Lipofilling of the buttocks

Dr. Massimo Gianfermi is a leading specialist surgeon in the field of cosmetic surgery and buttock Lipofilling in Paris. The volume of the buttocks can be increased through the grafting of the patient’s own fat cells: this is buttock lipofilling with autologous fat.


Some patients have a complex about the absence of volume in the buttocks or flat buttocks. This can cause complexes that interfere with social and personal life. Men and women can be affected.

The lack of buttock volume can be constitutional or caused by significant weight loss.Surgery can be used to bring volume to the buttocks.

Depending on the case, you will be offered one or more combined techniques to achieve buttock augmentation.


Lipofilling is a technique widely used in various areas of plastic surgery (including breast surgery).

Lipofilling allows natural volume increases, without foreign bodies and evolving in the same way as weight changes.
The technique of lipofilling is as follows:

  1. Fat is harvested from classic liposuction sites (abdomen, lower back, thighs…).
  2. The removed fat is then processed to retain only the fat cells (or adipocytes). The blood and liquid fat are thus eliminated.
  3. The fat cells are then injected into the buttocks.

This phase requires particular care because there is a risk of injecting the fat into the large blood vessels of the buttock, which can be extremely dangerous.

The cells thus transferred to the buttock will implant there (this is a graft) and behave as fat cells of the buttock.

However, it should be noted that the amount of injectable fat is limited because there is a risk of rejection of the grafts. 

In addition, not all the injected cells survive: it is estimated that 34% to 50% of the injected cells will be eliminated in the aftermath to a buttock lipofilling.

It is therefore possible to have to repeat the lipofilling until the desired volume is obtained.



The first consultation

The first consultation is the opportunity to establish the indication for buttock augmentation by lipofilling: D.Gianfermi will evaluate the areas that can be harvested in fat by liposuction and the amount needed to obtain a result.
The amount of skin in the buttocks will also need to be evaluated.
If there is excess skin on the buttocks, a buttock skin lift by lower body lift will need to be considered.
Oral and written informationwill be given to you.

At the conclusion of the consultation, a detailed advisorywill be given to you.

The second consultation

The second consultation allows us to ask additional questions and schedule an operative date after collecting your written consent.
Preoperative photographs are taken.
You will be given a prescription for a preoperative blood test, compression stockings and a postoperative compression panty.

Course of the intervention

Buttock lipofilling is performed under general anesthesia. The procedure takes 2 to 3 hours depending on the extent of the surgical procedure.
Markings of the operated areas are made before the operation in a standing position. After doing the liposuction, the removed fat is prepared and then reinjected into the buttocks using a rigorous technique. The scars are multiple but all less than 7 mm and positioned to be discreet at term.
Sutures are made withvery fine absorbable suture. It is possible at this stage to treat the scars with laser to optimize your healing and obtain the finest scars possible.

Continuation of the intervention

Once back home, simple scar dressing care is prescribed as well as anticoagulant injections for 10 days.

Compression stockings will be worn for 10 days and the panty for a total of two months (one month day and night then one month during the day).
Bruising on the liposuctioned areas and on the buttocks is frequent and fades in two to three weeks. Edema also appears on all the operated areas and will take several weeks to resolve.

Pain is soothed by painkillers prescribed after the operation. It is common to experience a transient decrease in sensitivity of the operated areas. Sensitivity normalizes after several months.

Resumption of lightly physical professional activity is possible from the end of the first week.
Bathing and swimming are prohibited for the first month.
Sports are not recommended during the first two months.

Long term continuation of the lipofilling of the buttocks

Edema in the liposuctioned areas and buttocks disappears in 3 to 4 months.
The skin retracts in the liposuctioned areas in several weeks.
The skin recovers its sensitivity and flexibility beyond four to six months.
Scars are initially visible and red the first six months and then fade after a year.
It is recommended that scars not be exposed to the sun for the first year.

Result of the lipofilling of the buttocks

Buttock lipofilling has a double advantage: it allows for the slimming of thicker areas of the body and restores volume to flat buttocks.
The immediate result is not representative of the final result.
It is necessary to be patient for the skin to position itself, for the edema to be completely resorbed.
The final volume of the buttocks can be estimated between 4 and 6 months.
A decision can then be made for one or more additional buttock lipofilling sessions if needed.

Lipofilling harmonizes the curves of the silhouette by attenuating curves and projecting the profile of the buttocks.

It is a perennial procedure over time in the absence of weight variation. Buttock lipofilling provides great satisfaction. There is an improvement in self-image and the perception of loved ones.

Frequently asked questions

It is strongly recommended to stop all smoking one month before buttock lipofilling.

One shouldnot take aspirin the week before surgery.

Any blood thinners that may increase bleeding during surgery should be reported. Oral iron supplementation should be done if your preoperative workup shows anemia.

Buttock lipofilling is not covered by social security. It is an act of cosmetic surgery, totally at your expense. A detailed estimate will be given to you at the end of the first consultation.

The price of buttock lipofilling depends on the extent of the work to be done.

A personalized estimate will be given to you during the consultation.

Schedule a consultation

29 avenue de Suffren
75007, Paris