Everything You Need to Know About Butt Implants

Butt implants have one primary goal: to enhance the shape of the buttocks. Still, there are a few different approaches to achieve this goal. The two main types of procedures are fat grafting and buttock implants.

Fat transfer

Butt augmentation with fat grafting was the most popular cosmetic surgery for the buttocks in 2015. It’s also nicknamed the “Brazilian butt lift.”

During this procedure, your surgeon suctions another area of your body to obtain fat — usually the abdomen, flanks, or thighs — and injects it into the buttocks to add volume. This method is sometimes combined with silicone implants to achieve the most natural look possible.

Sculptra butt lift

In another procedure, a filler called Sculptra is injected into the soft tissue of the buttocks. This procedure is performed in a doctor’s office with almost no downtime.

The material adds a small volume at the time of injection, and over weeks to months, your body uses it to form additional collagen which may further increase the volume in that area.

It requires a few sessions to see a significant difference as well as multiple vials of the medication per session, which can be expensive.

Hydrogel and silicone buttock injections

You may have heard about hydrogel buttock shots as a cheaper method of augmentation. This method gives temporary results and doesn’t require a traditional surgical procedure. It’s also dangerous.

Like hydrogel injections, silicone injections don’t involve surgery and they also don’t directly change the shape of your buttocks.

While there’s some conversation about silicone injections being used in place of butt implants, this method is not recommended. In fact, silicone injections for the buttocks can be quite dangerous.


Silicone and other various materials are often injected illegally by unlicensed providers in nonmedical locations. Often, they inject silicone sealant and other materials that would be used in sealing bathrooms or tile floors. This is dangerous for many reasons: The product isn’t sterile and both the product and nonsterile injection can cause life-threatening or fatal infections. The materials are soft and don’t stay in a single location, leading to hard lumps called granulomas. If this product is injected into blood vessels, it can travel to the heart and lungs, causing death.

Silicone implants

Silicone is the material used for butt implants. Unlike injections, solid silicone implants are surgically placed into the buttocks via an incision in between the butt cheeks.

This procedure is sometimes combined with fat grafting for maximum results. It takes up to four weeks to recover from buttock surgery.

Implants typically add volume. This is something that injections and fat grafting can’t do alone. Overall, silicone implants have been documented as safe and effective for buttock enhancement.

Implants are preferable for people with little fat as they may not have much to inject for a Brazilian butt lift.


In addition to fat grafting and implants, liposuction is sometimes used in buttock procedures. The process removes excess fat in certain areas of the buttocks to achieve maximum contouring.

You may qualify for liposuction with butt implants if you have excess fat in the area from weight loss or aging.

If you’ve spent hours in the gym hoping to squat your way to a Kardashian-esque butt, you’ve probably wondered if there’s a quicker and easier way.

Turns out butt augmentation is one of the fastest growing cosmetic surgical procedures performed in the country, according to the American Society of Plastic Surgeons. Derrière implants increased by 18 percent between 2015 and 2016, while fat grafting procedures (where they literally inject more fat into your keister) jumped 26 percent during the same period.

In total, 20,673 butt augmentation procedures were performed in the U.S. in 2017, per soon-to-be-published data from the American Society for Aesthetic Plastic Surgery. Beverly Hills plastic surgeon Andrew Ordon, M.D., a co-host on The Doctors, even declared 2017 “the year of the rear.”

Yet Ordon admits not all his patients are happy after having these procedures—and a few have even come back requesting reversals. So is butt augmentation really worth it?

There are a few things you should know before springing for this pricey procedure:

Fat Grafting Is The Most Popular (And Best!) Method

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Fat grafting is the most popular method of butt augmentation. With fat grafting, also called the Brazilian butt lift, the doctor starts by performing liposuction—removing fat from an area where it’s not wanted, like the stomach, thighs, or upper back, and injects it into the buttocks. Results are immediately visible, but you won’t see the final product until a year after surgery; it takes time for the body to form new blood vessels and truly incorporate the grafted fat.

There are risks like blood clots, sensation changes, and fat embolism (when fat is released into the blood stream), but most experts advocate fat grafting as the number-one option for butt augmentation. It has a low risk of infection and, if you do gain weight down the line, it will grow with you, says Alexes Hazen, M.D., a plastic surgeon at NYU Langone Health. The average cost of fat grafting is $4,356, per the ASPS; most health insurance companies won’t cover it.

Related: This Doc Is Posting Pictures and Videos of Brazilian Butt Lifts He Performs Online

You Can Also Opt For Silicone Implants

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Very thin patients who don’t have enough fat for liposuction might not be eligible for fat grafting, and these are the women who make good candidates for implants, says Mark Mofid, M.D., a plastic surgeon in La Jolla, California, and an ASAPS member.

Butt implants require a multi-hour outpatient surgery in which a surgeon inserts silicone implants into your tuchus. On butt-implant delivery day, your surgeon will make an incision within the vertical butt crease and then slide silicone implants either into or above the gluteal muscle on each side. Placement technique varies among doctors, but intramuscular implants are ideal, says Mofid.

