Written by Tianna Manon for Avima.com

More and more Americans are having surgical procedures on their backsides. Having a butt surgery is an accessible way to achieve the rounder, fuller butt that has become popular.
There are several different procedures. We’ll dive into the most popular methods and the possible effects below:

Fat transfer: This is the most popular method. You can move extra fat from one part of your body to the butt. Typically, surgeons move the fat from the stomach, thighs or upper back– places the patient doesn’t want it. Although, you will see an immediate difference, it takes about a year to get the full result because it takes time for the body to create blood vessels and fully incorporate the fat. Fat reabsorption can be an issue long-term, undermining the effect but is unlikely. The average cost is about $4,000 for this procedure.

Butt augmentation: This is an option for thinner patients who may not have fat they can transfer. Your surgeon inserts implants into the buttocks to create the rounder look through an incision in the butt crack. Surgeons can decide to either place them into or above the gluetal muscle but it’s recommended to go within because it’s more natural looking. One side effect of placement on top of the muscle is separation, which can happen just through natural movement like bending and stooping. It’s also an area of the body that people rest on all day and that carries a lot of weight, increasing the chances that there will be complications, like separation. Ruptured implants are rare but can happen. The average cost is about $4,000 for this procedure.

Butt Lift: This procedure helps patients with the tissues that supports the butt’s skin and fat to improve the overall shape. This procedure won’t add volume to the butt but does help with sagging and excess skin or other blemishes and irregularities. A butt lift is on average the most expensive, at about $5,000.

Like most plastic surgery, there are some risks of excessive pain, infection, bleeding or fluid accumulation with all three. Nerve and muscle damage are two of the more serious issues because they can cause serious, long-term, even permanent damage, if not attended to. As mentioned, the butt area is particularly at risk of rejection or side effects because patients are likely to rest their full weight on it. Even just bending and stooping can affect implants that were placed on top of the muscle.

That’s why it’s critical to find a board-certified plastic surgeon. Having a surgeon who is certified in the work ensures his training and skill when it comes to this work. For example, with a good surgeon, surgical implants should never harden and there are few effects past the initial healing.

It’s also important to be active before your surgery and after to not only retain the shape but encourage blood flow. But surgeons caution from being active for several months after your surgery. Overall, important to be careful with your butt after any procedure.

“There shouldn’t be too many side effects with the right surgeon,” said Dr. Elizabeth Murray, a plastic surgeon in Toronto, Canada. “When we first began doing implants, they were placed right under the skin, which is why they didn’t look natural and would harden sometimes but we’ve come a long way in our research since then and today, it’s a more natural look.”

Some surgeons also restrict how “big” they’ll go to reduce the chances of negative side effects and consequences. Murray says she only ever does implants with 1.75 cups of fluid, but tries to stick around 1.5 cups for implants. It’s less likely to reject, separate or cause extra pain. And when it comes to fat transfers, she says it’s safer to inject smaller amounts even if patients want to go big.

That’s why it’s important to have realistic standards if you’re considering a butt lift, implants or fat transfer. It keeps the patient from seeking dangerous procedures and ensures they’ll be happy with their new body.