my butt has no shape to it! what can i do to give a more rounded look?  Does this require plastic surgery?

A: Buttock augmentation

In order to achieve a fuller buttock area, you can either have gluteal implants (silicone) or a fat transfer (Brazilian buttock lift). If you are very thin with no excess fatty tissue on you body (abdomen/hips/thighs) then you are not likely a candidate for a fat transfer. The gluteal/buttock implants may be the only reasonable option for a thin patient, however these devices can move, harden, or become infected over time.

If you have some extra fatty tissue on your body, then a fat transfer may be the best option for you. This involves first performing liposuction on your abdomen, lower back, hips and sometimes thighs to harvest the fat. Then, that fat is injected or transferred into the buttock area creating a fuller/larger appearance. This is your own tissue and will better simulate the more natural feel of actual tissue/fat than an implant would.

Please discuss with a board certified plastic surgeon to determine which procedure is best for you.

Best wishes,

Dr. Bruno