Plastic Surgery Not everyone is happy with their bum, some of us want bigger bums and others want tighter, pert little numbers. For many of us who have tried and failed to get our desired posterior, there is hope. Because bums are particularly reluctant to improve with exercise, cosmetically enhancing buttocks has become more popular. Dr. Max Sawaf of Cosmesurge explains why people have buttock augmentation and what is involved in the procedure. “For those people with persistently flat buttocks there is a way to achieve perfect shape and increase of volume,” he told Women’s Health & Fitness. “When done by experienced surgeons, results are optimal, achieving long-term beauty, no visible scars and no stitches to be removed.” “On the other hand, micro fat grafting and lipo-injection are mostly recommended for those who already have a fairly considerable buttocks volume but need shaping and firming.” The buttock surgery lasts two hours and it is performed under general anesthesia or epidural and sedation depending upon the patient’s preference and medical criteria. The recovery period is comfortable but long, requiring one night in the hospital. However, for three weeks after the procedure, you should sleep on your tummy or side and can walk normally but should avoid sitting. It usually takes 20 to 30 days to get back to normal activities and strenuous activity should be avoided during the first month for proper healing. Dr Sawaf explains that there are two types of implants that can be used in buttock enlargement: solid and cohesive. The first type is made out of a very dense silicone but it’s rarely used because it is uncomfortable and doesn’t give a great result. “I recommend the cohesive ones, which is a lighter silicone type of gel, with a natural adjusting capacity, that remains very strong and resistant.” “Choosing the correct buttock implant size to be used is a very important aspect to be considered.” “Going after a huge butt just for the sake of a particular fantasy may lead to unnecessary rejection of the implants.” The implants may be placed through the muscle where they can look, act and feel natural. However, it is important to stress that choosing the right surgeon is essential. Surgeons who do not have adequate training can wrongly position the implant.