com/procedure/sculptra) injections. The downside is that these injections last two years (at most) and require a lot of product, so it gets expensive quickly. There are also [silicone buttock implants](https://aedit.com/procedure/butt-augmentation-with-implants), which work well in thinner patients but are less common today due to their high complication rate. “For these reasons, the best option is to gain weight and reach the appropriate BMI before skinny BBL surgery,” Dr. Earle says. Anyone who is medically underweight for any reason will not be cleared to undergo cosmetic surgery (of any kind) until they can maintain a healthy weight.
 
## **Skinny BBL Recovery**
In terms of [recovery](https://aedit.com/procedure/brazilian-butt-lift-fat-grafting/recovery), the surgery is considered one of the more difficult procedures to recoup from due to the extent of [commitment, protocol, and length](https://aedit.com/aedition/brazilian-butt-lift-bbl-recovery-healing-process). And there's not much difference between the two types of BBLs. “Patients still need to avoid pressure to the buttocks and hips for six weeks, use [compression garments](https://aedit.com/aedition/benefits-of-compression-garments-after-cosmetic-surgery) for at least three months, and undergo post-liposuction lymphatic massages,” Dr. Earle says. “The biggest difference is that skinny BBL patients require more [post-surgery lymphatic massages](https://aedit.com/aedition/benefits-of-lymphatic-drainage-massages-after-cosmetic-surgery) — about 25 to optimize the results — than the traditional BBL patient.” 

In addition, your plastic surgeon may also place a surgical drain to assist in emptying any [tumescent](https://aedit.com/procedure/tumescent-liposuction) solution used during liposuction, says [Martin Benjamin, MD](https://aedit.com/provider/martin-benjamin-md-34666), a board certified plastic and reconstructive surgeon in Scottsdale, AZ. And, of course, all patients should maintain a [healthy diet](https://aedit.com/aedition/meal-plans-diet-before-after-cosmetic-surgery) and [exercise program](https://aedit.com/aedition/when-to-start-exercising-again-after-cosmetic-surgery-procedures) (when given the all-clear to do so) post-op to keep up their results.
 
## **Less Fat Does Not Equal Lesser Results**
Just because there's less volume added to the butt during a skinny BBL doesn't mean the results are less striking or short-lived by any stretch of the imagination. Still, there are some nuances to be aware of. According to Dr. Tehrani, the survival rate of a typical fat transfer is about 60 percent. “That means if we inject 1,000 CCs per side, 600 CCs, on average, will survive,” he explains. Fat absorption is one reason why plastic surgeons prefer to over-inject fat. “However, this approach is not always an option for skinny patients, as they may not have enough fat for overcorrection,” he says. “So, we use ACell MicroMatrix®, which contains stem cells that have special growth factors that improve fat survival by 20 to 30 percent.”
 
Regardless of how much fat your plastic surgeon transfers, the outcome should ultimately be permanent. As Dr. Filip shares, “once a patient heals, the results should be stable and long-lasting if they maintain a healthy weight.”

Aesthetics

This slimmed down version of the infamous butt enhancement surgery is making the BBL a viable option for patients who previously weren't candidates.

Skinny Brazilian Butt Lift (BBL): Procedure, Ideal Candidate, Recovery, Results

The Popular BBL Is Getting A Major Makeover

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For years, the so-called ‘[mommy makeover](https://aedit.com/concern/mommy-makeover)’ has been about surgically addressing pregnancy-related changes to the breasts and abdomen. Increasingly, women are looking to add a [Brazilian butt lift (BBL)](https://aedit.com/procedure/brazilian-butt-lift) to the mix for additional contouring benefits. But is the inclusion of the BBL the future of the postpartum procedure? This newer iteration is known as a ‘hourglass mommy makeover,’ and we spoke to four plastic surgeons for the lowdown on why both patients and providers are now choosing to couple butt augmentation with the traditional breast, stomach, and fat-reduction surgeries.

## **Mommy Makeover 101**
Pregnancy is beautiful, but the changes it brings to the body aren't always as embraced as the new bundle of joy that just joined the family. Not every woman who experiences pregnancy develops [loose skin](https://aedit.com/aedition/toning-stomach-skin-after-weight-loss), a [stretched-out belly button](https://aedit.com/aedition/types-of-belly-button-surgery), or [breasts that have lost their perkiness](https://aedit.com/aedition/mastopexy-breast-lift-after-pregnancy-breastfeeding). But, for those that do, a mommy makeover can address these changes and offer a long-term solution.

A [mommy makeover](https://aedit.com/procedure/mommy-makeover-solutions) is an umbrella term for a collection of procedures that are usually performed in a single session. They include breast surgery (either a [breast lift](https://aedit.com/procedure/breast-lift-solutions), [breast augmentation](https://aedit.com/procedure/breast-augmentation-solutions), or [both](https://aedit.com/aedition/combining-breast-augmentation-with-breast-lift)), liposuction to remove obstinate fat, and a [tummy tuck](https://aedit.com/procedure/abdominoplasty) to delete excess skin and repair the abdominal muscles. “The hourglass mommy makeover, as well as a traditional mommy makeover, usually involve the aesthetic improvement of breasts, abdomen, and other areas affected by the weight fluctuations of pregnancy,” explains [John Layke, DO](https://aedit.com/provider/john-layke-645), a board certified plastic and reconstructive surgeon in Beverly Hills and co-founder of [Beverly Hills MD](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fbeverlyhillsmd.com%2F). “It can also include the [thighs](https://aedit.com/concern/leg-shape-and-size), [arms](https://aedit.com/concern/arm-shape-and-size), and [neck](https://aedit.com/concern/neck-and-jawline-definition).” 

Of course, depending on a patient’s needs and wants, plastic surgeons can perform any combination of procedures. The goal is a body that resembles more of what it looked like pre-baby, and, for some women, a mommy makeover gives them the body of their dreams – even beyond what they had before having children.

