Comparing Buttocks Augmentation: Non-surgical (Fillers) vs. Surgical Procedures


In recent years, the desire for a more lifted and rounded buttocks has seen many people explore different enhancement methods. Predominantly, two options have emerged as popular choices: non-surgical procedures using fillers and traditional surgical augmentation procedures. This blog post delves into each method, highlighting their benefits, considerations, and potential risks to help you make an informed decision.

Understanding the Options

1. Surgical Procedures (BBL, Butt implants)

Surgical buttocks augmentation involves techniques like fat grafting, butt implants, or a Brazilian Butt Lift (BBL). These methods are invasive but known for providing substantial and long-lasting results. The surgical route is ideal if you want to remove excess fat from other areas like the waist and reposition it to enhance the buttocks, offering a dual benefit of contouring. Additionally, if you’re seeking more significant enhancements, surgical options allow for dramatic improvements in size and shape that non-surgical methods may not provide.

Pros of Surgical Buttocks Augmentation:

  • Dual Benefits: With a Brazilian Butt Lift (BBL), the procedure involves liposuction, which removes unwanted fat from other areas like the waist, abdomen, or thighs, and transfers it to the buttocks for enhancement. In this way, you can achieve an overall improved figure.
  • Long-Lasting Results: While some of the transferred fat may be reabsorbed by the body, the fat that survives provides a lasting enhancement, making the results more enduring compared to non-surgical options.
  • Significant Enhancements: Surgical procedures allow for substantial alterations in shape and size, making them ideal for those seeking more dramatic improvements.

Cons of Surgical Buttocks Augmentation:

  • Recovery Time: Requires significant downtime for recovery. Patients typically need to take at least two weeks off work and avoid sitting directly on their buttocks during this period. Full recovery, including resumption of strenuous activities and exercise, may take up to six to eight weeks.
  • Surgical Risks: Includes risks associated with anesthesia and potential complications like infection or asymmetry. It’s important to note that the BBL has a higher mortality rate compared to other cosmetic procedures, with studies estimating a rate of approximately 1 in 3,000 due to the risk of fat embolism.
  • Dependent on Body Fat: For a Brazilian Butt Lift, candidates need sufficient body fat for grafting, limiting options for very lean individuals. This is not a concern for butt implants, which do not rely on body fat.

2. Non-Surgical Procedures with Fillers

Non-surgical buttocks augmentation uses hyaluronic acid (HA) fillers and/or poly-L-lactic acid (PLLA) fillers, such as Sculptra or Lanluma, to enhance volume and contour. This method is less invasive and offers a quick recovery. It is ideal if you are looking for a subtle and natural enhancement and certainly won’t give you a Kim Kardashian butt. Additionally, these fillers can be used for filling hip dips and, in some cases, treating cellulite.

Pros of Non-Surgical Buttocks Augmentation:

  • Minimally Invasive: The procedure doesn’t require surgery, so no general anesthesia is needed (only local). It can be done in the clinic in less than one hour, and you can resume your normal activities without any downtime.
  • Gradual Results: While HA fillers provide immediate enhancements, PLLA fillers like Sculptra may take several weeks to show results. This gradual improvement can be advantageous as it allows for a more natural transition without sudden changes.
  • Long-Lasting Results: Although the results are not permanent, they can still last up to 2-5 years, depending on the filler type.
  • Versatile Applications: Can also be used for filling hip dips and sometimes for treating cellulite.
  • Ideal for Subtle Enhancements: This option is perfect if you are looking for subtle and natural improvements in contour and volume.
  • Fewer Risks: Compared to surgical procedures, fillers involve fewer risks, such as avoiding complications associated with anesthesia and surgery.

Cons of Non-Surgical Buttocks Augmentation:

  • Temporary Results: The effects last 2-5 years, requiring periodic touch-ups, which can make the procedure a bit more costly over time.
  • Limited Enhancement: May not provide as dramatic changes as surgical options.

Which One Should You Choose?

The choice between non-surgical and surgical procedures depends on your goals, lifestyle, and preferences.

  • Desired Outcome: If you seek a subtle improvement or have low risk tolerance, consider fillers. For more dramatic changes, surgery may be better.
  • Recovery Time: Assess your ability to take time off for surgical recovery versus minimal downtime with fillers.
  • Budget: Surgical options often have a higher upfront cost, while non-surgical procedures may require periodic maintenance.
  • Risk Tolerance: Be aware of the potential risks and consult with professionals to understand the best approach for you.


Both non-surgical fillers and surgical procedures offer viable options for enhancing the buttocks. Consult with a qualified healthcare provider to understand which approach aligns best with your specific needs and aesthetic goals. A thorough evaluation will ensure a safe and satisfying result, helping you achieve the desired look with confidence.

For those considering non-surgical options, you can consult with aesthetic doctor Dr. Kim Detollenaere from Doctor Contour Clinic. While Dr. Detollenaere specializes in non-surgical fillers, she can refer you to the right surgeon if you are considering surgery or if it is determined that surgery is a better option for you.


Hi there! I am Dr. Kim Detollenaere, aesthetic doctor and owner of 'Doctor Contour' aesthetic guide and clinic. I have been a content creator for several years, next to my busy medical life. Get to know more about me on Instagram, Youtube or check out the 'About me' page on this blog for more info!

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