Being the plastic surgeon to the Hispanic community, I am very aware of the desires of my patients for a full, round butt.  In fact, the Brazillian Butt Lift, or fat transfer to the buttocks, is the fastest growing procedure in my practice.  Being known as a specialist in gluteal augmentation, or butt lifts, I also see patients who have tried other methods such as silicone injections and butt implants.  The ones I see are the ones with complications.

Silicone injections to the buttocks are actually illegal in the U.S.  Not to mention, only a doctor licensed to practice in the state where the injection takes place or a nurse under his direct supervision may inject anything into your body.  If someone is a doctor in their country, or a nurse alone, they cannot inject silicone into your buttocks legally.  That is why it is done in apartments, back rooms of spas, and salons.  They call it biopolymer, botox, collagen, or whatever, but it is always silicone.  Do not let this happen to you.

If everything goes right, you may not have a problem.  If there is the slightest impurity, it can create a lifetime of problems and complications that are sometimes impossible to correct.  Permanent color changes, lumps, infections, and abscesses have all been seen in my office.

The solid silicone implants also have issues.  They cannot correct asymmetries , are sometimes uncomfortable to sit on, and can look unnatural.  I do not think they are a good option for most cases.

The fat transfer to buttocks, or Brazillian Butt lift, is incredibly versatile.  You are putting your own fat where you want it, and with proper care, the results can be terrific.  You can even repeat the fat transfer to the buttocks to keep adding to the size, and shape the butt any way you like.

While some patients can lose volume after the butt lift, most are quite happy.  Having the option of repeating the fat transfer makes achieving the desired results much easier except for the patient with no extra fat.  These patients are rare.