When it comes to timing, it’s best to wait at least six months after childbirth before electing to undergo any cosmetic surgery. Also, most surgeons recommend not moving forward until you are [done breastfeeding](https://aedit.com/aedition/safety-of-cosmetic-procedures-during-pregnancy-breastfeeding), are close to your ideal weight, and have finished growing your family. These factors help to ensure the most optimal and lasting result.

## **What About the Fat?**
[Liposuction](https://aedit.com/procedure/liposuction) is a key component of the mommy makeover to remove stubborn pockets of fat from the abdomen, hips, waist, and even thighs. With all the fat that plastic surgeons remove, some started to put it to good use by purifying it and transplanting it to other parts of the face or body – including the butt. Adding fat to the buttocks via a [BBL](https://aedit.com/aedition/brazilian-butt-lift-procedure-safety) in conjunction with the standard mommy makeover is known as an ‘hourglass mommy makeover’ for the curves it creates. This variation can still feature all the aspects of a conventional mommy makeover, but it adds new emphasis to the buttocks.

The BBL has become increasingly popular due to current aesthetic ideals in popular culture and the fact that it's a relatively simple procedure to increase volume in the buttocks lost after pregnancy, Dr. Layke shares. It’s part of a larger shift in the goal of the procedure. “The hourglass mommy makeover is everything that a traditional mommy makeover is and includes 360-degree reshaping with fat grafting the buttocks,” says [Jules Walters III, MD](https://aedit.com/provider/jules-walters-md-34662), a board certified plastic and reconstructive surgeon in Metairie, LA. “With advancements in fat-grafting technology, as well as safety, patients realize that they can achieve natural results with fat grafting to the buttocks, which enhances their mommy makeover results.”

After a traditional mommy makeover, some patients realize the surgery does not feel ‘complete’ as the backside of the body is not addressed at all, explains [S. Alexander Earle, MD](http://www.pureplasticsurgery.com/), a double board certified plastic and reconstructive surgeon in Miami. “Therefore, after the mommy makeover, patients may return for a BBL because they want to improve their buttocks, backs (especially along the bra line), and hips to achieve a harmonious hourglass shape and round out their new figure from all angles,” he says. 

No rule says you must repurpose the removed fat. Those undergoing a mommy makeover who are perfectly happy with the size, curvature, and shape of their tush and prefer to leave it alone can – but that’s not to say they can’t use the fat for something else. Dr. Walters says patients may instead add fat to the [breasts](https://aedit.com/procedure/breast-augmentation-with-fat-transfer), [face](https://aedit.com/procedure/facial-fat-grafting), and even [labia majora](https://aedit.com/procedure/labia-augmentation-with-fat-transfer). It should be noted that the fat removal and transfer must happen at the same time. Unfortunately, at the moment, there is no way to bank fat for future use.

## **The Perfect Proportion**
Several changes happen to the body due to pregnancy and age, and it's not atypical for deflation of the butt to occur. It’s similar to what many women experience with the breasts. But only recently have women been more forthcoming about variations to their backside – especially the ‘[hip dip](https://aedit.com/aedition/cosmetic-procedures-for-hip-dips)’ area (where the hip and the thigh meet) – along with those affecting the breasts and abdomen. “By enhancing the buttocks with fat grafting, it allows for a smoother transition from the waist to the buttocks, creating an hourglass appearance,” Dr. Walters says. A tummy tuck alone does not create additional volume or contours to the posterior.

The addition of fat to the butt and the surrounding areas gives a more feminine curve to the lower part of the body. While it may seem counterintuitive that adding fat can create a more desirable shape, it most certainly can. Plus, the additional fat makes a lower hip-to-waist ratio that ‘cores out’ the lower back for a more sculpted appearance. In some cases, patients may need to add fat to the buttocks to make their legs look more proportionate to the rest of their bodies, and it may be the opposite for others, says [Constantino Mendieta, MD](http://www.buttsbymendieta.com/), a board certified plastic and reconstructive surgeon in Miami. 

The amount of fat necessary to create these desired proportions varies from patient to patient. On average, a BBL requires anywhere from 250 to 750 ccs (or more) of fat. However, the amount of fat your plastic surgeon can remove via liposuction has to fall under a state's legal limit. For example, Dr. Mendieta says that in Florida (where he practices) the legal limit for fat extraction is four liters. “If there is any sort of cutting involved – like with a tummy tuck or breast augmentation done that same day – the legal limit is one liter,” he adds. Patients need to keep this in mind when considering how much volume they want in their butt. “If a patient does not have a lot of fat, their result may not be as dramatic,” he cautions.

Of course, how much fat exists naturally and the aesthetic someone is trying to achieve influence how much fat to use. For example, Dr. Walters says he sometimes focuses just on the lateral buttocks (i.e. the hip dip) if the patient has a limited amount of donor fat. However, if more significant volumes of fat are available, plastic surgeons can transplant more of it to the butt. Dr. Layke advises that larger volumes of fat can lead to an exaggerated waist-to-hip ratio, so it’s important to discuss your desired results with your surgeon to determine what will be safe and effective.

## **One Surgery vs. Two: Which Route to Go**
A traditional mommy makeover is usually performed all at once (though a patient may choose to break it up). With the hourglass mommy makeover, not every plastic surgeon who performs the surgery chooses to do it all at once. Some, including Dr. Earle, prefer splitting it into two separate surgeries. “It is safer for the patient this way,” he says. In addition, staging the surgery reduces [complication rates](https://aedit.com/aedition/guide-to-cosmetic-surgery-complications), makes recovery easier, and results in less discomfort for the patient, he adds. When operating on the buttocks, the breasts, and the stomach, it can be challenging to [sleep comfortably](https://aedit.com/aedition/sleeping-better-after-cosmetic-surgery-aesthetic-procedures), which is crucial for a [healthy recovery](https://aedit.com/aedition/best-plastic-surgery-recovery-nurses-centers-products).

