Both Male-to-Female (MTF) and Female-to-Male (FTM) transgender patients schedule buttock enhancement or reduction surgery if they desire shaping their buttocks to achieve a classically feminine or masculine look. The classical feminine form features buttocks that are rounder and fuller. Some hip shaping may be necessary as well. Classically masculine buttocks are smaller, angular, and firmer.

For buttock enhancement, there are a number of ways to add curves to the buttocks. At one time, buttock implant surgery was the leading procedure for enhancing the buttocks. Today, the most requested buttock augmentation procedure for transitioning males is referred to as the “Brazilian Butt Lift”. Biologic females also prefer this type of procedure.

Initially popularized by female Hollywood celebrities to add tone, projection, and girth to the buttocks, the Brazilian Butt Lift is a procedure that has rapidly become the leading buttock enhancement surgery in the transgender community. Some  advantages of the Brazilian Butt Lift procedure, leading to its growth in popularity, include:

  • surgery is less complicated 
  • recovery time is shorter
  • provides more natural-looking attractive results
  • avoids potential complications associated with implants

Of course, a requirement is that the individual has sufficient body fat to use for transplantation to the buttocks.

Unlike implants which are inserted into the buttock area, the Brazilian Butt Lift actually injects the patient’s own fat into the buttocks, in a far less invasive procedure. These days, only if the patient has exceptionally low body fat, would we recommend the implant method. One reason that The Brazilian Butt Lift works so well is because of technological advances in fat transplantation. With the Brazilian Butt Lift, the patient’s fat is obtained by liposuction, purified, and transplanted into position. Doctors can better control the outcome by varying the depth and distribution of the sculpting injections. The results are typically very natural looking and realistic.

Buttock reduction is usually done for female-to-male individuals. Size reduction and shaping is usually accomplished by carefully performed liposuction. In cases where there is excessive laxity of the tissues, a dermolipectomy may be performed to eliminate excess hanging skin and subcutaneous tissues of the lower buttock. In cases that demonstrate extreme laxity and wrinkling of the entire buttock, sometimes a lift of the entire buttock is done by a dermolipectomy of the upper border of the buttock. This removes excessive skin and subcutaneous tissues and elevates the entire buttock giving it a higher, rounder, firmer, and younger appearance. This procedure results in a curved incision along the entire upper border of the buttock.

We look forward to discussing buttock enhancement or reduction surgery with you in order to help you become completely comfortable with your choices.