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Whether you’ve always wanted fuller curves or want to restore volume after weight loss or aging, buttock augmentation is a powerful way to reshape the body with long-lasting results. At Healy Plastic Surgery in Honolulu, we offer two advanced options for enhancing the buttocks: butt implants and composite gluteal augmentation (implants combined with fat transfer).
These procedures can add volume, improve symmetry, and balance your overall silhouette. Dr. Jeff Healy, a board-certified plastic surgeon with decades of surgical experience, performs every procedure with precision and care. With his background in complex body contouring and reconstructive surgery, Dr. Healy tailors each surgical plan to meet your goals while prioritizing safety, proportion, and natural-looking results.
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Butt implants are silicone implants placed into or above the gluteal muscle to add volume and definition to the buttocks. This procedure is often recommended for individuals who want fuller, more lifted contours but do not have enough fat for a Brazilian butt lift.
The implants are placed through a well-hidden incision, typically in the crease between the buttocks, and positioned to achieve smooth, symmetrical results. For patients who also want to refine surrounding areas like the thighs, hips, or abdomen, liposuction, fat grafting can be combined with implants to achieve more sculpted contours.
Composite buttock augmentation combines butt implants with fat transfer for enhanced volume and natural blending. This approach is ideal for patients seeking the structure and projection of implants with the soft, organic transition that fat injection can provide.
Dr. Healy begins by using gentle liposuction to harvest excess fat from areas such as the flanks, abdomen, or thighs. The fat is then purified and strategically injected around the implant to smooth the edges, improve the contours, and add softness to the overall result. The result is a fuller, rounder posterior that looks both sculpted and natural.
Butt implant surgery is performed in our AAAASF-accredited surgical suite under general anesthesia. Dr. Healy uses advanced surgical techniques to carefully place the implants inside the buttocks through discreet incisions. In composite augmentation, fat grafting is performed at the same time. Once the implants are in place, the incisions are closed with layered sutures, and surgical tape and compression garments are applied to support healing. Patients go home the same day with detailed recovery instructions and scheduled follow-ups.
You may be a good candidate for butt implant surgery or composite augmentation if you:
During your consultation, Dr. Healy will evaluate your goals, body shape, and skin tone to determine the best option for enhancement. Other gluteal augmentation and lift procedures may also be discussed if you have sagging skin.
Recovery time following buttock augmentation varies depending on the technique used. Most patients will need to wear compression garments and avoid sitting directly on the butts for at least 2–3 weeks. You may experience swelling, bruising, and mild discomfort during the first week, which can be managed with prescribed pain medication. Dr. Healy and his surgical team will monitor your healing to ensure a smooth recovery. Most patients return to light activities with proper care within a few weeks. Full activity, including exercise, can be resumed in 6 to 8 weeks.
Butt implants create a more rounded, lifted, and defined buttock contour. Because the body does not absorb solid silicone implants, their shape and projection remain consistent over time.
Patients who undergo composite augmentation often enjoy the added benefit of slimmer surrounding areas from fat grafting and a more natural, sculpted transition around the implants. Your final shape will settle over several weeks as swelling subsides and the surrounding tissue adjusts to the added volume.
When considering buttock implants, safety and precision are everything. Board-certified plastic surgeon Dr. Jeff Healy brings a calm, methodical approach to every cosmetic surgery procedure. With 23 years in military medicine and a reputation for integrity and expertise, he is the surgeon patients trust for thoughtful, natural-looking outcomes. All butt augmentation procedures are performed in our accredited, private surgical suite with a team that prioritizes your comfort, safety, and goals.
Yes. When performed by an experienced plastic surgeon like Dr. Healy using FDA-approved materials, butt implants are a safe and reliable option for long-term buttock enhancement.
Butt implants and a Brazilian Butt Lift (BBL) are both forms of buttock enhancement (gluteal augmentation), but they use different approaches. A Brazilian Butt Lift uses transferred fat alone to enhance the buttocks. Patients without adequate fat to transfer or those who want a more dramatic volume increase may not be good candidates for the Brazilian Butt Lift procedure. Buttock implant surgery uses silicone gluteal implants to enhance the buttocks, providing a permanent enhancement.
Your final cost will depend on your surgical plan, implant type, facility fees, anesthesia, and related expenses. We’ll provide a personalized estimate after your consultation.
Yes. Many patients combine butt implants with liposuction, breast implants, or other body contouring procedures to achieve more comprehensive results.
Yes. Dr. Healy takes excellent care to ensure that implants are well-positioned and, when appropriate, blended with fat injection for smooth transitions and a proportional shape.
As with any plastic surgery, risks of complications include infection, swelling, nerve damage, and rare but serious issues like excessive bleeding. Choosing a skilled plastic surgeon and following aftercare instructions are key to minimizing risks.
With proper care, butt implants can last 10 years or more. Fat transfer results may change slightly with weight fluctuations, but are long-lasting.
Dr. Healy uses precise surgical techniques to minimize risks like implant shifting or an uneven appearance. Proper compression garment use and post-op care are essential.
Implant volume is not affected by weight changes. However, significant weight loss can reduce fat retention in the buttocks if fat transfer is used.
