Dr.Rodriguez,
I have recently been seeing alot on the internet about the use of hydrogel for butt augmentation. Is this new technique as effective as the microfat transfer?
-Chonta
Chonta,
Thank you for bringing up this question. There are many ways you can get a butt augmentation, but like everything in life, each has its own set of advantages and disadvantages. Some procedures are new and experimental, some have stood the test of time. The use of hydrogel for butt augmentation is a new approach. The technique is possible, but in my professional opinion, impractical for several reasons.
Hydrogels for tissue augmentation are used mostly in the face– for lip augmentations and such. The injections do not last long (up to 18 months) and are pricey. For example, 1cc of hydrogel can cost anywhere from $300-$500. I use 1-2cc’s for a lip augmentation. A butt augmentation requires hundreds of cc’s.
To be more precise, I inject 800-1600 cc’s of fat into the buttocks for a Brazilian butt lift! To get a noticeable buttock augmentation, you need well in excess of 200 cc’s of hydrogel in EACH buttock cheek. That can get pretty expensive at $500 per cc! There are probably cheap “hydrogel” alternatives, but beware of impurities and contaminants. There have been many recent horror stories here in the US from practitioners using “off label” injectables.
Secondly, aside from the expense , the result is not going to be long lasting. Hydrogel will last only about 18 months, whereas butt augmentation with fat injection is permanent.
If somebody is set on having hydrogel injections to the butt, be sure to ask the practitioner several questions: Is he/she certified by the American Board of Plastic Surgery? How long does the hydrogel last? Be suspicious if the answer is that it lasts more than a few months. Is the hydrogel an FDA approved product?
Finally, think of this: It’s your own body, why not use your own body’s fat ?
Ricardo L Rodriguez, MD
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58 Comments
July 29, 2010 at 9:28 pm
Esther:
Hydrogel is not the way. There are plenty of horror stories on the web. Just google hydrogel complications.
Just last week I had to go to the hospital to treat a young man with a nasty infection in the face from a hydrogel injection.
Most major University Plastic Surgery training programs have a clinic where patients can have cosmetic surgery at reduced rates, and maybe that is a good place for you to start.
Good Luck!
July 19, 2010 at 5:16 pm
I’m 30 years old and have three kids I lost 40 pound and look okay I would like to get my butt done to feel sexyer wat would be the best way to get it done with out brakeing a hole in my pockit.
June 29, 2010 at 7:32 am
Concerned:
Sometimes the butt comes back to normal but sometimes there is a process of scarring that deforms the butt.
If you google hydrogel butt augmentation problems you will see what I mean.
In any case, it’s expensive, uncertain, possibly dangerous, and not permanent. Why anyone would pump a large amount of foreign substance into their buttocks is beyond my understanding.
June 22, 2010 at 5:41 am
after 18 months what happens if you dont get more? does your butt start to go back to normal?
June 6, 2010 at 9:30 am
Tylisha:
It is difficult to know what options you have without having pictures to see what the problem is.
If you could be so kind and contact Kelly at kelly@cosmeticsurg.net, she could help you with instructions on how to shoot the pictures to best show your concerns.
You could help the world a lot if you get online to any discussion board on Butt lifts and let people know about your experience.
By the way, was your injection done by a doctor?
June 5, 2010 at 11:31 pm
Hello i made a terrible mistake and went to someone to inject hydrogel in my buttocks. i went thru massive complications i couldnt even sit down correctly for like a year. my buttocks is so bruised i am depressed behind this. plus one butt is way bigger than the other one. I dont kno what to do i want it even. can u suggest any options i have
May 20, 2010 at 2:58 pm
Tia:
I don’t know who Nicki Minaj is.
Most surgeons who are doing a lot of buttocks work will tell you unequivocally that fat is better. It feels more natural, and it has less complications. Fat grafting definitely looks more natural.
As far as what procedures I would recommend, the first thing you have to realize is that some people are born with a certain body type and it is very hard to get them to look like a completely different body type. Using liposculpture and fat grafting you can turn an apple type shape into a pear type shape, as you can see in this blog post, but getting the tightness and definition of Ms. Minaj may be hard.