Another critical reason why an hourglass mommy makeover may be broken up is to increase the rate of fat survival. For the fat to successfully establish itself after transfer, patients [should not sit or apply pressure](https://aedit.com/aedition/brazilian-butt-lift-bbl-recovery-healing-process) to their buttocks or hips for up to six weeks post-op. “This becomes very difficult if another surgical procedure is done to the front of the body simultaneously,” Dr. Earle says. For this reason alone, he recommends doing the BBL first and then, three months later, performing the breast procedure and tummy tuck portions.

Some surgeons may agree to perform the BBL in conjunction with the other two. And since some patients don’t want to undergo surgery twice, they opt to have all three areas of the body addressed in a single surgery. It's important to have that discussion during the [consultation process](https://aedit.com/aedition/questions-to-ask-your-doctor-during-plastic-surgery-consultation).

## **The Ideal Candidate for an Hourglass Mommy Makeover**
Not every woman undergoing a mommy makeover has deflation in the buttocks, nor does every patient want the additional surgery. However, Dr. Layke says he recommends the hourglass mommy makeover to women who have square body frames, a flatter buttocks, and/or fat accumulation in the back and flank region. It's also suitable for those who have lost a significant amount of weight – whether from weight loss or after pregnancy – and see noticeable changes in their bodies.

Of course, patients need to be in excellent health, at their ideal weight, and have the right amount and kind of fat. “Those with too high a BMI (greater than 30) or who have a high degree of visceral fat are not candidates,” Dr. Earle says. As long as there is enough fat to remove and harvest, most women undergoing a mommy makeover can opt for the BBL portion of the surgery, and Dr. Walters says 99 percent of the mommy makeovers in his practice “include fat grafting to the buttocks to optimize the overall shape.” 

For patients who lack enough fat to harvest for transfer, there are alternatives to achieving more of an hourglass figure. Injections of biostimulants like [Sculptra®](https://aedit.com/procedure/sculptra) or [Renuva®](https://aedit.com/aedition/what-to-know-about-the-new-volumizing-injectable-renuva) can enhance the shape and size of the buttocks. The former stimulates collagen production, while the latter helps you grow more fat (hence why it's often marketed as an off-the-shelf alternative to autologous fat transfer).

## **The Takeaway**
The goal of the hourglass mommy makeover is to create a more shapely lower body by enhancing the butt and hips, in addition to addressing changes to the breasts and abdomen. From what procedures to combine to how much help with childcare you will need, there is a lot to consider pre-op. Check out our guides to the [best questions to ask before a mommy makeover](https://aedit.com/aedition/best-questions-to-ask-before-a-mommy-makeover) and [what to expect from the recovery process](https://aedit.com/aedition/mommy-makeover-recovery-healing-process) to help narrow down your research. It’s also imperative to find a board certified plastic surgeon who specializes in mommy makeovers and understands your aesthetic goals. Ultimately, there’s no right or wrong way to go with the procedure, as long as it ends up safely and effectively addressing your concerns.

*All products featured are independently selected by our editors, however, AEDIT may receive a commission on items purchased through our links.*

The popular postpartum surgery gets an update to include buttocks enhancement.

A Guide To The Hourglass Mommy Makeover With Brazilian Butt Lift

Is The Hourglass Mommy Makeover The New Mommy Makeover?

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We know, the [Brazilian butt lift (BBL)](https://aedit.com/procedure/brazilian-butt-lift) is a highly sought-after surgical procedure that everyone seems to be talking about these days. Those who have spent any time online lately have likely seen documentation of the efforts of many to return home post-op (be it by flight or car). What makes the journey so notorious (and social media-worthy) is the precarious sitting positions required to travel safely without causing damage to the treated areas. However, post-BBL, it appears that all areas are, shall we say, sensitive. And comfort and some semblance of normality are days, if not weeks or months, away. 

If you’re considering a BBL, there is a lot of research to be done. We’ve already covered the importance of [finding a reputable and qualified provider](https://aedit.com/aedition/brazilian-butt-lift-procedure-safety) to give you those hourglass curves. And, now, it’s time to discuss the realities of the [BBL recovery process](https://aedit.com/procedure/brazilian-butt-lift-fat-grafting/recovery) and what to expect once you’ve been nipped and tucked. Spoiler: there’s a lot.

## **The First Few Days After a BBL**
In some ways, the beginning stages of the BBL recovery mirrors other cosmetic surgeries. “Like any surgery, the first week usually entails the most intense pain, [swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery), decreased mobility, and some degree of bruising,” explains [Ryan Stanton, MD](https://aedit.com/provider/ryan-stanton-md-644), a board certified plastic and reconstructive surgeon in Beverly Hills. Additionally, he notes that, despite minimal incisions (fat is harvested via liposuction from a donor site and then injected into the buttocks), recovery entails a bit of cleanup. “Often, there is also fluid leakage from the areas of the very small liposuction cannula incisions,” he shares. “This is very normal for the first 12 to 24 hours.” 

What makes BBL recovery unique is not just the lack of mobility or the discomfort, but rather the cocktail of considerations. “Patients are expected to change dressings as needed, take prescription pain medication as ordered, and wear provided compression garments,” says [Kurtis Martin, MD](https://aedit.com/provider/kurtis-martin-md-34658), a board certified plastic and reconstructive surgeon in Cincinnati, Ohio. Your surgeon and/or surgical team will likely check in before then, but “patients should have their first follow-up visit one week following their procedure,” he adds. 

While the exact recovery protocol will depend on your surgeon, here are a few things to keep in mind about the healing process:

### **1. Sitting & Standing**
You probably already know this, but “sitting or laying on the buttock is prohibited for anywhere from two to 12 weeks,” Dr. Stanton shares. Most commonly, the restrictions will last three to six weeks, but clearance will vary by surgeon and patient. 

