Buttock Augmentationin Dallas
Implants that add lasting volume and shape to the buttocks.
Implants for Lasting
Volume.
Many of the patients who ask Dr. Schwartz about buttock augmentation are frustrated. They exercise and watch what they eat, and their buttocks are still flatter than they want, because of how they are built or after significant weight loss. Exercise and diet can't change your build or put back volume that weight loss took away. Many of these patients are also slim, without enough spare fat for a Brazilian butt lift.
Buttock implants add that volume, and it stays. Dr. Schwartz uses solid silicone implants because, unlike transferred fat, their volume doesn't shrink over time. At your consultation you choose the implant shape and size together, aiming for a size in proportion to your frame rather than an exaggerated one. He places the implants inside the gluteal muscle through incisions in the natural creases of the buttocks, where most swimwear covers them.
The Procedure
The implants are solid silicone, made for the buttock, and far more durable than breast implants. At your consultation Dr. Schwartz assesses your hip-to-waist ratio and skeletal structure to choose a size and shape in proportion to your frame.
Dr. Schwartz places buttock implants inside the gluteal muscle, not under the skin or fascia. There they are more stable and feel more natural.
Incisions are positioned within the natural gluteal crease, where most swimwear covers them.
A BBL uses transferred fat, so it needs spare fat to take. Implants suit patients who don't have enough. For many patients, Dr. Schwartz recommends combining the two: implants for central volume, and fat transfer to fill the upper buttock and shape the sides.
Dr. Schwartz often adds liposuction of the waist, flanks and lower back. A slimmer waist makes the buttocks look fuller.
Most patients are ready to return to work and light daily activities within 2 to 3 weeks. Dr. Schwartz advises waiting six to eight weeks before strenuous exercise, heavy lifting, or putting direct pressure on the buttocks.
Buttock augmentation is an outpatient operation under general anesthesia. To reduce swelling and fluid buildup, Dr. Schwartz often places drains for about a week.
Patient Stories
What to Expect
For the first weeks after buttock augmentation there are rules about how you sit and sleep. It helps to know them before surgery so you can plan around them.
Your Consultation
Dr. Schwartz examines your buttocks, checks how much spare fat you have if fat transfer is an option, and asks what you want to change. He goes through the implant options, the intramuscular placement technique and the two-week sitting restriction, and shows you examples of results for a build like yours. You leave with a clear, honest surgical plan.
Surgery Day
Buttock augmentation is performed under general anesthesia as an outpatient procedure, typically taking two to three hours. You are discharged the same day with a donut cushion, detailed positioning instructions, incision care guidance, and a follow-up visit, usually the next day.
Positioning Phase
Direct sitting is avoided for the first two weeks to allow the implants to stabilize in their intramuscular position. Sleeping on the stomach or side is required. A donut cushion lets you sit when you need to: at a desk, at meals or driving. This is the hardest part of the recovery to organize, so it is worth preparing in advance.
Return to Activity
Normal sitting resumes at two weeks. Desk work at 2 to 3 weeks. Strenuous exercise and activities that strain the gluteal muscles are restricted for six to eight weeks. Swelling in the buttocks goes down gradually, and the final volume and shape appear over three to six months as the implants settle.
Final Results
Swelling resolves and the implants settle into their final position over three to six months. The result is long-lasting and stable. Unlike transferred fat, implant volume does not shrink over time. Yearly follow-up visits let Dr. Schwartz check the implants.
Why Choose
Dr. Schwartz
Buttock augmentation depends on making the pocket inside the gluteal muscle accurately and choosing an implant size in proportion to your frame. Dr. Schwartz performs both implant and fat transfer operations, so he can recommend whichever suits your build and goals, or a combination of the two.
Full Credentials →Plastic Surgeon
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Is This Right for Me?
Buttock implants suit patients who want a significant, permanent increase in volume, particularly those without enough spare fat for a Brazilian butt lift.
Common Reasons
Patients Choose This
- You want a significant, permanent increase in buttock volume and a fuller, more projected shape.
- You don't have enough spare fat for a BBL.
- Your buttocks have lost volume with age or weight loss, and your skin is still reasonably elastic.
- You are at a stable weight near your goal.
- You can follow Dr. Schwartz’s instructions closely after surgery.
- You are in good general health and have realistic expectations of what an implant can do.
Things to Consider
Before Proceeding
- You have plenty of spare fat and would prefer a more natural feel. A Brazilian Butt Lift may suit you better.
- You can't avoid sitting directly for two weeks or stop all strenuous exercise for a while.
- You smoke or use nicotine. Dr. Schwartz requires you to be completely nicotine-free for a set period before and after surgery.
- You are hoping to lose weight. This is a contouring operation, and large changes in weight can alter the result.
- You are pregnant, planning a pregnancy soon, or have a medical condition that isn't under control. Surgery would need to wait.
Dr. Schwartz will evaluate your anatomy and help you determine whether implants, fat transfer, or a combination is the most appropriate approach for your goals and body type.
Frequently Asked
Answers to the questions Dr. Schwartz hears most often from buttock augmentation patients.
Dr. Schwartz usually recommends buttock implants for patients who want fuller, shapelier buttocks but don't have enough spare fat for a Brazilian Butt Lift (BBL). They suit slim patients, patients who have lost volume with weight loss, and anyone who wants a predictable increase in volume that fat transfer alone can't give.
Buttock implants are solid silicone, and the volume they add is permanent. A BBL uses your own fat, which feels natural, but how much of it survives varies. For many patients, Dr. Schwartz recommends combining the two: implants for central volume, and fat transfer to fill the upper buttock and shape the sides.
Not straight away. So the implants can settle, you avoid sitting directly for about two weeks, and use a donut cushion when you have to sit. Dr. Schwartz usually places drains for about a week. Most patients return to desk work at 2 to 3 weeks. Full activity and strenuous exercise usually resume at six to eight weeks.
Dr. Schwartz places the incisions within the natural creases and folds of the buttocks, where they are hidden in most swimwear and usually fade over the first year. The exact placement depends on your anatomy and is discussed at your consultation.
Dr. Schwartz uses solid silicone implants, which are very durable and cannot leak the way liquid-filled shells can. The result is long-lasting, though your body will continue to age. Possible complications, such as the implant shifting or capsular contracture, are rare, and Dr. Schwartz goes through them with you at your consultation.
The cost depends on the implants chosen and how involved your surgical plan is. Dr. Schwartz gives you a detailed quote after your consultation. Financing is available.
Recovery & Concierge Care
You go home the same day, with a donut cushion from our team for the weeks when you can't sit directly. Dr. Schwartz sees you the next day, then typically at one week, three weeks, two months, four months and six months, adjusted to how you are healing. He does almost all follow-up visits himself, and at each one he gives you a specific plan for the weeks ahead. If drains were placed, you leave with instructions for them.
The office can be reached 24 hours a day. After-hours calls from patients recovering from surgery go directly to Dr. Schwartz, so an important question never waits until morning. The recovery is planned so that any responsible adult can look after you at home. If you would rather have a nurse caring for you at home or in a hotel, we can arrange it.