Call Kelly at kelly@cosmeticsurg.net if you are interested in more info. We’d love to help you, as we do a lot of liposculpturing with fat grafting to “turn apples into pears”
May 17, 2010 at 10:40 pm
Hi I wanted to know can you feel the difference between implants and grafting fat? Which feels more realistic? which is better and how much are they both? Dr. I don’t know if you’ve heard of Nicki Minaj but if you click the links you can see her butt.
http://theboxhouston.com/files/2010/03/NICKI-2.jpg
http://www.sojones.com/wordpress/wp-content/uploads/2009/10/Nicki-Minaj-01.jpg
http://www.zimbio.com/pictures/FY3JdkYSD63/BET+s+Rip+The+Runway+2010+Show/RKAwOJLyxE2/Nicki+Minaj
What procedure would you suggest for waist, butt and hip results like hers?
May 4, 2010 at 9:37 am
Trina:
Just Google complications and butt injections. You will see there are many disasters, deaths, etc.
At 5″3″ and 115 pds you should have some fat available. If you look at this case, the girl was 5 feet and weighed 98 pds. We were able to inject 400cc into each buttock. It would cost you a fortune to inject 400cc of any filler into the butt (let alone 800cc- 400cc for each buttock).
May 2, 2010 at 9:12 pm
hello im a 30yr old women 5′3 115lbs and am thinking about butt injections. i dont really have any fat on my body, so im trying to find out about the different injections or procedures that would be right and safe for me.
April 29, 2010 at 4:05 pm
Chenise:
There is a lot of information on our blog about Brazilian Butt Lift.
Check out these links: Video, Text, video, video
Hope this helps!
If you would like a more personalized consult, call Kelly at kelly@cosmeticsurg.net
April 28, 2010 at 2:19 am
Hello! For the last few years my husband been talking about
how he wants my behind bigger. I’m to the point. I would just settle
for the hydrogel butt injection because it’s more cheaper than the briazillan but I’m also afraid and far from foolish.. I don’t think the hydrogel is for me. I would luv to here more about the briazillan butt lift
March 5, 2010 at 3:20 pm
Liza:
As far as injectables go, stay away!
Every year I hear of 1 or 2 deaths from it. There are also multiple reports of horrible scarring, hospitalizations with life threatening scarring, etc.
As for patients who think they have only a little fat, I have done a Brazilian Butt Lift on a patient who was 4′11″ and weighed 95 pounds. It’s not all about getting the big butt, a lot of it has to do with proportions between hip and waist. The only way to get an idea is by looking at pictures.
If you want an evaluation, send Kelly, my office advisor, some pictures. Her email is kelly@cosmeticsurg.net
March 3, 2010 at 2:05 pm
I have no area where fat could be taken from to do a brazilian fat graft…so what are my options? I live in MA and there is only one doctor who does that along with implants. It is almost 10,000 and I keep hearing it’s still not safe. Never mind the long down time to recover. Then I keep hearing a lot about injections of bio-gel, hydrogel and PMMA…are any of those ok? Can they travel into your system? I’ve tried working out, changing my diet etc…I have a toddler, and after having my baby, my body still looked great, but I no longer had a butt…I worry that with injections, it may not be safe to have another child down the line…I don’t want to risk defects…What can I really do?
February 9, 2010 at 5:46 pm
Ms J:
I would first of all go to a cardiologist and get an opinion from him as to the risk of a procedure under intravenous sedation.
Sometimes, if the problem is a mitral valve prolapse, we have done surgery without any special precautions other than the usual antibiotics and careful fluid management.
If you are serious, your first step should be to get a cardiologist evaluation.
Good luck, and I hope you can make your dream come true!
February 8, 2010 at 9:43 pm
Hi Dr. Ricardo,
I have been going back and forth with the B’more Lift as well as the Brazilian Butt Lift. I am 5′3 and 140lbs. I have been told I have a slight leaking heart valve with Calcium deposits on the valve. Would either of the procedures still be an option for me? I will know exactly the extent of the leaking heart valve on 02/11/10. I found out that I have this issue due to shortness of breath when I lie flat as well as heart palpations and numbness in my limbs at times. Also, my second question is, what is the likely hood that one of my organs could be damaged during lipo for either of the butt augumentations? I have read this to be a complication and it has created a great fear.