You may not be able to sit on your butt for any real length of time, but that doesn’t mean you can or should be totally comatose. In fact, Dr. Stanton recommends mindful movement. “Standing and walking within the home is actually encouraged to help fluid and blood circulation and thus minimize the risk of blood clots,” he explains. Dr. Martin also suggests light physical activity – such as standing up or taking short walks within a secure space. 

What can’t be on the agenda? Squatting, [exercise](https://aedit.com/aedition/when-to-start-exercising-again-after-cosmetic-surgery-procedures), sex, and strenuous activities that raise blood pressure. Sitting will also be monitored and limited to under 10 minutes in the first few weeks. In the month following, you can usually bump up to 15-minute intervals. Alternate sitting, standing, and walking with laying face down to prevent blood clots and maintain strength.

### **2. Pain Management**
For pain management, providers usually prescribe specific medication, however, that is not the only factor to consider as it relates to physical discomfort. “I think most surgeons would agree that a caregiver is necessary for the first 48 hours postoperatively or, at the very least, the first night while the patient is still recovering from anesthesia and may be unstable on their feet/ambulating,” Dr. Stanton says. 

We often note that a caregiver is necessary for leaving the OR after anesthesia, but, once you’ve made it to the comfort of your bed, [an aide](https://aedit.com/aedition/plastic-surgery-recovery-nursing-concierge) will prove vital. From providing the medication to helping with bandages, a companion (be it a partner, friend, or professional) can ease stress and give the patient that much less to worry about. 

### **3. Hygiene**
While bandaged up, limited in movement, and feeling sore from head to toe, showers and bathroom visits will be difficult. To prepare for this, Dr. Martin recommends over-the-counter stool softeners, staying hydrated, and eating a [balanced diet](https://aedit.com/aedition/meal-plans-diet-before-after-cosmetic-surgery) with fiber and protein to keep you regular and avoid strain on your digestive system. When you can safely bathe again will be indicated by your surgeon.

### **4. Compression Garments** 
[Compression garments](https://aedit.com/aedition/benefits-of-compression-garments-after-cosmetic-surgery) are common in body contouring procedures, and BBL is no exception. “Our patients are provided with a special garment that provides compression in the liposuction areas while allowing for the buttock to be open without pressure,” Dr. Martin says. The goal is to improve swelling, reduce movement of the skin in the area, and promote better healing. “This garment is to be worn for several weeks following the surgery,” he adds. For the first 14 to 21 days, you’ll be wearing it most of the day. After three weeks, wear-time is often reduced to 12 hours per day. In terms of fit, the garment should be snug but not so tight that it feels obstructive. 

When it comes to clothing over compression garments, Dr. Martin says sartorial choices should revolve around comfort. “Loose-fitting, zip-up clothes” and “lots of extra gauze and chux pads to sop up the liposuction fluid drainage” are doctor's orders. 

### **5. Sleeping** 
Experts can’t stress enough the importance of adequate rest as you recover. While you will no doubt be tired, [falling and staying asleep](https://aedit.com/aedition/sleeping-better-after-cosmetic-surgery-aesthetic-procedures) may prove difficult with the physical limitations. Sitting or sleeping on the gluteal area can create asymmetrical results, which is why pressure should be avoided at all costs. Therefore, sleeping on the stomach and using [specialty pillows](https://aedit.com/aedition/best-pillows-for-plastic-sugery-recovery-healing) to keep yourself in place is recommended for best results. Speaking of pillows, you’ll also want to invest in a custom cushion for any sanctioned sitting.

## **The First Few Months After a BBL**
It should come as no surprise that, according to Dr. Martin, “the most challenging aspect for most patients post-op BBL is that you cannot put any pressure on the buttocks for three weeks.” This will impact every aspect of life and should be properly prepared for (more on that below). As we mentioned, sitting is permitted in short intervals. Each provider will have specific guidelines to follow regarding the time you’re allotted. As you heal, you will be allowed to sit for longer periods, but Dr. Martin recommends “laying on your stomach in the back seat of the car, avoiding sitting, or using a special pillow to sit.” 

If the recovery process has one feeling anxious, restless, and/or in need of some relaxation, there is good news. “Therapeutic [lymphatic massage](https://aedit.com/aedition/benefits-of-lymphatic-drainage-massages-after-cosmetic-surgery) can be an option for patients to expedite the healing process,” Dr. Martin says. The caveat: “It is not recommended until weeks after the procedure,” he cautions.

For many, resuming normal activities is possible within a month or two of the surgery – with proper precautions. Dr. Martin suggests patients “take it slow and listen to their body.” And please don’t think you know better than your surgeon. “Restrictions are in place for proper healing,” he says. “Follow provided instructions, and do not hesitate to reach out to your provider with any questions.”

## **BBL Recovery Toolkit** 
Apart from the postoperative painkillers your provider will prescribe and the adult diapers you may potentially need in those first few days, here are the other tools that will allow for a comfortable recovery in the days, weeks, and months to come: 

### **Sleeping Pillow** 
BBL recovery is all about keeping your backside as unencumbered as possible and relieving pressure from the glutes. This does create a conundrum while sleeping. To avoid asymmetries and inconsistencies with your results, providers recommend sleeping on your stomach. Depending on your preferred sleeping position, this may be possible with regular pillows, but, for many, additional assistance is needed to get comfortable. A specialty pillow (like [this adjustable set](https://www.amazon.com/dp/B09KL9NPGS?tag=track-ect-usa-533970-20&linkCode=osi&th=1&psc=1)) will provide not just relief but the peace of mind that you will not be shifting throughout the night. 