“Most of the patients who have had implants and are unhappy with them have on-top-of-the-muscle implants,” Mofid says. “That’s just not a great place for an implant to be. Those implants sag over time and kind of look like gumdrops on the buttocks, as opposed to a much more natural look.”

Surgeons typically use the approach they’re most comfortable with, so if you’re considering the procedure, ask your doctor what type of placement he or she uses, he recommends. And, FYI, butt implants cost around $4,860, according to 2016 statistics from ASPS; most health insurance doesn’t cover cosmetic surgery or resulting complications.

The Bigger The Implant, The Bigger The Risk

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Most women go into the initial consultation with an idea of what kind of butt they’re trying to achieve, but Mofid cautions against going too large. He says he won’t do implants bigger than 350 cubic centimeters, which equals roughly one and a half cups of fluid—even when patients beg, as they sometimes do—because it’s too “fraught with risks.”

Large implants have higher rates of incisions that split open post-surgery and implants that shift around under the skin. (But more on that next.)

In 2013, Mofid co-authored a study published in Plastic and Reconstructive Surgery that analyzed the experience of 2,226 people who received butt implants. Among all patients, 848—or 38 percent—reported complications.

The most common side effect reported in the PRS study was incisional separation (7.9 percent of patients)—“people bend and stoop and the incision can separate,” Mofid says. About 5 percent of patients needed an implant revision, and 4.2 percent experienced pain that lasted more than 12 weeks. Nearly 4 percent developed seromas, which means fluid builds up under the skin, and 3.6 percent had minor infection that didn’t require the implants to be removed. Implant removal was necessary in 3.8 percent of patients for reasons like major infection, chronic pain, and chronic seromas, according to the study findings.

Hazen says that plastic surgeons have mixed feelings about butt augmentation, but she’s not a fan. “Just anatomically where they go—you’re sitting on it all the time,” Hazen says. “It’s hard to imagine that it would be comfortable.”

Switch up your squat with these 20 variations that will help you tone your butt:

Related: This Woman Says She Got 4 Pints Of Fat Injected Into Her Butt To Look Like Kim Kardashian

Recovery is rough—No matter the method

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Whether you opt for fat grafting or implants, you can’t sit or lie on your back for three weeks post butt-augmentation, says Mofid, which generally rules out things like work and school (and maybe comfortable sleeping). “Normal life is put on hold,” he says. “You’ve got to be committed to this operation. It’s not for the faint of heart.”

If you’re determined to go through with the procedure, vet your surgeon and facility carefully. Check prospective doctors’ websites to see before and after photos of their patients, and talk to other women who’ve gotten implants, Hazen suggests. Always opt for a board-certified plastic surgeon who has ample experience, and be sure to ask questions like how your butt will look over time, whether you’re a good candidate for the surgery and what the options are if you’re dissatisfied with the outcome.

And don’t be lured by unscrupulous doctors or facilities in foreign countries hawking cheaper procedures. “Don’t cheap out and go someplace because it’s inexpensive,” Hazen says. “This is your body, this is forever, it’s important, so go to somebody good. You want an accredited facility, not just the back of some guy’s office.”

Related: ‘I Completely Transformed My Butt Thanks To This Workout Routine’

Whatever you do, don’t get silicone injections

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In 2017, the U.S. Food and Drug Administration issued a warning against using silicone injections for purposes like body contouring. The warning was issued in response to an increase in cases of patients receiving illegal silicone injections from unlicensed medical professionals in private homes or hotels. Often called “pumping parties,” these services are marketed as a cheaper alternative to plastic surgery.

The risks of illegal silicone injections are even worse than you’d think: Loose silicone—as opposed to silicone used as enclosed implants—can be dangerous and even fatal; injections can cause disfigurement or significant scarring. “It should be uniformly condemned,” Mofid says. “There’s no place for it in medicine—virtually 100 percent of patients over their lifetime will develop problems.”

Related: This Model Lost A Leg To Toxic Shock Syndrome—And Now She Might Lose The Other

Squats might actually be your best option

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Surgery offers the lure of a quick fix, but it’s risky, expensive, and, well, extreme. Ordon reminds those who crave a larger posterior that they can get one naturally. He recommends performing exercises that target the glutes, such as squats and leg raises. In short, augmentation might seem like a quick fix—but a butt workout is probably still the best way.

A Celebrity Plastic Surgeon Reveals the Truth About Butt Implants

by Taylor Ferber 4/23/2015

We live in a culture that isn’t only all about that bass, it’s obsessed. Big butts have become a must-have in Hollywood, with Kim Kardashian and Nicki Minaj flaunting their bountiful behinds on IG and rappers constantly shouting out the lady lumps in song. The more we talk about butts, the crazier the rumors regarding famous backsides become — like the one about Amber Rose getting injections, or Nicki’s implants exploding. The booty is so en vogue these days, people are going to dangerous (and illegal) lengths to get more curves. With so much hype, we went to a professional to try and make sense of it all.