Thank you,
Ms. J
February 5, 2010 at 3:39 pm
Skylen:
Lipo usually is billed per area, for example, abdomen is one area, flanks is another area.
In addition, the lipo for Brazilian Butt lift is done by low pressure suction, not high pressure, so it is a lot harder to do and much more physically demanding on the surgeon.
The fat then has to be processed. See our post on what has to be done to properly process fat here
Finally, the injection is done very carefully in micro droplet quantities.
The procedure is done with highly trained personnel and it takes a long time. If somebody is quoting you a very low price for it, it is too good to be true, and you should think carefully before doing it.
February 1, 2010 at 11:37 pm
if lipo. starts at 2k why does it cost 19k to get fat transfer? im very interrested in getting this done but credit isnt good enough to get financed.
January 17, 2010 at 5:23 pm
Denise:
We are in Baltimore, Maryland. We have many patients who come from out of town to get surgery done, we’d love to help you!
January 12, 2010 at 3:34 pm
where are u located ?
January 9, 2010 at 3:07 pm
Jerrica:
Congratulations on the Baby!
Contact Kelly at kelly@cosmeticsurg.net for more info.
She will be very helpful.
Happy New Year!
January 7, 2010 at 2:34 am
how much do you charge for fat graffting to the buttocks? Really want this done. I just had a baby last year and have alot of baby fat.
December 29, 2009 at 8:07 pm
Nancy:
This is a common question. If you lose weight, the fat cells will get “skinny”, as the rest of you does, but they will not disappear. Think of it this way, when you gain weight, you gain weight, its not as if you lost your fat cells when you lost weight. They are still there, they’re just “empty”.
After you gain weight for a Brazilian Butt lift, if you like the way you look, you may consider altering your diet so you eat more high calorie stuff. Remember, your WEIGHT=Calories in - Calories out.
If you increase calories intake, it doesn’t have to be fatty foods, it can be stuff like yogurt/protein smoothies.
Hope this helps!
December 27, 2009 at 1:02 am
You say that fat injections in the buttocks is permanent. But what if I get buttock fat injections and then i lose alot of weight in the future, wouldn’t all my fat injections go away when I diet and lose most of my body fat? I mean I am usually very skinny (virtually no body fat whatsoever), but I can gain about 10 pounds over a few months if I purposely eat alot of fatty foods just to get it injected into my buttocks. But if I lose weight and return to my normal skinny-self ( I exercise alot and jog so usually I have no body fat). Will the injected body fat remain in my butt even if I exercise alot and lose alot of weight?
in other words I am skinny as a rail, but i will eat a bunch and gain about 10 pounds just for the buttock fat augmentation. But then if I stop eating a bunch of fatty foods my body will lose all of those 10 pounds really fast cause I exercise alot.
Thanks for your time to read my question.
November 22, 2009 at 11:02 am
Crystal:
If you have extra fat, the Brazillian Butt Lift is the best alternative.
We do a lot of Brazilian Butt Lifts and the entire basis of the procedure is to take fat from areas where you have excess and put it into those areas you want enhanced.
If you have extra fat, you are the ideal candidate.
We’d be delighted to hear from you!
November 21, 2009 at 10:06 pm
I would like more hip and butt what is the best procedure
for this I have extra fat any ideas?
November 18, 2009 at 8:52 pm
Estimada Marisol:
Gracias por leer nuestro Blog. Me encantaria oir de ti.
Mandale un email a Kelly. kelly@cosmeticsurg.net para arreglar una cita por telefono y asi puedo contestarte todas tus preguntas en detalle y sin prisa.
Vamos a necesitar fotos tuyas, y Kelly te dara instrucciones despues que le escribas.
Nosotros estamos en Baltimore, a 40 minutos de Washington DC.
Casi el 30% de nuestra clientela viene de afuera, asi que estamos acostumbrados a tener pacientes del extranjero.