### **Sitting Pillow**
We know what you’re thinking, if you’re not allowed to stand for prolonged periods of time or sit on your bottom while recovering, what are you supposed to do? Some form of sitting is possible with the aid of a customized cushion that is specifically designed to alleviate pressure while you return to a semblance of regular activities such as work, commuting, or eating. There are an array of options on the market, and the [YesIndeed BBL Pillow + Back Support](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fyesindeed.shop%2Fproducts%2Fbrazilian-butt-lift-pillow-back-support-cushion-us-free-shipping) can be placed in the car or on your chair for maximum comfort. 

### **Compression Garments**
For the first few months post-BBL, you’ll likely have to wear a compression garment. While some providers offer them for the initial recovery stage, it’s important to have a fresh set or two to switch to as your results evolve. As this procedure has risen in popularity, the market for post-op shapewear has grown exponentially. This [Fajas D Prada design](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.prettygirlcurves.com%2Fcollections%2Fstage-1-post-surgery-faja%2Fproducts%2Ffajas-d-prada-stage-1-girdle) can be a great choice to complement curves while healing. 

### **Personal Care Essentials**
When nature calls, there’s only one way to answer. Squatting and/or sitting on your derriere is not an option for a multitude of reasons with this procedure. A [toilet seat cushion](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.amazon.com%2FSurgery-Brazilian-Pillows-Recovery-Cushions%2Fdp%2FB08YKDQ9Q9%3Fth%3D1) (yep, there is a solution for everything these days) will allow you to go without compromising your results. 

## **Final BBL Results** 
Immediately post-op, the body is swollen and the area where the fat was transferred is likely a bit larger than expected. But it’s for good reason: The body naturally reabsorbs some of the fat. Within the first few months post-BBL, the area will slim down some 30 to 50 percent (or more) as the fat establishes itself. This is a natural and expected process that shouldn’t be alarming. If the patient follows their provider’s instructions, is diligent with compression garments, and focuses on positive lifestyle choices, the results should be visible within six months (full healing can take up to a year) and regular physical activity can be resumed. 

*All products featured are independently selected by our editors, however, AEDIT may receive a commission on items purchased through our links.*

It’s notoriously one of the most difficult procedures to recover from, and we’re breaking down the truth of post-BBL life.

A Plastic Surgeon's Guide To Brazilian Butt Lift (BBL) Recovery And Healing

Expectation vs. Reality: Recovering From A Brazilian Butt Lift

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For celebrities like Jennifer Lopez, the Kardashian sisters, and Beyonce, the idea that bigger is better is true when it comes to the [buttocks](https://aedit.com/concern/buttocks-shape-and-size). From bootylicious backends to perfectly plump and lifted derrieres, the advancements in [butt augmentation and contouring](https://aedit.com/procedure/buttocks-enhancement-solutions) continue to grow as patients demand options. “There are a lot of celebrities these days who flaunt full buttocks and fans, naturally, want to get the look,” says [Norman Rowe, MD](https://www.normanrowemd.com/), a board certified plastic and reconstructive surgeon in New York City. “While celebrity surgery inspiration isn’t new, the rate at which social media plays into the popularity of full buttocks is driving demand for buttock-enhancing procedures through the roof.”
 
One such method that has taken social media by storm? The butt thread lift. This newer, non-surgical treatment option purports to provide more lift and contour, but these dissolvable threads are not necessarily an equal substitute for other long-standing butt augmentation procedures, like butt implants, filler, and the oh-so-popular [Brazilian butt lift (BBL)](https://aedit.com/procedure/brazilian-butt-lift), which uses fat to augment the size and shape of the behind. 

With many plastic surgeons calling the safety and efficacy of the butt thread lift into question, we decided it was time to investigate the controversial procedure. Here’s what you need to know. 

## **All About Threads**
Let’s take a step back for a moment. In general, [thread lifts](https://aedit.com/procedure/thread-lift) have come and gone, and they are currently back again. In the early 2000s, permanent threads were problematic and posed significant issues, including visible bunching under the skin, perforations, and breakage. These older threads were made of barbed sutures and used firm, unforgiving materials that should have never gone into the face. Case in point: They were said to be so fragile that a simple sneeze could dislodge one.

The threads used today have come a long way. “There is a constant evolution of threads ranging from permanent to absorbable, smooth to barbed, sharp needle insertion to a cannula,” says [David Shafer, MD](https://aedit.com/provider/david-shafer-md-153), a board certified plastic and reconstructive surgeon in NYC. Today, both NovaThreads and [Silhouette InstaLift](https://aedit.com/procedure/silhouette-instalift), two of the most popular manufacturers of threads for lifts, are approved by the United States Food and Drug Administration (FDA) and far more reliable than past options. These threads (and others) use dissolvable [polydioxanone (PDO)](https://aedit.com/procedure/pdo-thread-lift) and poly-L-lactic acid (the same material used in Sculptra®). “Certainly, the current absorbable barbed threads with cannula insertion are a great leap forward over older generations of threads,” he notes.

Threads are essentially impermanent sutures that give an understated yet visible lift to the skin, but they also have a longer-term effect. Over time, they work “by creating collagen within the skin,” says [Paul Jarrod Frank, MD](https://www.instagram.com/drpauljarrodfrank/?hl=en), a board certified cosmetic dermatologist in NYC, which helps to offset the natural decline in collagen production we all experience with age. Most doctors use threads to lift the cheeks and eyebrows and to define the jawline and other facial areas. More recently, threads are being experimented on lifting the breasts, [knees](https://aedit.com/aedition/best-cosmetic-procedures-for-knees), arms, and buttocks. Butt thread lifts make use of threads to create a rounder, shapelier, and more lifted backside. 
 
There is, however, plenty of misinformation about just how much the treatment can accomplish. Instagram videos and images of multiple threads and needles coming out of a person’s face or body can be very dramatic. “Threads give the option for instant results,” Dr. Shafer says. “Unfortunately, there is a misperception by patients — and I think a purposeful deception by some — that threads are equivalent to surgery.” This is simply not the case. “They are not equivalent to what can be accomplished with surgery, especially not in terms of longevity,” he notes. 
 