New York-based plastic surgeon Dr. Douglas Steinbrech gave us the inside scoop on in-demand booties, how to tell if someone’s had work done, and what procedures exist to help us pack a little more junk in the trunk.

Do people come to you with someone specific in mind?
Yes, it’s Kardashian and the J.Lo thing.

Which celebs have the best butt, in your opinion?
Jessical Biel, Sofia Vergara, Chris Hemsworth, Bradley Cooper.

What are the different options for butt implants?
Implants are silicone implants – not like a bag, it’s more like a gummy bear. It’s the same quality as muscle, but it feels like muscle gel which is really what people want. A nice contour for the glutes of their butt. That’s an option for patients that don’t have a lot of fat or patients who have a little fat but want to go further than with what they can do with fat injections. Fat injections are an amazing option because we can use your own body’s fat, and who doesn’t want that? I don’t throw away any fat. For the butt, I take all that fat from the love handles, the abs, that flat tire that women get underneath your belly button. If you just take that fat and pull it out and throw it away, when that patient goes back and has some calories — a cheeseburger at McDonald’s — the fatty acids have got to find existing liposites in your body. And that’s why it’s so important to have moved to somewhere where you want them to be. Guess what? When you have a cheeseburger it’s just going to make your booty a little bit bigger.

When did the procedure first become available?
30 years ago. It has really become popular in the last three to five years because of people like J.Lo and the Kardashians and their impact on social media and popular culture, songs like Megan Trainor’s .

How has social media affected your world?
It’s changing perspectives of what is sexy. Everything was twiggy in the ’60s and ’70s you wanted to be as skinny as possible. Now our society has gone back to being desirous of people who are more curvy. And even guys — it used to be guys would look at the chest, but now more and more they’re looking at all parts (particularly backsides) and women know it. The other driving thing I see with the men is all these superhero movies. They get inspired by the actors and the transformations. And you see all these men and women doing body transformations on YouTube. That’s done a huge amount for people having that freedom to go to the next level.

Are there non-surgical options for butt work?
Yes, we can firm the tissues using CoolSculpt for shaping. For tightening of the butt we use Fractora Bodytite.

What’s recovery like?
I like to go for at least one week without sitting on their backside. We want the fat to stay nice and fluffy — we don’t want to have extra pressure placed on that newly planted seeds or liposites, and we need time for vasculogenesis. We need new vessels to grow in and feed the liposites so more of that fat takes, and more of it lasts. sleep on their side or tummy and have as much as those seeds we plant taken in and grow really well.

How do you tell if someone has had work done?
Look at the ratio between the waist and their backside. If it looks too good to be true, it’s probably not true. A lot of the time it’s Photoshopped – those Kardashian pictures are Photoshopped either by her team or the press because they want to sell newspapers and magazines. The other thing to look at is video, because you can’t Photoshop. It’s mainly understanding the proportions. If you have a really tall, skinny, slender girl and suddenly she has a booty that doesn’t match the rest of her body type, that’s an indication.

Do you think the Kardashian sisters have had work done?
I would guess they’ve had a little help.

Kim once X-rayed her butt to prove she didn’t get work done. Would anything actually show up if you did that?
An X-ray, US, or CT would show an implant. And it would show fat injections as “micro-cals,” which are tiny calcium specs associated with fat injections that can show up on X-ray. The question is whether or not the imaging process is performed and read and confirmed by several independent, board-certified Radiologists.

How do you care for butt implants? Does it affect the amount of physical activity you do?
No, it does not affect the amount, however, for the gym I prefer patients to do more standing glute work like lunges and standing power lifting.

Can butt implants break?
They are semi-solid gel implants, much like a gummi bear candy. They don’t pop like a bag of water.

What are the complications that may occur?
As with any procedure there are risks involved. These risks can be minimized by using a board-certified plastic surgeon operating in an accredited surgical facility. Injections and implants can go wrong, most often when they are done by people who do not specialize in the procedure and don’t have high levels of sterility. I have seen complications from injections where materials that were not FDA-approved were injected by non-medical personnel in unqualified facilities. Do your homework. Know your surgeon. Always choose a surgeon who specializes in the type of procedure you are looking for. For the fat injections, we want to make sure to keep a close eye on you and make sure you follow up with all your doctor’s appointments and you’re on antibiotics for a short period of time. As long as those go well, the chance of having a problem is very low. My best advice always is to make sure you go to a team that does a lot of fat grafting and do not go to someone who doesn’t have their ASPS or isn’t certified. Someone could just see some advertisement and they won’t do the research and it’s gonna be a low price and it ends up being a big mistake.

How do the injections age with you?
After the surgery some of the fat cells don’t survive — you could lose 10, 20, 30 percent — so sometimes we like to overcorrect or put a little more so that at two years they’ll be right where they want to be. Occasionally people will want to come back and do a little more and see if we can find more fat and come back in two, three, five years and put more back there. But it doesn’t happen a lot.

What is the price range for the procedures?
Anywhere from $11,000 to $17,000.

