Does Liposuction Hurt? What to Expect Before & After Surgery
February 5, 2025
If you are considering transferring fat to your buttocks, you probably want to achieve a fuller, more contoured shape without implants. As a plastic surgeon specializing in gluteal lipotransfer, I have helped many patients enhance their curves in a natural, safe, and long-lasting way. This procedure, also known as gluteal lipotransfer, has become increasingly popular because it uses your own fat to sculpt the buttocks while refining other areas of the body.
Many patients seek buttock fat transfer because they want natural-looking results without using silicone implants. Unlike traditional butt augmentation with implants, fat grafting to the buttocks allows for a more harmonious and proportionate enhancement. What are the dual benefits of this procedure? The procedure not only increases volume but also removes excess fat from areas like the abdomen, thighs, or flanks, improving overall body contour.
The process consists of three main steps:
Since this method uses your own fat, the body recognizes it as natural tissue, reducing the risk of rejection or complications.
In this article, I will cover everything you need to know about gluteal lipotransfer, including:
Whether you’re simply researching or ready to take the next step, this guide will help you make an informed decision about buttock fat transfer.
Now, let’s explore in detail what this procedure involves and why it has become one of the most sought-after options for natural butt augmentation.
When we talk about gluteal lipotransfer, we are referring to a procedure that enhances the shape and volume of the buttocks using the patient’s own fat. This technique, also known as fat grafting to the buttocks, has gained popularity because it provides natural and harmonious results while improving the overall body contour.
The transfer of fat to the buttocks involves extracting it from areas where it is in excess—such as the abdomen, thighs, or flanks—purifying it, and then strategically injecting it into the buttocks. This allows us to sculpt the gluteal area while simultaneously contouring other parts of the body. Since we use the patient’s own fat, the body integrates it naturally, making it a safer and more biocompatible option compared to synthetic implants.
Many of my patients choose this procedure because it allows for a proportional and balanced enhancement, avoiding the artificial appearance that some other augmentation techniques may produce.
One of the most common questions I receive is whether to choose fat transfer or gluteal implants. While both methods aim to increase buttock volume, there are key differences to consider:
- Fat Transfer: Uses the patient’s own fat, making the enhancement feel natural to the touch.
- Butt Implants: Involves the insertion of silicone implants, which can sometimes feel firmer and less natural.
• Fat Grafting to Buttocks: Achieves softer, more natural results that blend seamlessly with the rest of the body.
• Implants: Provide a more dramatic and predictable increase in volume but may not always look as natural.
• Fat Transfer: Since it uses the patient’s own tissue, the risk of rejection or allergic reaction is minimal. However, not all the transferred fat survives, and you may lose some volume in the first few months.
• Implants: Have a higher risk of complications, such as capsular contracture, implant shifting, or rupture, which may require future corrective surgeries.
• Fat Transfer: Recovery typically takes 2 to 3 weeks, with some restrictions on sitting and sleeping positions to ensure fat survival.
• Implants: The healing process is often longer and may involve more discomfort, as the body adapts to the presence of a foreign object.
One of the main advantages of gluteal lipotransfer is that it enhances the buttocks while slimming other areas of the body. Butt implants, on the other hand, do not provide this additional contouring benefit.
Choosing between fat transfer to the buttocks and implants depends on your body type, aesthetic goals, and personal preferences. If you have enough donor fat and want natural, long-lasting results, gluteal lipotransfer is an excellent option. However, if you are looking for a more dramatic increase in size and have limited fat reserves, implants may be a better choice.
During a personalized consultation, I evaluate each patient’s anatomy, lifestyle, and expectations to recommend the best option. My priority is always to ensure safe, proportional, and aesthetically pleasing results.
Fat transfer to the buttocks is popular due to its ability to achieve natural-looking results using the patient’s own fat. Unlike implants, this method allows for a harmonious and proportional augmentation, improving not only the buttocks but also contouring other areas of the body.
The procedure consists of three fundamental steps: liposuction, fat purification, and reinjection into the buttocks. Each stage is crucial to ensure optimal fat survival and long-lasting results.
The first step is to harvest the fat from areas where there is excess. The most common donor sites include:
Using a gentle liposuction technique, I carefully extract the fat, ensuring minimal trauma to the cells so that they remain viable for reinjection. This part of the procedure not only provides the necessary fat for transfer but also enhances body contouring, creating a more sculpted and defined shape.
Once the fat is removed, it goes through a purification process to separate the healthy, viable fat cells from any unwanted fluids, oils, or damaged cells. We use only high-quality fat for reinjection, which maximizes its survival in the new area, making this step crucial.
There are different methods for processing the fat, including centrifugation and filtration, which help ensure that the transferred fat integrates smoothly into the buttocks.
