Pittsburgh plastic surgeon, Dr. James Fernau, is a butt augmentation specialist offering many options for patients who desire an enhanced buttock. Butt augmentation is a cosmetic surgery performed on patients who wish to have a fuller, rounder butt. Many factors can lead to a flat or deflated buttocks such as weight loss, age, and natural gravity. For many, this procedure is sought as an instant enhancement. Fat transfer using fat from the patient’s own body or semi-solid silicone implants are popular methods for butt augmentation. Implants are best for patients who have low fat volume and desire a dramatic, permanent solution. These implants are safe, and will look and feel like natural muscular tissue. All candidates for butt implants must be close to or at their goal weight in order to achieve the best outcome.
"If you want to be treated like family and get world class treatment at a very very reasonable cost this is the place to be. Thanks a lot doctor, and you wonderful staff. The best experience I have had at any doctor's office."- P.G. / Facebook / Sep 02, 2015
"Dr. Fernau and his staff are amazing! In June 2018 I had a no drain lipoabdominoplasty and the results are better than I ever could have imagined. During the consultation, I was given the options based on what I wanted to accomplish and Dr. Fernau was very honest with me in which procedures would get me the best results. In deciding to go through with the tummy tuck, Sheila was a wealth of knowledge in going over the paper work and preoperative procedures. On the day of the surgery at Trinity Hospital (and their staff was amazing too!), I was nervous, but knew I was in good hands because of how thorough and meticulous Dr. Fernau was before we went into the room for surgery. After surgery I couldn't believe how good I felt and already looked! The recovery process was much better than expected (I never took a pain pill!). I was walking pretty much normal after a week and back to normal activities within 6 weeks. My life has changed completely due to this procedure and the wonderful results thanks to Dr. Fernau. I am continuing to workout and watch my diet and after 5 months post-op I am down 20 pounds and look like a whole knew person! I highly recommend Dr. Fernau and his staff. They are truly AMAZING!"- A. / Google / Nov 26, 2018
"Very happy with my results - I had a Labiaplasty with Dr. Fernau and I'm very happy with my results. He and his staff are great and he just very thorough in expaining your procedure. He truly cares about his patients and their satisfaction with his work. I highly recommend him!"- Anonymous / Vitals / Nov 16, 2018
"27 YO Mom of 2 Labiaplasty - Dr. Fernau and his staff are excellent! He takes alot of time to go over the procedure with you and makes sure all of your questions are answered. He recently did my Labiaplasty procedure and I will hopefully be going back for a BBL in the future. I rate him and his team a 10 out of 10 for sure!"- P. / RealSelf / Aug 28, 2018
"Absolute Plastic Surgery Genius! - Dr. Fernau and his entire staff are amazing. After numerous virtual consultations, I scheduled to have my lipo abdominoplasty with Dr. Fernau. PLEASE, don’t choose a surgeon on affordability or discounts, alone. This is your ONE body and you get what you pay for. I’m currently 6 days post-op and am already in love with my new shape. Dr. Fernau is an artist, not just a surgeon. His met..."- L. / RealSelf / Aug 02, 2018
During the initial consultation, the body will be evaluated to determine if the patient is a better candidate for a fat transfer or implants. For those who are thin with low fat volume, an implant will be advised. During this process, the buttock is fitted with a soft silicone implant on top of the bone area, and under the muscle. We will discuss the type of implants during the consultation before any decision is made. The decision for the shape and size of the gluteal implants is made based on the individual desires and the general body type of the patient. For those who are wondering how implants will look and feel, the technology advancement of today produces implants that are natural and safe for long-term use.
Buttock Implant Video
Recovery from a butt augmentation procedure where implants were used generally has a 2-3 week recovery period. Swelling and bruising is common but this will only last for a few days. During this period, the patient must avoid putting weight on the buttocks. When sitting or lying down, the weight must be on the thighs or abdomen until the buttocks are fully recovered. The scarring will be mostly concealed as the incision is usually positioned in between the buttock cheeks. The patient will be able to go back to a normal routine after 1-2 weeks, and exercises may be resumed after 6 weeks.
On average, butt augmentation surgery using a silicone implant will cost around $6,500 to $9,500 depending on the techniques used. The price may be higher if a fat transfer was performed due to the fact that liposuction is involved.
Plan Your Procedure
- Average Cost
- $6,500 - $9,500
- Recovery Time
- 2-4 Weeks
- Average Procedure Time
- 2 Hours
- Post-op Follow-up
- 2 Weeks
- Procedure Recovery Location
Butt Augmentation FAQs
The quality of the implants used and the expertise of the surgeon are very important factors when it comes to the aesthetic satisfaction after the procedure. The implants should look and feel natural especially after the swelling subsides. When done correctly, your buttocks will look as natural as someone who spent weeks at the gym.
Natural or Synthetic?
This will depend on the patient’s body and personal goals. Natural method of fat transfers is advised if the patient has enough fat deposits that can be grafted and reinstated in a deflated butt. However, if the patient is thin, an implant is recommended as there may not be enough fat to transfer. It is also important to note that fat transfers do not last forever, and eventually the body will reabsorb some of the fat. An implant offers a permanent solution. The pros and cons of both techniques must be discussed in detail so that the best decision can be made to meet the patient’s overall goals.
What About Sitting?
In the first couple of weeks after surgery, the patient must not put any weight on the buttocks and should place the weight on the thighs instead. Once the pain and swelling subside, the patient will be able to sit and go back to their normal routine. A soft pillow in the first several months will help ease some pressure. The implants are placed on the upper part of the buttocks and so patients must not be anxious if they are sitting on the implants. Over time, the implants will take on a natural look and feel.
Any significant weight gain after a cosmetic buttocks surgery may compromise the surgical results. This is a concern especially after a butt augmentation because fats are deposited in the buttocks area first, which will affect the shape and contour the surgery already achieved. It is best to maintain a healthy lifestyle with good diet and regular exercise to ensure the long-term effect of this procedure.