Is there an age you won’t perform these surgeries on?
It totally depends on maturity of the patient and their health. Some people are 20 years old, not healthy, and not good candidates. One thing I can say is that young people in their 20s, 30s, and 40s have healthier fat cells that are much stronger and do much better with fat transplantation. So people do take on and maintain many more of the fat cells that we transplant. People in their 50s and sometimes young 60s can do it, however, the number of cells is slightly reduced in terms of how many survive the transfer.

Do men come in for butt implants?
Men want to look like a quarterback so they’ll give me names like Tom Brady. Guys want a more athletic look, and a lot of times get shortchanged. They work on their pecs and shoulders and arms but the legs and butt, even if they work really hard, they can be very tough-starter areas. Guys with more toned abs want the cuts on the sides — the skater lines over their obliques. And then I save all the fat and the fat goes in the glutes to look like an NFL quarterback.

Is recovery different for men and women?
No, it’s not different. However, women are much better about following directions and men tend to take shortcuts. We always make sure to communicate how much time they really need to heal at the consultation, and again just before the surgery and throughout the healing process.

What’s your overall male to female ratio?
With my , it’s brought up the men to probably 50 percent of my practice. That is extremely different from the national average, which is 10 percent. But I’m passionate about men’s plastic surgery.

Are there any times clients come to you with procedures you absolutely won’t do?
It’s really about the maturity. One challenging area for guys is work down in the midsection, so penile enlargement. There’s a lot of options, but in terms of surgery, it’s very tricky. I stay away from that.

The Gossip Table has more on the world of celebrity plastic surgery.

Pizza is bae. And yes, I still say bae. @taylorferberPhoto: Zeljko Santrac/Getty Images

Butts have always been a thing to have, to hold, and to squeeze with glee, and lately, bare butts are shining in their own plump social-media glory. It’s no surprise, then, that butt injections are having a moment, too, even though no one seems to know what they are. To navigate through the noise, the Cut spoke with Dr. Matthew Schulman, a New York City plastic surgeon who specializes in butt augmentation, and Dr. Constantino Mendieta, a Miami plastic surgeon who performs butt-implant surgery and fat transfers. Together, we created a primer to get to the jiggly meat of all your butt-injection questions.

What, exactly, are butt injections?
Butt-injection surgery is a medical procedure in which a substance is injected into the butt to make it larger. The only FDA-approved method is the Brazilian Butt Lift and its tailored variations, where fat is removed via liposuction from other parts of the body and transferred to the butt and hips to create a curvy silhouette. Dr. Schulman conducts a version the Brazilian Butt Lift known as the SCOOP Lift®, which uses a centrifuge to separate and remove broken fat cells before transferring them to the butt. He says this method allows for fewer fat cells to be rejected during the transfer.

What other “substances” do people inject into their butts?
Other fillers and injectables like silicone and collagen are not FDA-approved to enhance the butt and are linked to serious consequences, like severe pain, permanent disfigurement, and death.

How is the Brazilian Butt Lift different from butt implants?
According to Dr. Mendieta, butt implants pose a higher complication rate because there’s an incision rupture risk (implants are inserted through the butt crack). Far less popular than the Brazilian Butt Lift, they only add volume instead of reshaping the butt, so if you went into surgery with a square butt, you’ll leave surgery with a supersize square butt. There’s also a chance they’ll make your backside look like it’s smuggling a Frisbee, as seen in this video. Butt implants differ from breast implants, in that they are made from a solid, gel-like silicone, instead of a liquid. Meanwhile, the Brazilian Butt Lift adds fat that isn’t encased in an implant, which allows for a total reshaping of the hips and butt. The butt feels softer, too, where butt implants tend to feel like tightened muscles.

Can the fat move to other parts of the body?
No. Once the fat is transferred to the buttocks during a Brazilian Butt Lift procedure, it can’t migrate to other parts of the body. However, Dr. Schulman estimates that 20 to 25 percent of the fat inserted will be rejected by the body, liquefied into an oil, and excreted through urine within six weeks. “It sounds gross, but it’s almost like the fat surrounding a raw piece of chicken. If you smash the fat between your fingers, the fat will disintegrate and become oil,” he says. After the initial 20 to 25 percent fat loss, the results are permanent and will only diminish if you lose weight.

Who is the ideal candidate for the Brazilian Butt Lift or a butt implant?
It varies from person to person, but prime candidates for the Brazilian Butt Lift are slightly overweight, with a BMI ranging from somewhere around 25 to 30 (a person with a BMI over 30 is considered obese and carries a greater risk for surgery complications). Dr. Mendieta puts it this way: “If you can pinch at least an inch of fat in your gut, then you can probably undergo the surgery.” Butt implants, however, are for anyone, especially very thin individuals who lack enough fat for the Brazilian Butt Lift.

What happens if you lose weight?
Sometimes thinner patients intentionally gain weight in anticipation of the procedure. Dr. Schulman advocates against this because it forces patients to maintain their heavier weight post-surgery, rounder face and all, if they hope to prolong the surgery’s results. If patients lose weight after surgery, their newly purchased butt will likely diminish in size as well.