After purification, the fat is carefully injected into different layers of the gluteal region using specialized cannulas. This step requires artistic precision to shape the buttocks in a way that looks natural and symmetrical.
The placement of the fat is key to achieving a smooth, even, and proportionate result. Instead of injecting the fat in a single area, I distribute it strategically across multiple layers to ensure proper integration and long-lasting volume.
Compared to implants, gluteal lipotransfer offers a more natural appearance and feel. Since the buttock fat transfer uses the patient’s own tissue, the enhancement:
Additionally, because we are working with living fat cells, the final result will continue to adapt to the patient’s body over time, creating an enhancement that looks and feels completely natural.
As a plastic surgeon specializing in gluteal lipotransfer, I have seen firsthand how this procedure can transform not only the shape of the buttocks but also the overall body contour. Fat transfer to the buttocks is an excellent option for patients who want a natural, harmonious, and long-lasting enhancement without using synthetic implants.
Unlike implants, which can sometimes look artificial or feel firm, fat grafting to the buttocks provides results that are softer, more proportional, and move naturally with the body. Below, I will explain the main advantages of this technique and why so many patients choose it over implants.
One of the biggest advantages of buttock fat transfer is that it creates a fuller, rounder shape without the use of foreign materials. Since the gluteal lipotransfer procedure uses the patient’s own fat, the results:
Because the fat is strategically injected in multiple layers, it blends seamlessly with the existing tissue, creating an enhancement that is subtle yet effective.
Another major advantage of fat grafting to the buttocks is that it offers a two-in-one benefit. This procedure not only enhances the gluteal region but also refines the shape of other areas of the body.
Through liposuction, excess fat is removed from areas such as:
This means that, in addition to increasing buttock volume, patients also enjoy a more sculpted waistline and better overall proportions. A more defined silhouette emerges, naturally enhancing the waist-to-hip ratio.
Because gluteal lipotransfer uses the patient’s own fat, it eliminates the risks associated with foreign materials, such as:
Additionally, fat transfer to the buttocks avoids the need for large incisions, reducing the risk of infection and scarring. The recovery process is often smoother and less painful compared to implant surgery, and there is no need for future replacements or adjustments.
If you are looking for a natural, safe, and proportionate way to enhance your curves, gluteal lipotransfer is an excellent choice. The combination of soft, natural-feeling results, body contouring benefits, and a lower risk of complications makes it a preferred option for many patients.
Safety is one of my patients’ biggest concerns about fat transfer to the buttocks. As with any surgical procedure, gluteal lipotransfer carries certain risks, but when performed by a certified and experienced plastic surgeon, it is a safe and effective option for enhancing the shape and volume of the buttocks.
Thanks to advancements in surgical techniques and safety protocols, this procedure has become much safer over the years. Below, I will explain the key safety measures, potential risks, and why choosing the right surgeon is essential for achieving optimal results.
Over the past decade, the techniques used in fat grafting to the buttocks have evolved significantly, improving both safety and results. Some of the most important advancements include:
When done correctly, gluteal lipotransfer is a less invasive option than implants that has a lower risk of problems.
As with any cosmetic surgery, fat transfer to the buttocks carries some risks. However, proper technique and post-operative care can minimize most of these risks. The most common risks include:
Following all post-operative instructions and choosing an experienced plastic surgeon are the best ways to ensure a safe and successful outcome.
One of the biggest factors in ensuring a safe gluteal lipotransfer is selecting a qualified and board-certified plastic surgeon. Since fat transfer to the buttocks is a highly specialized procedure, it should only be performed by a surgeon with extensive training and experience in fat grafting techniques.
When choosing a surgeon, make sure to verify:
As a plastic surgeon dedicated to achieving safe, natural, and aesthetically pleasing results, I always prioritize patient safety and satisfaction. I take the time to educate my patients, discuss realistic expectations, and ensure that every step of the procedure is performed with the highest standards of care.
When performed correctly, gluteal lipotransfer is a safe and effective alternative to implants, offering natural-looking results with fewer long-term risks. Choosing the right surgeon, following post-operative guidelines, and maintaining a healthy lifestyle are the key factors in ensuring a successful outcome.
One of the most important steps before undergoing gluteal lipotransfer is determining whether you are a good candidate for fat transfer to the buttocks. Not everyone is suitable for this procedure, as it requires a sufficient amount of donor fat, excellent overall health, and realistic expectations.
As a plastic surgeon specializing in fat grafting to the buttocks, I always perform a detailed evaluation to ensure that my patients meet the necessary criteria for a safe and successful outcome.
The best candidates for buttock fat transfer typically share the following characteristics:
While fat transfer to the buttocks is a beneficial option for many, there are certain cases where the procedure may not be recommended:
The best way to determine whether you are a good candidate for gluteal lipotransfer is through a personalized consultation. During this evaluation, I analyze your body composition, health history, and aesthetic goals to see if this technique is the best option for you. If you meet the criteria, we can develop a customized surgical plan to enhance your curves in a safe and natural way.
