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 just finished day seven of my post-surgery checkup with Dr Fernau, and here’s my personal experience. Upon arrival of my consultation, I was greeted by the friendliest staff. Every one of them helped in my progression, aided in my treatments, calmed my anxiety, and exceeded my expectations. Scheduling surgery and getting the medications for the operation were straightforward. As for the surgery, the instructions were clear, the procedure explained, and questions answered. The results were beyond what I expected. Dr Fernau is exceptionally passionate about his work and cares for his patients. The open communication that Dr Fernau has with his staff is what creates such a successful business model and positive outcomes for his patients. After surgery I had difficulty walking, and one of the staff members helped my wife with taking me home. The compassion, dedication, and excellence that I experienced with Dr Fernau and his staff give me the pleasure of providing the highest of recommendations."- C.M. / Google / Nov 24, 2019
"I highly recommend Dr. Fernau! If you are looking for a surgeon who cares about his patients and pays attention to detail, look no further. He is extremely talented and precise in everything he does. He is a leader in patient safety and recovery. He takes every measure to assure a good experience from start to finish. He is up to date on the techniques, technology and the latest developments in this field. He is meticulous and treats his patients like family. After my initial consultation with Dr. Fernau I knew he would be the one I would trust for my own care, and after the ensuing experience with him and his staff I was convinced he is the only one I would also trust to care for my family."- A.B. / Google / Nov 13, 2019
"I was very nervous about having any type of surgery let alone plastic surgery. I researched several doctors and had 3 consults. I am so very pleased with my results and with the entire process. Dr. Fernau was amazing. He explained everything and took the time to answer my questions. He has an eye for detail and strives for perfection. Highly, highly recommend. I felt safe and secure with him as my surgeon. Follow up with so easy and timely. Overall the procedure had very little pain or down time. Would do it again."- S.W. / Google / Oct 10, 2019
"I was very nervous about having any type of surgery let alone plastic surgery (breast reduction). I researched many doctors and had 3 consults. I am so very pleased with my results and with the entire process. Dr. Fernau was amazing. He explained everything and took the time to answer my questions. He has an eye for detail and strives for perfection. Highly, highly recommend. I felt safe and secure with him as my surgeon. Follow up was so easy and timely. Overall the procedure had very little pain or down time. The results are amazing. Wish I would have done it years ago. Would do it again. And would go with Dr. Fernau a thousand times over."- C.S. / Facebook / Oct 10, 2019
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.