How long has this procedure been around?
The first Brazilian Butt Lift was performed over two decades ago, but Dr. Schulman says demand for the surgery skyrocketed within the past five or six years. According to the latest data from the American Society for Aesthetic Plastic Surgery, 10,000 butt enhancements were performed in 2013.

What is the most requested butt shape?
Dr. Schulman says that most of his patients ask for an “upside-down heart” shape. Sofia Vergara and Jessica Biel butts are the most requested in his office. Rounder “C” butts, like Nicki Minaj’s or Kim Kardashian’s, are less popular.

What are the risks for the Brazilian Butt Lift and implants?
Any surgery poses risks, and butt surgery is no different. A fat embolism, where fat is injected directly into a blood vessel and blocks an artery, is a very rare consequence of the Brazilian Butt Lift. Although it is impossible for a butt implant to leak (they are made from a thick, gummy-bear-like silicone), they can harden over time or become infected if the implant incision accidentally opens.

How long is the recovery time?
For the Brazilian Butt Lift, the recovery time depends on the amount of fat removed and then transferred. Dr. Schulman tells his patients to expect seven to ten days of discomfort. After two to three weeks, the pain should dissipate entirely. Pain from implants should go away after a month.

How much does all of this cost?
Though the price varies from state to state and practice to practice, anything less than $9,000 for a Brazilian Butt Lift should raise red flags. Implants are a little more expensive, with prices ranging from $10,000 for a basic surgery and up to $20,000 at Dr. Mendieta’s practice, where he prefers to modify traditional butt-implant surgery by adding a small amount of liposuctioned fat around the hips and implants. In any case, always seek a board-certified plastic surgeon before going under the knife.

Before and after a Brazilian Butt Lift. Photo: Courtesy of Dr. Schulman

The 3 biggest health and fitness lies people believe on social media, according to fitness Instagram star Anna Victoria

  • Trainer Anna Victoria knows all about the ins and outs of social media.
  • Victoria recently told INSIDER what social media gets wrong about health and weight loss.
  • She said patience and implementing sustainable changes are key to long-term health and happiness.

Anna Victoria is no stranger to Instagram.

The fitness star and 29-year-old Californian with more than one million Instagram followers has made a name for herself making exercise relatable and accessible thanks to social media.

INSIDER recently spoke with Victoria about her new app Body Love, and what misconceptions people have about health and fitness — thanks to social media.

Here are some of the biggest lies people believe, and what to expect instead.

A post shared by Anna Victoria (@annavictoria)Dec 19, 2017 at 7:28pm PST

Reality: People underestimate how long it takes to see physical changes compared to emotional changes.

Adding in healthier habits or making changes to your regular routine is great, but doing that alone and expecting a total body transformation to happen instantly is unrealistic — no matter how believable social media makes it seem. Though Victoria doesn’t want that reality to discourage people from making changes.

“It takes honestly like four to six weeks of consistent effort , so if you are 50/50 you are going to get 50/50 results,” she told INSIDER.

“I don’t want to make it seem too overwhelming and too hardcore, because at the end of the day any improvement is better than nothing and that will help you see progress, but I would still say that it takes about four to six weeks to see physical change. I think it takes less time to see mental and emotional improvement and change,” she said.

Other non-physical benefits of exercising and eating right include better sleep and mood and more energy. According to Victoria, these are excellent progress indicators to watch out for and value along your journey.

“The thing is though, not as many people are as in tune with so they may be feeling it, but that is not what they are looking out for, they are only looking out for the physical change,” she said.

“So they might just be thinking ‘oh I’m just not seeing it, so nothing is happening,’ but people should be more in tune with other changes too.”

A post shared by Anna Victoria (@annavictoria)Sep 18, 2017 at 11:11am PDT

Reality: A long-term approach to health that includes a bit of wiggle room is more sustainable.

Some people call Instagram a “perfection trap.” And perfectionism is something Victoria has struggled with since becoming a full-time trainer and health expert. She said this pressure has been her biggest mental block while on her own health and fitness journey.

“I have definitely struggled with kind of not letting the journey become too obsessive, and because I am in a place of influence and girls looking up to me, I don’t want to get to a point where that kind of directs my journey,” she said.

Likewise, people who follow Victoria and want to implement a healthier lifestyle should also cut themselves some slack. Giving yourself wiggle room in your diet, for example, will help you keep up with it especially because the best diet to implement is the one you can stick with for the long haul.

“You absolutely don’t have to be on this journey,” Victoria said. “Eighty percent of the time I focus on really giving my best effort and then the other 20% it could be go enjoy cake, go have a cheat meal, go enjoy a holiday, skip a workout, you have some room to be human.”

A post shared by Anna Victoria (@annavictoria)Nov 28, 2017 at 6:23pm PST

Reality: Quick-fix challenges won’t benefit — or change — your body in the long run.

Squat challenges posted on social media promote a perky and toned backside in 30 or so days. But this type of challenge is one that Victoria finds “really annoying.”

“I don’t want to say I hate it, but it just is really annoying to see people buying into the ’30 day squat challenge,'” she said. “Doing 500 squats over the course of a week is not going to help you get a bigger butt or lose fat on your butt.”