Muchos saludos,
Ricardo L Rodriguez MD
November 15, 2009 at 8:55 pm
Hola Dr Rodriguez. I’m just 18 also i don not live in U.S i’m in Latin America/Caribbean….interested in having the fat put in my butt and hips. I was also wondering if the fat could b put in my legs?? …..i have chicken legs…like twigs. But also what is the youngest age that this can b done b/c as mentioned above i’m 18. Also if i come 2 america, where are u located exactly and umm..how long would i b required to stay like maybe for follow up visits etc..
Also is exercise required to maintain the results?
I prefer to have the one where u put the fat cells in the desired area so that if i gain weight it goes directly to that area plus i want to put the fat like doing the lipo and injecting the fat there…is that possible? i hope i didn’t misinterpret anything.
P.S plz excuse my ingles…gracias.
look 4ward to your reply with keen interest.
November 14, 2009 at 8:36 pm
angela:
Fat can be used from wherever we can harvest it. In general, I find we need more than one area of liposuction. Liposuction of the abdomen and love handles is very important to get a good waist to hips ratio.
Contact Kelly at kelly@cosmeticsurg.net, she’d be more than happy to discuss pricing with you.
Have a great weekend!
November 13, 2009 at 10:38 pm
I really want to try these butt injections and i read if they use fat it will be a permanent result.Since i’m top heavy can i just use fat from my breast and have that injected in my rear?! And if id so how pricey is it?
October 11, 2009 at 1:25 pm
Try Dr. Sidney Coleman.
He is the one responsible for working out most of the details of fat grafting.
If it doesn’t work out we’d be happy to see you or do a video consult to give you advice. Contact Kelly@kelly@cosmeticsurg.net
October 8, 2009 at 1:20 pm
Dr am interesting in enhance my butt,I need a Dr here in new york? any one you might know..Also am really skinny so I dont know how it will work?
September 26, 2009 at 10:55 am
The hydrogel in itself is not toxic, but all hydrogels have structural component molecules that are not the hydrogel itself. There may also be impurities due to manufacturing processes.
Regardless of the effect, the body does tend to wrap a capsule of scar tissue around all foreign substances. It is this scar tissue which can contract and cause deformities.
This process can happen right after surgery, or years later.
With the possibility of having your own fat injected, I don’t know why people are going for the hydrogels. I do not recommend the hydrogels.
September 26, 2009 at 1:09 am
i was looking for a journal about enhancement and implantation because i need it for my research but went on to your page. I got interested cuz there’s a case here in our country that had an adverse effect after she undergo a hydrogel butt augmentation. After years, it even cause her life miserable for being hospitalized. Please I need enlightenment. What is really the effect of hydrogel in human body especially if too much amount of hydrogel is implanted? Is it detrimental?
September 23, 2009 at 4:55 pm
Hi Danielle,
Usual cost for the Brazilian butt lift surgery is $18,000 which includes:
• 3-areas of liposuction (usually, abdomen, flanks, inner thighs)
• fat processing and grafting to buttocks/hips
• facility/operating room fees
• 8-hours IV-sedation anesthesia
• 2 specialized compression garments
• Dr. Rodriguez’ surgical fee
• all before and follow-up office visits
Dr. Rodriguez would be delighted to meet you in his new fully accredited state-of-the-art surgical facility or by virtual consultation. Allow me to arrange your appointment by email: kelly@cosmeticsurg.net or if you prefer, call the office at 410-494-8100.
Best regards,
kelly warner
patient coordinator
cosmeticsurg.the science of beauty®
410-494-8100
September 22, 2009 at 5:07 pm
Dr.Rodriguez,
I just read u response back towards Chonta I’m no longer interested in the hydrogel buttock injections.Currently i wish to know more about the butt augmentation with fat since its a permant thing. I would like to to know a estimated price range and also health facts if possible.
thanks,
Danielle
September 15, 2009 at 8:33 pm
The trick is not to inject the fat right under the skin, where a little lump can be seen. I inject the fat deep, below the muscle so the skin and muscle can drape over the filler material. By the way I inject in this manner whether it is Restylane, Juvederm or fat.
Fat, when injected properly, is permanent.
I trust you when you say the hollows are not that bad, but if you think they might be improved, get an expert opinion. We’d be happy to look at your pictures. Contact Kelly at kelly@cosmeticsurg.net. We’d love to see you.
