Board Certified
Plastic Surgeon
Since 1989

Butt Augmentation vs Brazilian Butt Lifts

Gluteal augmentation, more commonly referred to as a buttock augmentation, is a common procedure designed to improve the size and shape of the buttocks. The decision to have a buttock enhancement procedure is extremely personal.  As moderately invasive techniques improve, buttock augmentations are becoming more popular, and for good reason. A firm, lifted, round bottom can dramatically accentuate a youthful, feminine figure.  However, you have to decide if the benefits will achieve your overall aesthetic goals and whether or not the risks and potential complications of buttock augmentation or buttock lift surgery are acceptable.

Known as the “D.C. Butt Doctor,” Dr. Shlomo Widder is a board-certified Plastic Surgeon who has years of training and experience with performing butt augmentation with implants. This procedure can help patients achieve a more “attractive” appearance when exercise has not provided ideal results. During your initial consultation, D.C. Butt Augmentation with Implant Specialist, Dr. Widder will thoroughly examine the area to be treated, discuss the procedure details, and address any question or concerns you may have.

Butt augmentation surgery is a great treatment option for you if:

  • You have a flat or deflated buttocks
  • Wish to increase the fullness or roundness of your buttocks
  • Desire fuller or more dominant curves
  • Want to improve your body proportion/balance
  • Want to improve on butt dimples

A Brazilian butt lift is different from butt implants

There are two different techniques that are well known for enhancing the buttocks: surgically placed silicone buttock implants and the analogous fat transfer (Brazilian butt lift). Implants will provide a more rounded shape for your bottom.  When considering a fat transfer, you should be aware that many patients who undergo the procedure reabsorb some or all of the fat that transfers into their bodies, therefore losing the full effects of their surgery. The disappearance of the fat can occur completely or almost completely after a few months, or possibly even sooner.

Why Butt Implants are superior to Brazilian Butt Lift

Butt implant surgery is typically performed through incisions that run down in low between the buttock cheeks in order to hide scarring after surgery. Semi-solid silicone implants are then strategically placed in the buttocks in order to provide a fuller, curvaceous contour.

Gluteal fat grafting, more commonly referred to as the popular Brazilian Butt Lift (BBL) procedure, has resulted in an alarming rate of mortality, estimated to be as high as 1 in 3,000; a rate of death far greater than any other cosmetic surgery.

In researching the risks of Brazilian Butt Lifts, the American Society of Plastic Surgeons had the following listed on their website:  “In response to these unusually high figures, the American Society of Plastic Surgeons (ASPS), the American Society for Aesthetic Plastic Surgery, International Society of Aesthetic Plastic Surgery, International Society of Plastic Regenerative Surgeons and the International Federation for Adipose Therapeutics and Science, formed the Task Force for Safety in Gluteal Fat Grafting with the goal of conducting studies to develop specific safety guidelines. “Patient safety is the highest priority for board certified plastic surgeons and this multi-society task force is an important an unprecedented collaboration,” explains Dr. Jeffrey E. Janis, President of ASPS.

According to statistics from the ASPS, in 2017, approximately 20,300 buttock augmentation procedures using fat grafting were performed, and the number of procedures has more than doubled in the last five years. Complications from the surgery are likely a result of numerous factors, including the technically challenging nature of the surgery and that the rise in interest has caused more non-board-certified and non-plastic surgeons to perform the operation.”

A successful buttock augmentation will begin with a one-on-one consultation with Dr. Shlomo Widder. This is the time to find out more details about the procedure, get to know Dr. Widder, discuss your overall aesthetic goals and decide if you are comfortable with the surgery.

Choose your surgeon wisely

An experienced, trusted buttock implant surgeon is your secret weapon for a successful procedure and ideal results. Known as the “D.C. Butt Doctor,” Dr. Shlomo Widder is a board-certified Plastic Surgeon who has years of training and experience with performing butt augmentation. Dr. Widder is licensed to practice plastic surgery in the state of Virginia. He holds a number of certificates from several prestigious medical organizations, such as the American Society of Plastic Surgeons (ASPS), the American Society for Aesthetic Plastic Surgery (ASAPS), the American Association for the Accreditation of Ambulatory Surgery Facilities (AAAASF), and the Fairfax County Medical Society.

Should you consult with someone besides Dr. Widder, be sure to ask the following questions during your initial appointment:

  • Are you board certified?
  • What are your certifications?
  • How many butt lifts have you done?
  • How will my procedure be performed?
  • How long will my butt augmentation take?
  • What can I expect from my recovery?
  • What is the likelihood that I will need a revision procedure in the future?
  • Can you show me long term before and after photos?

The best butt augmentation results will be proportionate to your body

An experienced butt augmentation surgeon will help you decide the best size/shape/surgical procedure for your body type. While it is great to have an “ideal” bottom in mind before your consultation, understand that your particular procedure should be custom tailored for your physique. Normally, the goal of a buttock augmentation is more than just creating a big butt, the procedure should add to your overall figure.

The results from your buttock augmentation will last for a very long time

A successful butt augmentation can bring pleasure for years to come. Conversely, if you are unhappy with the results or the final size as can occur with BBL, it can cost you in confidence, potential discomfort, and money for a revision. Keep this in mind when you are looking at potential surgical options and shapes/sizes. Under normal circumstances, the results of your buttock augmentation surgery with implants will be long-lasting. Silicone butt implants are safe and can look fabulous for many years.

Dr. Widder DOES NOT perform fat injection to the butt (BBL) because unlike implants, the fat disappears completely or almost completely after a few months, or possibly even sooner.  Think about it this way:  Breast implants are the number one cosmetic surgery procedure in the US.  If fat injections were consistent and reliable, most women would have preferred it for breast implants.

Dr. Widder encourages you to schedule a consultation in his privately owned, fully accredited surgical suite and office located in Tyson’s Corner, Vienna, VA.  His office is conveniently located for patients in Maryland, Washington DC, Arlington, Alexandria and Fairfax, VA.  Call today to schedule your consultation at 703-506-0300.


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*Individual results are not guaranteed and may vary from person to person. Images may contain models.