The two basic ways to reshape or augment the buttock involve either a fat transfer (Brazilian buttock lift) or buttock implant. Fat transfer allows the use of a patient’s own fat to create a softer, more natural feel to the buttock compared to silicone buttock implants. The fat transfer technique also allows for more sculpting and reshaping of the surrounding areas of the buttock such as the hips and waist. Buttock implants are primarily indicated for very thin patients who are not eligible for a fat transfer procedure. These firm silicone implants tend to look and feel less natural and have higher complication rates compared to a fat transfer. During your consultation your specific anatomy will be evaluated to determine which procedure is best for you. In some cases, patients may have to gain weight prior to surgery to become better candidates for a fat transfer to the buttock.