So while these second-generation dissolvable threads are considered safer and more effective than their predecessors, there is only so much a thread lift can do on any part of the body.
 
## **What to Expect from a Butt Thread Lift**
Regardless of where on the body threads are used, the details and steps of the procedure are the same. Before the threads (different lengths, sizes, and thicknesses are available based on the treatment area and desired results) are inserted using either needles or cannulas, [the area is marked](https://aedit.com/aedition/purpose-of-a-plastic-surgeons-markup-pen-during-cosmetic-surgery), paying close attention to naturally occurring fat regions. 

Next, [anesthesia](https://aedit.com/aedition/everything-you-need-to-know-about-anesthesia) is injected and applied topically to the skin’s surface to make the procedure as comfortable as possible. Then, the threads are inserted under the skin (the thread must pass through the fat that lives between the skin and muscle) and pulled from the insertion point through to the ending point — the threads will act as a scaffolding of sorts. 

As with any procedure, the skill of the provider is paramount. To avoid complications, it is important that the threads are not placed too superficially or too deep. Initial results take a few weeks to notice, and the full effect is visible after a few months. 

After the first four to six months, the threads will begin to resorb (no need to worry, it’s completely safe). As they break down, collagen forms to add volume that lasts upwards of two years. If you’re not happy with your new booty, the threads can be surgically removed before they dissolve. 

## **Threads vs. Other Butt-Enhancing Procedures**
Ever since the rear end became a point of significant focus, women across the globe are taking to butt-enhancing procedures and treatments to increase the size and shape of their back side. Brazilian butt lifts, buttock implants, butt fillers, and butt thread lifts all add volume, but each works differently. Depending on your anatomy and aesthetic goals, some are better options than others. Here’s how all of the popular options stack up:

### **Brazilian Butt Lift (BBL)** 
Perhaps the most notorious surgery for creating a dramatically shapelier backside with more projection, [BBLs](https://aedit.com/aedition/brazilian-butt-lift-procedure-safety) make use of your own fat. “That’s one of the biggest upsides to the procedure — besides more projection — is the removal of unwanted fat via liposuction,” says [Finny George, MD](https://aedit.com/provider/finny-george-md-98), a board certified plastic and reconstructive surgeon in New York. After harvesting the fat from the stomach (or elsewhere), it is purified and spun down (so that only pure fat remains) and then re-injected into the butt. It should be noted that not everyone who wants the procedure is a contender for it. “The ideal candidate is healthy, does not have any clotting or bleeding disorders, has a BMI between 22 and 35, can avoid sitting on their buttocks for two weeks, and has a lack of buttock projection or desires more projection,” Dr. George says.

- **The Pros**: No use of implants or foreign materials in the body; minimal scars are faint and well-hidden under bathing suits and underwear.
- **The Cons**: According to Dr. George, the downsides to BBL are bruising, pain, and generalized discomfort. “There is a small risk of developing a blood clot or a fat embolism,” he cautions. “However, your surgeon can mitigate these risks with careful planning and technique.”

### **Butt Filler** 
This non-surgical butt enhancement uses [biostimulatory fillers like Sculptra®](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers). Injecting Sculptra® off-label into the upper part of the butt creates a rounder, fuller, more lifted derriere. The filler also prompts the body to kickstart its collagen production. “If the patient is thin or does not want surgery, Sculptra® is an excellent alternative,” Dr. George says.

- **The Pros**: Minimal downtime and recovery 
- **The Cons**: A series of about three treatments spaced several weeks apart is usually required, and the results generally become visible at around six months. Another factor? The price. “Keep in mind that fillers, although great, can be cost-prohibitive,” Dr. Shafer says.

### **Butt Implants** 
Silicone butt implants are surgically inserted under the muscle of the butt through an incision in the butt crease to augment its size and shape. These days, many patients opt for filler or BBL over a [traditional butt implant](https://aedit.com/procedure/butt-augmentation-with-implants) because they tend to yield a more natural look.

- **The Pros**: Silicone implants do not usually rupture or leak
- **The Cons**: There is a high risk of displacement and infection. “Implants have fallen out of popularity due to their complication profile and revision rate,” Dr. George notes. “As a result, they are not something that I, and many other plastic surgeons, offer.”

The most notable difference between threads used in the buttocks and other butt-improving treatments is that the threads require no harvesting, incisions, or injections. “Unlike other methods, there is no physical addition of volume directly to the area,” Dr. Rowe explains. The tiny collagen-based threads can somewhat lift the skin and, according to Dr. Shafer, help boost the tissue. “Threads may be an option for a very thin patient with slightly loose skin,” he says.

However, just like all other butt-enhancing procedures, threads are not without risk. “The risks are similar to threads used in other parts of the body in terms of depth of placement,” Dr. Shafer shares. “Unintentional superficial placement can lead to visible threads or indentations, while unintentional deep insertion has a higher risk of bruising, pain, and lack of efficacy for the threads.” As he explains, there often is a disconnect between patient expectations and what the threads can achieve. “Once the patients start walking, moving, and pulling, the treads just can’t hold up,” he says. For these reasons, he does not perform thread lifts in the buttocks region. 

## **Are Butt Threads the Way to Go?**
Despite all of their attention lately, many doctors do not feel that backside threads are the best option. “In my practice, we use threads on the knees and arms but not on the butt,” Dr. Frank says. “I just don’t see a current option for them in the butt because, in my opinion, they are not thick or strong enough to suspend tissue in that area with that type of weight.” Additionally, the results just aren’t enough. “I don’t think threads significantly lift the tissue or create the amount of collagen development for improvement in the texture and tone like heat and fillers,” he explains.

Seeing as thread lifts have already come a long way, it’s not outside the realm of possibility that they will one day be a reliable butt lift alternative. “As technology and innovation continue, threads or some similar derivative will improve with longer-lasting results, a more dynamic rather than static material, and, hopefully, an enhanced biostimulatory effect to build natural tissue and help rejuvenate aging tissues,” Dr. Shafer says. 

