Procedure information

Lipofilling of the buttocks (or liposculpting of the buttocks) is the injection of the patient’s own fat, removed from an area where it’s excessive, into an area where it’s insufficient so as to improve the shape of the buttocks.

Lipofilling of the buttocks is a method that’s highly suited for people who don’t want implants; it’s a tried-and-true method in which the fatty cells are collected through liposuction, filtered, and then deposited in the buttocks in order to fill defects (gaps) or augment them.

Historical background: The lipofilling method has existed for more than 20 years already. Dr. Fournier, one of the pioneers of liposuction in France, first experimented with the technique of returning fat after liposuction into another area of the same patient circa 1985.


  • Incorrect or asymmetrical shape of the buttocks
  • Insufficient soft or fatty tissue in the buttocks area
  • Deformation of the gluteal tissue as a result of injury
  • Flat or smooth buttocks (genetic or age-related changes)

How the operation unfolds:

1) Removal of fatty cells - liposuction

Liposuction is done at the donor site: abdomen, thighs, sides, knees, shoulders, etc. under anesthesia

2) Treatment of the extracted fat

The fat is centrifuged and pumped into the buttocks or

pumped directly into the buttocks after rinsing

Irrespective of the method used, with or without centrifuge, it has been proven that they’re both effective. The most important thing is to preserve as many fat cells as possible. In our experience, the second method yields the best results.

3) Depositing of the treated fat

The surgeon makes small punctures in the area of the patient’s buttocks. The purified fat is deposited in these punctures using a fine tube. So as to evenly distribute the fat in the patient’s buttocks, the surgeon deposits it at various sites. It is in this way that symmetry is achieved. After lipofilling, all of the incisions are carefully bandaged with a special plaster.

The particularities of the lipofilling performed at GrandMed make it possible to enhance the effect of the operation and increase the amount of fat accepted by the body to 80-85%, thereby avoiding the need for additional corrective surgery.

For this procedure, our clinic uses a special tube developed by the manufacturer in order to improve the results of the operation.

The fat is centrifuged in a special centrifuge, which preserves the cells without damage (maintains their structure) but frees the resulting mass from blood admixtures and lymphatic fluid.

Our surgeons deposit the fat in a special (and rather labor-intensive) way: into the upper layers, into the gluteal muscles and surrounding muscles

Amount of fat that must be deposited for correction of the buttocks:
  • 100 ml - small dimples in the buttocks, correction of scars
  • 200 ml - slight augmentation of the buttocks
  • 250-500 ml - significant augmentation of the buttocks

How much fat must be removed for correction of the buttocks?

On average, you should assume that it will be necessary to remove about twice the amount of fat needed for correction.

From what area is the fat removed?

The fat can be removed from any area where it’s excessive. At our clinic, however, the patients and surgeons give preference to two areas:

1) waist and thighs. In this case, the effect from buttocks augmentation will be more harmonious due to the slimmer waistline.

2) anterior abdominal wall and shoulder-arm area, in which case you’ll be left with beautiful arms - with the added bonus that the fat harvested from this area tends to be better accepted by the body and is more “plastic” in sculpting the buttocks

After a lipofilling operation:

After the operation, the buttocks may experience: redness, skin spotting, pronounced swelling, localized temperature elevation. In most cases, all of these phenomena subside on their own within 5-7 days.

Swelling. Swelling doesn’t appear immediately after the operation, but towards the end of the first post-op day. You may experience temporary weight gain.  Swelling gradually increases over time, reaching its maximum by the 5th post-op day, and becomes very dense. The duration of increasing swelling and its degree of pronouncement depends heavily on the individual peculiarities of each patient. Most swelling subsides in 3-4 weeks, with full recovery of the tissue in 2-3 months.

Bruises and hematomas. The first bruises may appear during the initial days after the operation. Deep hematomas may appear gradually as the swelling subsides, over a period of 7-10 days. At the beginning, bruises are firm to the touch, but will soften as they are reabsorbed. Hematomas, just like the swelling, have the tendency to descend from top to bottom: from the hips and thighs to the shins and feet, etc. This is normal and is explained by the laws of gravity.

In the post-operative period, it is mandatory to wear compression undergarments for 4-6 weeks.


When can I get back to doing sports?

After lipofilling, it’s important to avoid active physical exertion and sudden movements. Regular sports activities can be resumed after 2-3 months.

How long does the effect last?

The effect of the operation is lifelong.

What’s better: lipofilling or implants?

The transplantation of the patient’s fatty tissue from one part of the body into the other is a less traumatic operation. Patients get through the rehabilitation period with greater ease. Also worth mentioning is the fact that for many patients, lipofilling presents a unique opportunity to get firm buttocks, while at the same time getting rid of a large amount of fatty tissue from problem areas (trapped fat).

How long do I have to wear the compression undergarments?

Patients must continue to wear compression undergarments for 2 weeks after undergoing this type of plastic surgery. In some cases, this period may be extended to 3 weeks.

How soon can I resume intimate relations?

That depends on the patient’s condition, but in any case no earlier than in 10-15 days.

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