Is the heart-shaped butt the most desired by patients?

If I consider getting a Brazilian butt lift, can I choose what type of butt I want or it depends solely on my anatomy? Round-shaped butts are nice too, but the heart-shaped ones are really something. I would love to have one like that. Is it realistic?

loulou3

F, 28, New York

Yes, you should communicate the type of butt you want to your plastic surgeon, but your existing anatomy does play a large factor. Your surgeon will work with your specific proportions to try to get you as close as possible to the butt shape you want.

The shape of your dream butt should be balanced against the risk of over-augmentation though. Injecting too much fat can increase the risk of negative results, including cellulite, surface irregularities, dents and an overall sagging shape. The goal is to create the most beautiful buttock contour for you -- one that works aesthetically with your personal body type, not necessarily one that matches specific celebrities, photographs or dimensions.

I encourage you to schedule a consultation with a board-certified plastic surgeon who has extensive experience with body contouring and the Brazilian butt lift procedure.

Dr. Kimberly Henry has 4 "Brazilian butt lift" before & afters:

"Brazilian butt lift" before image performed by Dr. Kimberly Henry"Brazilian butt lift" after image performed by Dr. Kimberly Henry"Brazilian butt lift" before image performed by Dr. Kimberly Henry"Brazilian butt lift" after image performed by Dr. Kimberly Henry"Brazilian butt lift" before image performed by Dr. Kimberly Henry"Brazilian butt lift" after image performed by Dr. Kimberly Henry"Brazilian butt lift" before image performed by Dr. Kimberly Henry"Brazilian butt lift" after image performed by Dr. Kimberly Henry

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Heart-shaped butts are extremely popular now thanks to celebrities like Kim Kardashian and others. To get the shape you want, a good plastic surgeon will take your existing buttock shape into account.

Women generally fall into five different shapes: There are round butts (also called "bubble butts"), A-shaped butts, heart-shaped butts, square butts and V-shaped butts. These butt shapes are a product of the size of the pelvis bones, the distribution of fat storage, and the shape of the glute muscles.  

Successful body contouring is a process that begins with an understanding of your starting contour, and works from there towards your aesthetic goals.

Often what contributes to flat looking or square-shaped buttocks (also known as the H-shaped butt type) is a poor waist-to-hip ratio. Generally speaking, an attractive waist-to-hip ratio is .55 or above. A waist-to-hip ratio of .7 is generally considered very attractive.

It's very common for middle-aged women to develop V-shaped butts. Because of lower estrogen levels it's common for older women to experience weight loss in the butt cheeks as fat storage moves to the waist and flanks. This inverted shape is a common candidate for a Brazilian butt lift.

In most cases, to achieve a beautiful, heart-shaped contour the waist is narrowed via liposuction. Love handles are reduced, fat is extracted from the lower back and sides, purified, and carefully reinjected. The injection locations are strategically chosen so as to create an inverted heart shape and (depending on your goals) a bigger butt.

When choosing a surgeon, their skill and aesthetic judgement should be important considerations in your selection process. Remember to only work with a board-certified plastic surgeon who has prior experience with Brazilian butt lifts.

I find most patients asking for a Brazilian butt lift want a butt that is higher and rounder but not necessarily a heart-shaped butt -- although many patients ask for them as well.

To answer your second question, yes, your plastic surgeon can work towards a specific body contour when performing a Brazilian butt lift procedure -- but the approach (and the results) depend somewhat on the physical specifics of each patient.

When you meet with a plastic surgeon, be sure to communicate clear goals and explain your aesthetic choices. Heart-shaped butts, made famous by the world famous rears of Kim Kardashian and J Lo, are tapered around the waist and plump at the lower half of the buttocks -- resulting in a rounded, inverted heart shape.

Using liposuction, a plastic surgeon will first remove fat from the abdomen, back, flanks, and outer thighs. Tiny incisions are then made and the fat extracted with a cannula. When the fat is purified and reinjected, your plastic surgeon will contour your buttocks by concentrating the fat grafts in the appropriate places to accentuate the upside-down heart shape.

Keep in mind, however, that the ability of a plastic surgeon to create different butt shapes depends somewhat on your pre-existing anatomy. Your fat distribution, hip bones, how your muscles attach to your thigh bones, and the size of your gluteal muscles all affect the final results. A skilled plastic surgeon will take your overall body type into account and consider other aspects of your anatomy, such as the width of your shoulders, your height, skin elasticity and body weight.

Flat butts, for example, require different techniques than V-shaped, square-shaped, or rounder butts. A butt transformation to create the perfect butt requires a skilled plastic surgeon with both extensive experience and and a good aesthetic understanding of body contouring. I advise you to do your research carefully, meet with more than one surgeon, review pictures of their work, and choose one who has a history with these procedures. Any surgeon who has been certified by the American Society of Plastic Surgeons (ASPS) should meet this criteria.

An inverted heart shape butt is a very popular choice.

As you noted in your question, however, your existing butt shape is an important consideration when determining which techniques are right for you. It's important to set realistic expectations and note that your bone structure, size of your butt muscles, and other anatomic factors will not only influence the aesthetic choices of your plastic surgeon, but often set certain limits on what is possible.

During a Brazilian buttlift procedure, your surgeon will sculpt your ideal heart butt shape with a fat transfer procedure that focuses on the lower buttocks. The specifics of where fat is harvested and grafted to will depend on your specific anatomy. Bear in mind that not all the fat is expected to take. After three to six months, any fat that has survived is usually permanent.

The liposuction procedure typically removes fat from the abdomen and back. Tiny incisions are made and the fat extracted with a small inserted cannula. These incisions are so small that in most cases no sutures are required.

In most Brazilian butt lifts the fat is moved to the sides and upper parts of the buttocks in order to create a higher, rounder shape. For patients who want a more heart-shaped appearance, your surgeon may concentrate on the lower portion of the buttocks to accentuate a wider-at-the-base contour typical of a heart-shaped butt.

I obviously can't offer any specific recommendations for you without a direct consultation, but I advise you to meet with a board-certified plastic surgeon to discuss your specific goals and see which treatment options make the most sense for you.

Dr. David Whiteman has 4 Butt Augmentation before & afters:

Butt Augmentation before image performed by Dr. David WhitemanButt Augmentation after image performed by Dr. David WhitemanButt Augmentation before image performed by Dr. David WhitemanButt Augmentation after image performed by Dr. David WhitemanButt Augmentation before image performed by Dr. David WhitemanButt Augmentation after image performed by Dr. David WhitemanButt Augmentation before image performed by Dr. David WhitemanButt Augmentation after image performed by Dr. David Whiteman

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Without knowing what you look like and whether you have enough fat to take from other places for transfer, it's impossible to say whether you can achieve it.  Suffice it say, people do love their results.  Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified. 

It depends very strongly on your anatomy. Patients love it! I recommend getting to your goal weight prior to the operation so you can maximize the fat grafting and shaping of your buttock, hips, and lower back.