Do you feel that your buttocks appear flat and lack a round, full appearance? Do you desire a more hourglass appearance? A buttock augmentation, also known as a Brazilian butt lift, is a body contouring procedure that can shape both your buttock and waist to give you the figure you desire.

About Buttock Augmentation

Joseph Michaels, MD, FACS, is a board certified plastic surgeon in Maryland, offering buttock augmentation / Brazilian butt lift to women and men that want a shapelier and fuller buttock, both in and out of clothing. Dr. Michaels’ preferred method of treatment is liposuction with autologous fat transfer to the buttocks for the following reasons: (1) the transferred fat feels more natural than an implant; and (2) Dr. Michaels can strategically transfer the fat into the specific areas of the buttock that require volume.

Many patients think that the goal of buttock augmentation is simply to make the buttock look larger through the use of either large-volume fat injections or through placement of a large buttock implant. This couldn’t be further from the truth. Buttock augmentation is truly a body sculpting procedure. Unless you are a thin patient without excess fat, Dr. Michaels will first perform liposuction to contour the areas around your buttock. This is called liposculpting.

Making the areas around your buttocks smaller, specifically your waist and thighs, will have the effect of making your buttocks appear larger. The fat that was removed by liposuction can then be used to shape and fill the buttocks, giving both a rounder appearance with increased buttock projection.


During your consultation, Dr. Michaels will carefully examine your buttock region to determine where you may have deficiencies and/or excess areas of fat. Potential donor sites will also be evaluated to assess whether there is sufficient fat to perform autologous fat transfer. After listening to your specific concerns, Dr. Michaels will individualize a treatment plan to help you achieve your goals.

Before and After Photos


Fat Transfer

Dr. Michaels prefers the fat transfer method which uses fat from your body to augment the contour of your buttock.

Dr. Michaels will first perform liposuction from all potential donor sites. This is performed by making minuscule incisions in the skin in areas that can be covered with clothing. He will infuse tumescent fluid, which contains a local anesthetic, to assist with the removal of fat. A thin, hollow tube is then inserted through the same incision and the excess fat is removed and collected. This fat will then be prepared for transfer into the buttocks, and Dr. Michaels will target and inject this fat specifically to the areas where you have deficiencies. The results will leave you with natural, shapelier buttocks.


You will need to take seven to 14 days off from work or your regular schedule. During this time you will not be able to place pressure on your buttocks. You will need to sleep on your abdomen or your sides. If you need to sit, you will have to sit on the back of your thighs and not your buttocks. You will need to take frequent, short walks beginning the day of your procedure. You must also avoid heavy lifting and refrain from exercise for several weeks. A compression garment will need to be worn for four weeks.

The treated areas may be bruised, swollen, sore, tender or numb. These symptoms are common and should improve with time. You will receive pre- and post-operative instructions prior to your procedure.

It may take up to six months to realize your final result.

Quick Facts


2-4 hours




Usually outpatient

Side effects

Temporary swelling, bruising, tightness and some pain


Pain, bleeding, infection, rare damage to nerves, asymmetry, incomplete improvement


1 week back at work. 2 weeks light exercise. 3 weeks more strenuous activity. 8-12 weeks for swelling to resolve.

Duration of results


If you would like to learn more about the Butt Augmentation, click here or call (301) 468-5991 in Rockville, Maryland or (703) 957-8610 in Fairfax, Virginia to schedule a consultation.