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
"I saw Dr. Fernau about having a microneedling procedure to correct scarring. He was professional, friendly, and clearly explained the treatment details. Many thanks to Cindy (Aesthetician) who was great! She was conscientious and made me feel comfortable during all the treatments. Dr. Fernau and his entire staff were so friendly and made me feel welcome in the office. I would highly recommend Dr. Fernau and his team to anyone interested in having plastic surgery."- C.B. / Google / Mar 13, 2020
"Skin Care at Dr. James Fernau's office with Esthetician Cindy.I have been a client of Cindy for many years. She is amazingly knowledgeable of skincare and various skin treatments. She will no steer you wrong. She is honest and has the clients' best interest at heart. She puts you at ease and there is absolutely no intimidation with her. She produces results! I highly recommend Cindy!"- B.B. / Google / Mar 06, 2020
"Had a severely deviated septum from past injuries. Dr. Fernau fixed me up and my breathing is now great. His staff is fantastic, from Sheila to Josh - I felt valued and informed throughout the process, pre through post op."- D.W. / Google / Feb 27, 2020
"Thank you fellow reviewers!!! You are so right!!!! Based on your reviews, I chose Dr. Fernau for my injectable adventure. I was terrified because years ago I had a bad experience but from the initial contact with Josh I knew this was the right choice. Have you ever had fun making an appointment? Well Josh is super! His easy going manner, super personality and patience answering questions was beyond what would normally be expected. Upon arrival at the office, he made you feel welcomed like a friend, rather than one of many consumers. And that feeling continued as Amber, Dr. Fernau's Medical Assistant ushered me back to the office where she too exhibited patience and caring with all my questions and concerns. She also is a joy! When I met Dr. Fernau, he was thorough, patient, confident, caring and made my fears disappear. He answered all my questions without fatigue and I felt instantly comfortable. I can't explain the confidence I had in him after I met with him, and as it turned out, that confidence was well deserved. What I love about Dr. Fernau is that my injection outcome seemed as important to him as a major plastic surgery event. I am very pleased with the results and appreciate the time Dr.Fernau gave me over a few weeks to make sure everything turned out perfect! During the course of those visits I met with Sheila, who also is proficient in injectables. She is so pleasant and was also very concerned with a good outcome. I also met Cindy the Aesthetician, who was so gracious, speaking with me regarding other possible procedures down the line. Really, I couldn't be happier!!! Thank you Dr. Fernau for your excellence and your total office experience. I will be back. See you soon!"- C.M. / Google / Feb 25, 2020
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
- $10,900 - $12,900
- 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.