Victoria explained that when most people exercise for an aesthetic behind, it is with the intention of either increasing muscle or losing fat — and this type of challenge won’t help with either.

“If you do back to back you are not giving your muscles, and your body, rest to regrow and that is where the muscle growth component comes into play,” she said

Doing exercises back to back without rest can cause other issues like exhaustion and even injury. So don’t let the allure of a quick fix trick you into taking on one of these challenges.

“It is literally a waste of time,” Victoria said. “It is what people want to see. They want to see ‘I can do a 30-day squat challenge and get a perky booty,’ they buy into it, and I think it is definitely something that contributes to the more negative cycle of fitness or of the yo-yo mentality.”

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Thank Kim Kardashian for all the fake asses out there

It doesn’t take a genius to know that Kim Kardashian West, Nicki Minaj and Jennifer Lopez have changed America’s body aesthetics.

“Behind-sight” is, after all, 20-20.

But what is less known is that US women, in an attempt to get a bountiful backside like their pop culture heroes, are packing plastic-surgery clinics in such numbers that the two types of butt augmentation procedures — implant and lifts — in 2014 became the No. 2 and No. 3 fastest-growing types of plastic surgery in the country, according to data compiled by the American Society of Plastic Surgeons.

And 2015 is shaping up to be another busy year for doctors as demand for the two procedures “is definitely still growing,” according to a spokeswoman for the ASPS, who said official 2015 data won’t be available until mid-January.

The uptick in demand for butt augmentation procedures couldn’t come at a better time for doctors in the specialty as four of the five most popular procedures — including boob jobs, eyelid surgery and facelifts — are declining.

In 2014, butt implant procedures rose 98 percent, to 1,863 cases, and butt lifts were up 44 percent, to 2,438 cases, industry data shows.

Nicki Minaj and Jenner Lopez are doing their part to fuel the booty boom as well.Getty Images; Startraks

Dr. Matthew Schulman, a board-certified plastic surgeon, expects to augment more than 300 butts this year — up 20 percent from 2014, which was up 35 percent from 2013.

Schulman’s specialty is the Brazilian butt lift, where fat is taken via liposuction from areas where patients least want it — say, the stomach or thighs — and re-injected into their diminutive derrières.

The procedure runs about $13,000.

While the doctor’s celebrity-heavy business has certainly, ahem, picked up in the past couple of years, he could have been even busier if he also performed butt implants — a procedure he chooses not to do out of concern that solid silicone, once placed in the body, is prone to infections and unwanted relocations.

Of course, for some women, a butt implant is the only way to go because they have no fat to redistribute.

Schulman claims Big Apple women are so butt-conscious that he has become the most prolific butt augmenter in the Northeast. The 3 to 3½ hours needed for each of his Brazilian butt lifts, however, has him close to being “maxed out.”

Patients often bring in wish-pics — photos of women whose butts they would most like theirs to mimic — and the most referenced rumps are those belonging to Kardashian West (“big, with projection”), Minaj (“big hips, too”) and Lopez (“big and muscular”), although Sofía Vergara (“proportionate voluptuousness”) and Jessica Biel (“perky and bubbly”) are frequently cited, too, Schulman said.

While most of his butt augmentation patients are young, Schulman does see plenty of what he calls “Upper East Side soccer moms” who come in for the “mommy makeover” — which could include a butt augmentation along with a tummy tuck, breast lift and liposuction.

Mommy makeovers can run $17,500, Schulman said.

Yet Schulman knows better than to think his big-booty business will last forever.

“In 10 years,” he says, “we may go back to the slim athletic look that dominated five years ago.”

The Fake Butt Phenomenon

Is That Thing Real?

Buttocks augmentation: It started in Latin America, crept into Hollywood, invaded social media, and now you even see it at the gym. We’re talking about fake butts here: implants, fat injections, and other things that’ll downright horrify you.

Some of the women sporting these big booties eventually admit it, but most of them lie and say it’s all hard work and squats. Their leg-to-butt ratio tells a different story. Sure, training can build a larger behind, but only in proportion to the musculature of the legs. Even a woman with the best genetic potential for big glutes will still have powerful looking legs as a result of her training… not two sacks of potatoes sitting on top of toothpicks.

Who Does This!?

When it comes to the backside, there’s a whole other population of women outside of our little fitness microcosm getting augmentation done. In some cultures, it’s just as acceptable as breast implants.

Butts are not like breasts. No woman can build her breasts with a barbell or machine. She can build a butt, however, because it’s muscle. It’s built in a squat rack, not on the operating table. But nowadays, particularly in Latin America, that’s not totally true.

Butt augmentations have grown to the point where women are waging an all-out assault on their asses, and doing some ludicrous, dangerous, and painful things to it. Why? Maybe it’s vanity, need for attention, millions of likes and favorites, or a fetish for exaggerating reality (including lips, breasts, hair extensions, waist size). Or they may do it for bigger tips at the strip club, more jobs in the porn biz, satisfying a partner’s bizarre desires, or copying celebs who’ve brought giant asses into vogue.