One of the most important aspects of a successful transfer of fat to the buttocks is the recovery process. Proper post-operative care plays a key role in ensuring optimal fat retention, minimal complications, and long-lasting results.
As a plastic surgeon specializing in gluteal lipotransfer, I always provide my patients with detailed instructions to help them achieve the best possible outcome. Below, I will explain the typical recovery timeline, essential post-operative care measures, and tips to maximize fat survival.
Recovery from fat grafting to the buttocks generally takes a few weeks, but the final results become visible over several months. Here’s what to expect during each stage:
To achieve the best possible results from buttock fat transfer, patients must follow these critical post-op care instructions:
One of the most important recovery rules is avoiding sitting or lying directly on the buttocks for at least two to three weeks. Direct pressure can reduce fat survival, leading to uneven results.
After gluteal lipotransfer, patients must wear a compression garment for about six to eight weeks. This helps:
The garment should be tight but not too restrictive, as excessive compression can negatively affect blood circulation and fat survival.
After fat grafting to the buttocks, the transferred fat behaves like any other fat in the body. This means that:
To preserve your new curves, I always recommend maintaining a stable, healthy weight through balanced nutrition and regular exercise.
Not all transferred fat cells will survive, but by following these key tips, patients can improve fat retention rates and achieve long-lasting results:
A smooth and careful recovery process is just as important as the surgery itself. By avoiding direct pressure, wearing compression garments, maintaining a stable weight, and following all post-op recommendations, patients can achieve beautiful, natural-looking results that last for years.
One of the most common questions my patients ask about the transfer of fat to the buttocks is whether the results are permanent. The answer depends on several factors, including fat survival rate, post-operative care, and long-term lifestyle habits. On average, 60 to 80% of the transferred fat survives, while the rest is naturally absorbed by the body within the first few months. The fat that remains after six months is considered permanent and will behave like any other fat in the body, meaning it can expand with weight gain or decrease with weight loss.
Several factors influence long-term results, including the quality of the transferred fat, the technique used during injection, and the patient’s ability to follow recovery instructions. To maximize fat survival, it is essential to avoid direct pressure on the buttocks, maintain a stable weight, and follow a healthy diet rich in nutrients that promote tissue regeneration. Additionally, avoiding smoking and alcohol in the recovery phase is crucial, as these can negatively affect blood circulation and reduce fat retention.
For patients who want to enhance and maintain their results, adopting a healthy lifestyle is key. Engaging in glute-focused exercises like squats, lunges, and resistance training can help improve muscle tone and overall shape. Staying hydrated, eating a balanced diet, and maintaining a stable weight will also help preserve the volume and contour achieved through the procedure. While gluteal lipotransfer provides long-lasting, natural-looking results, following proper post-operative care and healthy habits will ensure the best outcome for years to come.
In the next section, I will discuss why Medellín has become a top destination for gluteal lipotransfer and what makes it an excellent choice for this procedure.
Medellín has become a top destination for gluteal lipotransfer, offering high-quality procedures at lower costs compared to the United States and Europe. The city is known for its expert plastic surgeons, modern clinics, and international safety standards, making it an attractive option for patients seeking natural and long-lasting results. Many clinics provide comprehensive medical tourism services, including personalized consultations, advanced surgical techniques, and structured post-operative care.
Choosing the right surgeon is essential, so patients should look for board-certified specialists with experience in fat transfer to the buttocks, review before-and-after photos, and ensure the clinic follows strict safety protocols. With its combination of affordability, expertise, and excellent patient care, Medellín is an ideal choice for those considering gluteal lipotransfer.
Fat transfer to the buttocks is an excellent option for those seeking natural, long-lasting enhancement without implants. This procedure not only increases volume but also improves body contour by removing fat from areas such as the abdomen, flanks, or thighs. Compared to implants, gluteal lipotransfer provides a softer, more natural look and feel, with a lower risk of complications and long-term stability when proper post-operative care is followed. However, achieving the best results depends on choosing a qualified and experienced plastic surgeon who follows safe fat grafting techniques and prioritizes patient safety.
If you are considering gluteal lipotransfer in Medellín, it is essential to select a board-certified specialist who can provide personalized treatment and high-quality care. With extensive experience in fat grafting to the buttocks, I help patients achieve proportional, natural-looking results tailored to their unique anatomy and goals. Are you considering a gluteal lipotransfer in Medellin? Contact Dr. David Delgado today for a consultation and take the first step toward enhancing your curves safely and effectively.