## **The Takeaway**
While the butt thread lift is still very new, most doctors feel there is much improvement and fine-tuning needed to make it a viable and comparable enhancement option for all body shapes and types. For those in good shape and at an ideal weight, threads may help smooth and lift the buttocks, but the results won’t last as long as something like a BBL or even filler. For now, a butt thread lift is probably not worth the investment, but that’s not to say all is lost. “Thread technologies may change, and it will probably improve,” Dr. Frank says. “I hope we can use them in the future for greater suspension.”

Collagen-stimulating threads may be the newest way to get a booty boost, but are they better than tried-and-true butt enhancement treatments? The experts weigh in.

Butt Thread Lifts vs. Brazilian Butt Lift, Butt Implants, Butt Filler For Buttocks Enhancement

Are Butt Thread Lifts A Non-Surgical BBL Alternative?

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Butts are huge right now (call it the Kim Kardashian effect). Popular wisdom to a perkier behind is to double down on squats, but those who aren't able to achieve their desired derriere by exercise alone are increasingly turning to [butt augmentation](https://aedit.com/procedure/butt-augmentation-with-implants) procedures like butt implants and so-called [Brazilian Butt Lifts](https://aedit.com/procedure/brazilian-butt-lift) (BBL) (which involve fat transfer from other parts of the body). These rear-enhancing procedures can be about size, sure, but they can also be subtle or corrective. Reasons for seeking cosmetic surgery vary, as we found out when we spoke to three patients who have had butt augmentations. Here's what they had to say.

## **Patient Perspective**

### **Naomi*, Long Beach, CA** 

Naomi had a fat transfer procedure a year before deciding to undergo butt implant surgery. She noticed the results from her initial procedure diminishing around six months after the operation and sought a more permanent solution. “I was so happy with the result of my fat transfer, but as time went by the results became less pronounced. I didn’t want to get into a cycle of having fat grafting surgery frequently, and also didn’t have enough fat to transfer over and over, so I started looking into butt implants as an alternative.”

**The AEDITION**: *As someone who has had both surgical procedures, how would you say the recovery time compares?* 

**Naomi**: “The pain from the implants has been much less than from the [butt lift](https://aedit.com/procedure/butt-lift). The day after surgery, the pain was pretty similar for both procedures, but I slept most of the time after I got home from the clinic. After that, it is painful, but this time it was not as bad as last year’s (BBL) procedure. The main difficulties I found were getting out of bed and using the bathroom. I did get some dizziness when I stood up for too long during the second to fourth days of recovery, but that could have been from the anesthesia.”

**The AEDITION**: *How were the results of each procedure?* 

**Naomi**: “The results from both procedures were initially very similar. The volume increase was similar – I had shown my plastic surgeon photos of the results of the first procedure before deciding on the size and shape of the implant for the second. The biggest difference is the longevity. A year after the BBL procedure, the results had more or less disappeared, but I had my implant surgery over a year ago and the results are still the same. I am so happy to know that these results will last for the foreseeable future, it’s a big relief.”

**The AEDITION**: *Do you have any advice for patients considering having a buttock enhancement?* 

**Naomi**: “My main piece of advice, purely based on my experience, would be to seriously consider the longevity of the augmentation surgery. Aside from that, definitely have someone on hand to help you out during the first week or so after surgery. It’s a pretty inconvenient recovery process and having someone there to help with basic tasks made a big difference for me. Make sure you check with your [surgeon](https://aedit.com/aedition/how-i-found-my-plastic-surgeon-trust-your-gut) when you can start your usual activities again. Mine gave me a recovery schedule to follow detailing what I could start doing week by week.”


### **Josie*, Boston, MA**

Six years ago, Josie decided that she wanted to have plastic surgery to combat the effects of gravity after having three children. She opted to have a BBL with fat transferred from her arms and abdomen. “I think I underestimated the toll the procedure would take on my body," she says. "Because of the fat transfer from different areas, it meant the pain was quite widespread.” 

**The AEDITION**: *How did you decide between fat transfer and implants?*

**Josie**: “I was considering both procedures, but I also wanted liposuction. I discussed options with my surgeon and after weighing them all, I decided to go with the BBL. It just made more sense for me and I’m really pleased with the decision I made.”

**The AEDITION**: *How was your recovery from the procedure?* 

**Josie**: “The first couple of days were painful, but after the fourth day things got better really quickly. It was great because I got to see results pretty much straight away. There was swelling initially which emphasized the results, but once the swelling had gone down, my butt was the perfect shape. The only downside was that my job involved a lot of sitting so I had to get up regularly. It was an issue for ten days or so after I went back to work. After about a month, I was back to normal.”

**The AEDITION**: *Have you had any revision procedures since your first operation?* 

**Josie**: “I had my initial procedure seven years ago and had revision surgery four years later. I knew to expect potential revision surgery, so it didn’t come as a surprise. I decided to have revision surgery because the initial lift effect had worn off a little bit and I wanted a boost. I had gained weight, so liposuction to graft the excess fat was very welcome! The second procedure tired me out more than the first one, but the recovery was pretty similar. I’m still happy with the results right now and don’t think I’ll be going in for another revision for a couple of years.”

**The AEDITION**: *Are you satisfied with the results?* 

**Josie**: “Yes! It has really boosted my self-esteem and made me feel younger. My body changed so much from having my kids, that I didn’t really feel like me anymore. And even though the procedures were quite painful in the few days after, it’s definitely been worth it for me. ”

### **Laura*, Los Angeles, CA**

A keen athlete, Laura tried every trick in the book to achieve the butt she wanted by working out but didn’t have much luck. “I had tried to achieve my perfect body through exercise, but I just couldn’t get my butt to look how I wanted it," she says. It was the one area of her body that she wasn’t happy with, so she decided to look into getting surgery. "I did my research and found out that implants would probably be the best option for me, so I researched doctors near my hometown so I could stay with my parents while I recovered.” 