If you’re a serious lifter, you probably don’t get it. If you’re like me, you’ve never seen a fake butt that looks as good as a real butt. That’s not to say that some can’t be well done. Your wife’s favorite Instagram fitness guru may be sporting an augmented booty. But even when done right, you’re never going to get a fake butt to act, feel, and look like the real thing.

But it’s somewhat understandable. If you’re a muscular chick with a nice set of wheels and want to add a little Latinesque curvature to your rear, and the thing just won’t grow the way you want (because what you want is unrealistic), you can opt for a little work to be done on it. Depending on the girl, a little bum plumping can be a game changer. It just depends on what you want: a butt or a booty.

It’s like having to decide between “tits” or “breasts” when you’re getting implants. You can’t have it both ways. Wholesome or trashy, there’s little gray area.

The Stats

According to the American Society of Plastic Surgery, almost 5,000 buttock augmentation procedures were performed in 2015. This number is currently lower than total facelifts and breast implants, but butt augmentation is the fastest growing procedure. These surgeries increased 98%, from just 942 procedures in 2013 to 1,863 in 2014. Just a cursory glance into social media will tell you that the desire for a disproportionate butt is only expanding.

Kim Kardashian: Real or Fake?

Kim Kardashian likely wouldn’t have risen to fame were it not for her huge behind. When she first started towing a larger load behind her, she insisted it was all hard work in the gym. If you’re a lifter, that claim is an insult to your intelligence. We know the shape of gluteal muscle. And it’s not that dumpy.

In one of her mind-numbing TV show episodes, she tried to stop the accusations that something was going on with her ass, because the damn thing kept growing like a bunch of clowns getting out of a Mini Cooper and no one online could stop talking about it.

So they stuffed her into an MRI machine and – spoiler alert – announced that the MRI showed there were no implants in there. Imagine that! Her enormous ass was all because of her trainer. Oh thank goodness reality shows inform us about reality! Glad we got it straight otherwise we would’ve gone on thinking she hadn’t trained hard for that ever-growing monument.

But based on the significant increase in ass mass and the lack of “tone” or musculature elsewhere, anyone with a brain could assume something was going in there. If not implants, then what?

Muscle doesn’t just grow there like that, and natural body fat distribution doesn’t work like that either. Though the MRI ruled out implants, it didn’t exonerate her of the accusation that SOMETHING was in there that nature didn’t intend. This brings us to the non-implant enhancement – the fat transfer.

How Fat Transfers Works

Kardashian passed her MRI test not because she studied for it, but because, instead of implants, her own body fat was harvested from the ample reserves on her stomach and low back and injected into her ass. That’s my professional opinion at least.

Transferred fat looks no different on MRI than stationary fat. Actually, harvesting the fat from the low back and stomach helps the doctor sculpt the end result. As the term implies, you’re transferring fat from one place and using it to “sculpt” and “lift” another area.

The fat is liposuctioned out and ground up into something that looks like a fatty milkshake. The liquefied fat is then put into cartridges that look like tubes of caulking with a giant needle sticking out of the point.

The cartridges are loaded into a caulking gun-like thing, and the plastic surgeon goes to work injecting the fat into numerous locations within the glute muscle, plumping it up to the intended dimensions, the way Butterball does with your Thanksgiving turkey.

Cheeky Enhancement

Plastic surgeons call all of this the “Brazilian Butt Lift” and it can be a combination of the fat transfer, cosmetic filler, and/or implants. This procedure is one of the most costly, invasive, and complicated. First, if using fat, the body has to harvest enough of it to build that dream booty, and second, to maintain its size.

One of the potential downsides is that as the transferred fat either settles or is metabolized, the form can shift and accentuate the outline of the implant. So, more fat needs to be injected to “smooth” things out.

Because there’s no implant needed for the fat transfer, it’s the preferred means of ass augmentation, but because some of the transferred fat does settle and/or get metabolized by the body, it requires maintenance shots. If you do it, be prepared to eventually spend a solid $20,000 on such a procedure and its maintenance.

Oily Glutes

A more economical procedure involves injecting a “locatable oil” into the glute muscle. This is like when a bodybuilder injects Synthol into his biceps. The concept is the same as the fat transfer, only the doc – or technician or con artist – uses cosmetic filler or medical-grade (hopefully) silicone rather than the body’s own fat. What they use is as important as how they use it, and the downside to having it done wrong can be disastrous.

Catastrophic Story Time

Because this folly started in Latin America, the ladies in Mexico were among the first to find the tragedy in it. One of the most famous debacles talked about among the booteratti of Guadalajara revolves around a woman named Myriam Yukie Gaona Robles. She ran a beauty business that offered weight loss, wrinkle fading, and augmentation of breasts, behinds, thighs, or anywhere else you desired it. It was discount plumping!

Fifteen hundred women took advantage of the low prices and, assured by the diplomas framed on the walls (that could be purchased online for 50 bucks), they unwittingly subjected their bodies to injections of industrial grade silicone and baby oil.