The results of gluteal lipotransfer can be long-lasting when patients follow proper post-operative care and maintain a stable weight. Initially, 30–40% of the transferred fat may be reabsorbed by the body, but the remaining fat cells that successfully integrate will become a permanent part of the buttocks. These fat cells behave like any other fat in the body, meaning they will fluctuate with weight changes. To preserve results, it is essential to avoid significant weight loss, follow a nutrient-rich diet, and engage in gluteal-strengthening exercises after the healing process is complete. Most patients see their final results after 3 to 6 months, once the fat has fully stabilized.
To maximize fat survival, I advise my patients to avoid sitting or putting direct pressure on the buttocks for at least 2 to 3 weeks after surgery. Applying pressure too soon can compress the newly transferred fat cells, reducing their ability to integrate and survive. We recommend using a BBL pillow when sitting becomes necessary, as it shifts the weight to the thighs instead of the buttocks. Additionally, sleeping on the stomach or sides during the initial weeks helps prevent fat loss. After the third or fourth week, most patients can gradually return to normal sitting positions, but I always recommend using caution and avoiding prolonged sitting during the early recovery phase.
On average, 60 to 80% of the transferred fat survives, while the rest is naturally absorbed by the body within the first few months. Several factors influence fat survival, including the purity of the fat, the technique used for injection, and the patient’s adherence to post-operative care instructions. To enhance fat retention, I use advanced fat purification methods and distribute the fat strategically across multiple layers to promote better integration. Additionally, following a healthy diet, avoiding pressure on the buttocks, and refraining from smoking or alcohol during recovery can significantly improve fat survival rates and contribute to more permanent and symmetrical results.
Yes, fat transfer to the buttocks is generally considered safer than implants, primarily because it uses the patient’s own fat instead of a foreign material. This eliminates risks such as implant rejection, capsular contracture, rupture, or displacement, which are common concerns with butt implants. Additionally, gluteal lipotransfer does not require large incisions, reducing the risk of infection and visible scarring. However, proper surgical technique is crucial to preventing complications, such as fat embolism. This is why it is essential to choose a board-certified plastic surgeon who follows safe fat injection practices and places the fat only in the subcutaneous layer, avoiding deeper muscle areas. When performed by an experienced surgeon, gluteal lipotransfer is a safe and effective alternative to implants.
Yes, in fact, liposuction is an essential part of gluteal lipotransfer since the fat must be harvested from donor areas before it can be purified and injected into the buttocks. Many patients choose to combine liposuction with fat grafting to enhance their overall body contour, creating a more sculpted waistline, flatter abdomen, or slimmer thighs while simultaneously enhancing their curves. The most common liposuction areas include the abdomen, flanks, lower back, and inner thighs. The combination of these two procedures provides a balanced, proportional result and enhances the waist-to-hip ratio. However, it’s important to note that patients need to have sufficient fat reserves to qualify for this combined procedure.
There is no strict Body Mass Index (BMI) requirement for gluteal lipotransfer, but patients with a BMI between 22 and 30 tend to have the best results. A lower BMI (under 20 or 21) may mean that the patient does not have enough fat for harvesting, making it difficult to achieve significant volume in the buttocks. On the other hand, patients with a BMI over 30 may still qualify, but weight fluctuations could impact long-term results. The key factor is having sufficient fat reserves for transfer while maintaining excellent skin elasticity and overall health. During a consultation, I assess each patient’s body composition and recommend the best approach to achieve their desired results safely.
Yes, gluteal lipotransfer provides one of the most natural-looking results in buttock enhancement because it uses the patient’s own fat instead of artificial implants. The buttocks will feel soft, move naturally, and maintain a proportionate appearance that complements the rest of the body. Also, the strategic injection of small amounts of fat blends in with the existing tissues, so there are no sharp edges or an unnatural feel. Unlike implants, which can sometimes appear too round or rigid, fat grafting creates subtle, well-distributed volume, ensuring a smooth and aesthetically pleasing enhancement. However, the final look depends on the patient’s natural anatomy, the amount of fat transferred, and how well they follow post-operative care instructions.
The cost of fat transfer to the buttocks in Medellín varies depending on several factors, including the surgeon’s experience, the clinic’s reputation, and the number of areas requiring liposuction. On average, the price ranges from $3,500 to $6,500 USD, which is significantly lower than in the United States or Europe, where similar procedures can cost $8,000 to $15,000 USD. Despite the lower price, Medellín offers world-class medical facilities and highly qualified plastic surgeons, making it a top destination for cosmetic surgery and medical tourism. Many clinics also offer comprehensive packages that include pre-operative evaluations, surgery, post-operative care, accommodations, and transportation assistance, ensuring a smooth and stress-free experience for international patients. Before making a decision, I always recommend scheduling a consultation to receive a personalized treatment plan and an accurate cost estimate.
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Dr David Delgado Cirujano