**The AEDITION**: *Could you talk us through the procedure itself and your first week post-surgery?* 

**Laura**: “I had my gluteal implant procedure as an outpatient, so I just went to the clinic on the morning of my surgery and came home right after it was done. When I got home I had to sleep on my front to avoid putting pressure on the buttocks area, but I wasn’t in much pain because of the drugs. The following day I had a call with one of the nurses at the clinic. I was doing ok and made sure to take the painkillers as instructed. During the first couple of days there was no way I would’ve missed a dose, it was pretty painful! Day by day it got easier. It was pretty restrictive initially and I definitely needed my mom there to help me with basic tasks, so I was happy I decided to have the surgery near my hometown.”

**The AEDITION**: *Do you have any tips for people who are going to have the procedure?*

**Laura**: “Find a board certified plastic surgeon you completely trust and do your research about the clinic. See if you can get a personal referral from someone you know. Follow your surgeon’s patient care instructions to the letter and expect discomfort. It’s annoying to have to adapt your routine right after the surgery but keep the results in mind when you’re uncomfortable in those first few days.”

**The AEDITION**: *How did the experience differ from what you expected?* 

**Laura**: “I underestimated how much I sit down! The buttock area is a pretty inconvenient part of your body to have surgery on, but once you get used to doing things in a different way, it’s not so bad. I was able to drive the five-hour drive home after a week, but I had to stop every half hour to get out and walk around. Still, I think the most surprising thing has been how realistic the final results look and feel!”

## **Doctor Perspective**

We also spoke to Beverly Hills board certified plastic surgeon Ryan Stanton, MD, who specializes in buttock implants, to find out more about butt augmentation procedures and what to expect from recovery. 

**The AEDITION**: *Are both fat transfer and implant procedures viable for most patients?* 

**Dr. Stanton**: “Technically both options are available but relatively few patients are truly good candidates for the BBL compared to buttock and cosmetic hip implants. I have performed buttock implants on all types of patients – skinny, lean, muscular, medium, obese, young, and old – and this cannot be said about BBL.”

**The AEDITION**: *How do you advise a patient to prepare their body for the procedure?* 

**Dr. Stanton**: “Like for any surgery, a healthy lifestyle with healthy nutrition (especially a high protein diet), mental preparation, avoiding blood-thinning medications and herbal supplements, and not smoking are optimal for health and a smooth recovery after surgery.”

**The AEDITION**: *Could you outline the recovery process for butt augmentation procedures?*

**Dr. Stanton**: “Keep in mind that every patient is unique and has their own unique experience. That being said, here is the most typical recovery process: The first two weeks after surgery is the most challenging with swelling, tightness, and discomfort. Several different types of pain and anti-inflammatory medications are prescribed. Icing around the clock is also extremely helpful. Sitting is prohibited for these two weeks, except for 10 to 15 minutes for eating or using the restroom. Patients that have traveled long distances (to get the operation) may fly back home after only five days by following a strict sitting/pressure release routine. The majority of patients are most comfortable laying on their tummy for the first two weeks, but it is possible to place yourself into a fairly comfortable position on your back with your knees and ankles elevated thus transferring some of your weight from the buttocks to the mid-back region. With buttock and hip implants, sleeping on the side is prohibited for three weeks. 

Patients may return to work after two to three weeks as sitting and basic daily activities become easier. For those who work from home, return to work resumes much sooner if they can work standing, kneeling, or reclining. After two weeks patients may sit for up to 30 minutes at a time, then stand or take a short walk for at least 15 to 30 seconds before sitting back down, after three weeks for up to an hour, and at four weeks unlimited time. At four weeks patients can resume upper body exercises while standing only. By six weeks, all restrictions are lifted. Exercise (including squats and lunges) and sports may be resumed but at low intensity, gradually building week by week to full strength in about another six weeks. 

Like [breast implants](https://aedit.com/procedure/breast-augmentation-with-implants), the implants have fully dropped into place and achieved full projection about six months post-operation. Also at this time, the body has adapted to the implant and no longer recognizes it as foreign.”

**The AEDITION**: *Are there any revision surgeries to be expected for implant procedures?* 

**Dr. Stanton**: “Because buttock and cosmetic hip implants are made of soft semi-solid silicone rubber, not gel-like breast implants, they cannot rupture and leak and so are considered permanent. Buttock or hip implant patients may eventually decide to upsize or, rarely, downsize their implants, just like with breast implants.”

**The AEDITION**: *What are the potential risks associated with this particular procedure?*

**Dr. Stanton**: “If performed by a buttock implant specialist, buttock implants are no more dangerous than breast implants. In my experience and as studies have shown, the risks and potential complications of silicone implants are very similar to breast implants: approximately one percent risk of infection, approximately two percent risk of wound healing complications, approximately one percent risk of bleeding or fluid collections. Due to postoperative swelling, patients commonly have temporary indirect sciatica symptoms for days to weeks after surgery. (I have never damaged any patient’s sciatic nerve in about 1,000 cases.) While breast implants have a nearly 20 percent risk of hardening from excessive scar tissue formation surrounding the implant (called capsular contracture), in my experience buttock implants have only approximately two percent risk of this. Also, because buttock implants are made of soft semi-solid silicone rubber and do not have a silicone shell containing liquid, as breast implants do, they cannot rupture or leak. Therefore, they are considered a permanent implant that never have to be changed at certain intervals, unlike breast implants.”



**Patient names have been changed

Butts are huge right now. Sure you can double down on squats, but those who aren't able to achieve their desired derriere by exercise alone are turning to butt augmentation procedures like butt implants and so-called Brazilian Butt Lifts.

The AEDITION

Butt Augmentation