One of the hundreds of women subsequently seeking a plastic surgeon to repair the damage from infection, disfigurement, and mutilation, was the sister of a famous actress. The media was obsessed with the story and for weeks fed the gossip-hungry public headlines and gruesome pictures of deformities where there used to be breasts, butts, lips, etc., labeling Robles “La Matabellas” which means The Beauty Killer.

The public outcry and celebrity obsession spurred law enforcement to eventually arrest and prosecute La Matabellas, sending her to prison for 12 years. She became the first person in the world to be sent to prison for such a crime. Somehow, I don’t think the women who lost entire body parts think that was enough.

American Augmentation Horror Stories

Can’t imagine something so crazy happening in the US? Here’s a small rundown:

  • 2011: An unlicensed practitioner in New York was arrested for allegedly running an illegal business out of her home plumping up butts and breasts with injections of liquid (non-medical) silicone.
  • 2012: A man in Florida was arrested for allegedly administering a series of “butt-boosting” injections made from a proprietary blend of rubber cement, tire sealant, and glue.
  • 2013: A young woman in Miami died as a result of her butt injections. The Venezuelan “doctor” administering them fled the country before he could be arrested. Other patients were hospitalized with vision problems and bleeding lungs as a result of his procedures.
  • 2015: One woman died in a New York basement after an illegal, unlicensed butt injection procedure in unsterile conditions with unknown fillers. Her mom had accompanied her to the phony plastic surgeon’s “office” that was located in the apartment basement.
  • An Atlanta woman served jail time for administering illegal injections of silicone (intended to be used for metal or plastic lubrication) in hotel rooms for more than a decade. Like many practitioners on the underground market, they used super glue with cotton balls to cover the injection site and keep silicone from leaking out.

Pumping Parties

Pumping parties are what women often attend to get low cost injections in their butts, lips, faces, etc. The injections sometimes consist of many sketchy things like non-medical grade silicone, also an ingredient in tire sealant.

These events can cause serious, life-threatening consequences, horrible infections, horrendous scarring and deformity. Or they can go “successfully” and you’ll end up with a partially cement ass that never looks right.

While infections can be treated, other results, such as hardening scar tissue and chronic pain, nerve damage, and necrosis (death of the body’s actual tissue) can’t be reversed. And of course there’s always death, the ultimate thing you can’t undo.

Nevertheless, the “shot girls” illegally administering these injections are raking it in big, but the very nature of what they do and how they do it dictates they will not have a very long career.

“Success” Stories

Of course not every butt augmentation ends undesirably. Some women, and even some men, have mild butt lifting surgeries and no one is the wiser. There’s still cause for worry, though. Dr. Tensor Mir, plastic and reconstructive surgeon at Lenox Hill Hospital in New York, says, “It’s a ticking time bomb. All of them are going to have problems one day. Complications can pop up 20 years down the road.”

In her book “Shot Girls”, a stripper named Vanity Wonder chronicles her quest to double the size of her ass to a jaw dropping measurement of 34-23-45.

While her experience didn’t necessarily turn out badly – I guess that would depend upon who you ask – her mission is to warn others about the inherent dangers and downfalls of extreme butt enhancement.

Those Who Own It

There are those who are clearly cosmetically enhanced and have no problem talking about it, like the Bruna twins. Originally from Argentina, these girls are no strangers to a gym. But they’re also no strangers to plastic surgeons’ offices from Beverly Hills to Colombia.

In case you’re wondering, ladies, glute muscle alone won’t look like that no matter what you do in the gym or whose training program you’ve bought. And if that’s the cartoonish shape you’re going for, realize that your goal is the look of plastic surgery, not the look of pure hypertrophy earned by time under tension, high reps, heavy sets, and work under the barbell.

Sure, an experienced plastic surgeon can do a good job on a bum in a sterile operating room. Just like with many elective procedures, it can be a problem-free experience and you can achieve the sex-toy look, if that’s what you’re after. Just don’t cut corners. Even so, most of us will still ask, why not just do squats and be happy with the realistic results?

Related:  The Truth About Waist Trainers

Related:  Breast Implants for Girls Who Lift

Atlanta Daily World recently spoke with the former maven of a booty
boosting business, author Kim Smedley, whose illicit injections of thousands of women across the country turned her into a millionaire but also landed her in federal prison for three years.
Smedley relayed to this editor that the underground posterior pumping phenomenon began as a craze among transvestites, but then bled into the strip club genre and eventually attracted the attention of scores of celebrity females. Before long, urban female lawyers, doctors, teachers and bored housewives were literally lining up and paying stacks to get that coveted “onion” shape that men crave.
The author, now reformed and renouncing the practice, chronicles her experience in the explosive book, The Back Side of the Story.
There have been tragic results, however, Smedley also shared. Even though she was not responsible, some women going to back-alley street doctors for injections became deformed because the practitioners were sticking women with an assortment of weird, if not dangerous, concoctions.
Take a look at some of the most deformed women, including some celebrities, who got their bum boosted.

Real or fake butt

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