September 14, 2009 at 5:02 am
Can i have fat transferred under the eyes for eye hollows if the skin below is very thin and transparent. How do I know that it would not lump up and how many treatments do I need. The hollows are not that bad.
August 26, 2009 at 3:05 pm
Yes, the only caveat is that you will stretch the repair, but i have had many patients who got pregnant after TummyTuck.
A beautiful belly is one thing but a baby is the best gift in the world!
August 23, 2009 at 10:46 pm
Dear Dr. Rodriguez,
Is it safe to get pregnant three years after a tummy tuck?
August 5, 2009 at 12:21 pm
Regarding Bio Alcamid, a word of caution, as with other permanent injectables.
Don’t take my word for it, read this link, especially the comments section.
Any foreign material injected into the body will elicit an inflammatory reaction that culminates in formation of a capsule around the injected material. Sometimes there is an aggregation of these capsules which can cause visible lumps, or worse yet, an inflammation of the capsules degenerating into infection.
Fat is still the gold standard, and it can also be used for small dents.
August 5, 2009 at 8:50 am
I would think that injecting Bio-alcamid into depressions and dents on the butt caused by cellulite (for a smoother looking bottom) would be very ideal since not alot of the substance would be needed….
But I imagine it must be hard to actually augment the buttocks enough to see a noticeable increase in size with injectables though…it would be difficult to get the results to look even and natural….
August 1, 2009 at 11:13 am
This is a response to Shawn.
I reread my original post and it sounds too curt and short. I apologize. Perhaps It is I who needs to clarify, as your post was clear enough, and my response not informative.
If you don’t have enough body fat, your options are limited, but they exist.
I cannot recommend hydrogel injections as I have seen too many problems.
I’m sorry I can’t offer you something concrete, but here’s something I have tried. You are comfortable at your overall weight, but you want more weight (i.e. volume) on your buttocks.
Think of fat injections as a way to REDIRECT whatever weight you might accumulate AWAY from where you do not want it to show (abdomen, flanks, whatever) and INTO to where you want it to show (buttocks).
The cells that “gain” weight in you will be put where you want them to show (buttocks).
As a matter of fact, I just did this in a male model, who was weight conscious, but had a flat butt. He gained a few pounds prior to surgery, which in his case showed mostly in the lower abdomen and love handles. We lipoed these areas and put the fat cells in his butt. Thus, the love handles gone, better butt projection. If he stays at same weight, he keeps his new figure, if he gains weight, it will be in his butt, not in his abdomen or love handles.
Does this help?
Hope this helps.
August 1, 2009 at 11:01 am
Keep the hope.
If you kept losing weight the fat cells may still be there, in a shrunken state. Once you start gaining weight these cells get plump again.
If the cells were there for a year or two I think it’s very probable they are still there.
You may want to ask your Doctor why you are losing weight. Is it voluntary?
July 26, 2009 at 7:05 pm
Perhaps I need to clarify the weight issue. I’m very comforatable at my size I don’t have enough excess body fat to do a fat transfer so thats the reason I would like to try the hydrogel option instead.
July 26, 2009 at 2:53 pm
I don’t do hydrogel injections.
I am not familiar with any reputable Plastic Surgeons who do, because of the many issues associated with hydrogel injections.
I do not understand your fear of gaining weight, as with fat grafts we use the fat you already have, we are not adding fat.
July 26, 2009 at 2:00 pm
Dr. Rodriquez I’m interested in the hydrogel injections. I do understand that fat transfer would be better but I’m unwilling to take the risk of gaining weight to do so at my current age. I’m interested in doing 2,000 cc’s and would like to do a consult with you. Please contact me at the above email address.
Thank you,
L.M
July 8, 2009 at 5:49 pm
I am sorry you have lost the benefit of the surgery.
Have you consulted your doctor as to why you are still losing weight? Are you losing the weight voluntarily?
At this point, I think your best bet is to find out why you are losing weight. Once you gain weight back, if the fat graft cells are alive, you might regain some of what you lost.
I would be more than happy to look at your case if you want to set up a virtual consultation with Kelly.
Don’t get frustrated, I’m sure something can be done, but do make sure you get a handle on why it is you are losing weight.
June 28, 2009 at 12:10 am
Hi Sheri and Dr. Rodriguez,
I had the fat transfer done to my buttock and breast in 2006 by a Doctor in NYC. The procedure was successful but only for a year or two. I kept loosing weight. My buttock and especially my breasts shrink back to normal. I spent over $21k for this procedure which didnt work.
June 22, 2009 at 11:51 am
First of all, it should be clear that I do not favor hydrogel injections to the butt. The volumes needed are too large, and the risk of complications rises with increasing volume of injection.
Late term complications include formation of lumps and bumps in the injected areas. I receive plenty of reports and pictures of patients who have had injections so I know it is not a benign procedure. As for the price, it is cheaper than a Brazilian butt lift, and there is little recovery to speak of, but when complications happen, it is a disaster.
Brazilian butt lift may be more expensive, but it is your own body tissue, and it doesn’t just make your butt bigger, it transforms your figure.
I don’t know who does the procedure in Houston, but when interviewing doctors make sure they have done a lot and ask to see pictures.
June 21, 2009 at 12:25 am
Dr. Rodriguez,
I was thinking about enhancing my butt. I’m not sure if I want the hydrogel injections or use my own body fat. Which is the least expensive and heal faster? I reside in Houston Texas so I’m not sure who does the procedure.
Thanks, Sherri
May 23, 2009 at 7:33 am
When a fat cell is transferred successfully, it stays in its new place. Weight gain or weight loss will make the cell swell or shrink in size, but it still will be there.
A successful fat transfer does change your body shape. Loss of body weight will affect your new shape, in that even if you lose weight, your proportions will be different than what they are now when you lose weight. It’s not like you will “lose your fat” and return to your old shape.
The best way to discuss your case specifically would be to look at pictures to see what areas of fat you have available, and what changes are possible.
One thing is for sure- Fat transfers WILL change your shape.
May 22, 2009 at 3:52 pm
are you absolutly sure that the fat transfer is permanat even if i lose weight. i have a high motabolism and its hard for me to get the shape i want. is there a way for you to alter my shape with the fat transfer and will it be permanant even throught the exercizing and the motabolism.
April 13, 2009 at 12:03 pm
Hi Christine,
Most patients have three areas of liposuction (body sculpting) for their “brazilian butt lift” fat-grafting/transfer procedure, thus making the average cost approximately $18,000. This cost includes the facility/operating room, approximately 8-hours of IV monitored sedation anesthesia as well as Dr. Rodriguez’s professional service fee.
Please note, that for a limited time you could save $1,200 on a brazilian butt lift procedure with 3-areas of lipo and fat transfer, making the total $16,800 contact me a.s.a.p for details, kelly@cosmeticsurg.net or 410-494-8100.
I looking forward to hearing from you!
Best regards,
kelly warner
patient coordinator
cosmeticsurg.the science of beauty®
410-494-8100
April 12, 2009 at 10:14 pm
How much is the Average cost for a Brazilian Butt Lift?
April 3, 2009 at 8:39 pm
Dear LeighAnn:
The reason most doctors don’t know about biogel is because it is not an FDA approved substance for buttock augmentation.
In addition, since it is an “offmarket” product, there are many different formulations, each with their own particular composition.
The bottom line is that ANY foreign substance injected into your body will elicit a reaction. At the very least some scar will form around it. When the reaction is acute you get a cellulitis which can get secondarily infected.
The person who will know most about your biogel is the one who injected it, and you should get as much info from them.
It would be helpful if you sent me pictures so we could better see what the problem is.
I have seen too many disasters from foreign substances injected into the buttocks, as the buttocks are subjected to repeated stress(sitting), that is why I favor using the body’s own fat.
April 3, 2009 at 5:07 pm
Hi,
I had bio gel injected in my buttocks a year and a half ago and have had problems like cellulitis and had a mass that I had to have surgery to remove–since the Drs do not know what bio gel is, they cant help me–can you tell me anything about bio gel that can help me Dr’s understand this better?
October 22, 2007 at 11:35 pm
I am wondering if bio alcamid is better than hydrogel. I want butt injections and I was told that silicone migrates through the body and bio gel does not.