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Gluteal augmentation surgery with prosthesis

English subtitled video

The buttock augmentation operation with prosthesis is one of the techniques that is technically known as GLUTEOPLASTY. It consists of placing a prosthesis under the gluteus maximus muscle. This implant is made of a material that does not cause an immunological reaction and integrates with the tissues in a natural way. When you come to our surgery, the surgeon will advise you which is the most suitable size for your case and will explain in detail the pros and cons of this operation. If you are considering buttock augmentation, we advise you to read in detail and consider the possibility of buttock augmentation with your own fat. This operation is in increasing demand and we are currently in more demand than buttock augmentation with prostheses. At Clínica Sanza, in Barcelona, we have been dedicated for more than 30 years to plastic surgery and the placement of buttock prostheses.


At Clínica Sanza we rely on the Sagrat Cor Hospital, part of the Quirónsalud group, to perform our surgical procedures.
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People that wish to elevate or project their gluteus in a definitive way, like in breast implants when breasts are fallen.

Thin people that want more gluteus volume and do not have fat in another zone to make a lipofilling.


There are several ways to improve small, fallen and flaccid gluteus. One of them uses a  sub-muscular prosthesis to achieve projection and elevation.

Prosthesis implant are based on providing gluteus symmetry and volume. Generally speaking, it is done bilaterally, but in some special cases implant volume can vary in regards to both glutei, depending on the symmetry of the area. These prostheses have a more cohesive gel than breast implants and are rounded, anatomic or oval shape.

Surgery is done with a small vertical incision with a size of 3 to 5 cm, at the intergluteal fold, in other words, the fold between the buttock’s cheeks.


  • 2 hours.



  • Evaluation of the area to determine the adequacy of the treatment.
  • Follow specific patterns determined by the doctor.
  • Cardiac, blood, respiratory tests.


  • Local and sedation, epidural or general.


  • 24 h hospitalization.


  • Suture removal after 15 days if they are not resorbed by themselves.
  • Compressive bandage from 24 to 48 hours.
  • Belt from 15 to 20 days.
  • Medication if required.
  • Mandatory examinations after several days, several weeks and several months, according to prescription.


  • Daily life restart after 24 to 48 hours after surgery, only if it is not a physical work and if the patient can sit in a soft chair or with a pillow under the inferior glutes.


  • Natural gluteus projection.
  • Wished symmetry and volume.
  • Better smoothness.
  • Improved and rejuvenated patient appearance.
  • Improvement of the patient’s psychological profile and self-esteem.


  • Simple-medium intervention.


  • Medium-Low.
  • Intervention risks: prosthesis rejection or displacement due to a bad post-surgery. In this case a retouch will be needed to replace the prosthesis.
  • General intervention risks: hemorrhage, infection, scarring alteration.


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Before After
Before After
Before After

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Frequently asked questions about buttocks​

How can I improve the appearance of my buttocks?

The buttocks are a very important part of both men and women. Some patients, more frequent men, may present true hypotrophy or lack of development of this area and require a gluteoplasty to improve the shape and volume of this body area, either through shape adjustments, implants or lipoinjection. In women it is more common to remove cellulite and elevate the buttocks.

What is the candidate for gluteoplasty?

The gluteoplasty is indicated in patients who wish to improve the volume and projection of the buttocks. Some individuals find a certain disproportion in the shape of their buttocks, which can be corrected with different techniques. In the same way, this treatment is suitable for those people who for reasons of aging, present loss of turgidity, excess fat or tissue drooping.

What are the procedures in buttocks surgery?

In Clínica Sanza we individualize each patient to offer the best treatment taking into account aspects such as height, weight of the patient, bone structure, pelvis and thighs. We evaluate the areas where there is little projection, flaccidity or excess fat, and thus determine if it is required the placement of buttock implants, liposuction, lipoinjection, lipolaser, thread tensioners or gluteus lifting.

How’s the procedure?

In general, any procedure is performed in the operating room under local anesthesia and sedation, or if the case requires it, under general anesthesia or epidural. The patient on the operating table is placed face down, so that we can work comfortably in the area and maintain symmetry.

How long does the surgery take?

The procedure, depending on the technique to be used, is performed on average in an interval between 1 to 4 hours.

Is hospitalization necessary?

We recommend admission for 1 day, for the patient’s comfort, not really for medical requirements, but during the first 24 hours it is not recommended to lie on your back. Sometimes we recommend 2 or 3 days on buttock lifts.

What are gluteal implants and what type of prosthesis are there?

Gluteal implants are synthetic elements that improve or correct the shape of the buttocks when they are inserted. There are different types of gluteal implants, of different volumes and dimensions. Buttock implants are made of a silicone elastomer shell that is also filled with silicone, usually round or oval in shape, with a textured or smooth surface. Very similar to breast prostheses, but more consistent.

When to think about liposuction of the buttocks? Or lipolaser?

Lipolaser, vaserlipo and liposculpture are synonymous. The 3 techniques allow the fat cells (adipocytes) to be extracted from the areas we wish to contour in order to obtain the buttocks we desire. Normally you want to eliminate cellulite, flaccidity and leave a smoother buttocks, like a gym.

When should I think about a butt lift?

When excess skin caused by a significant flaccidity cannot be retracted by another procedure such as lipolaser, a butt lift allows the buttocks to be tightened and elevated to the ideal height.

When are threads useful in buttocks?

When we are in front of a buttock, whether a man or a woman, who is smooth and young, well formed but fallen we can elevate it by means of tension threads, without the need to go through a prosthesis surgery or gluteal lifting. It is a good option to elevate those sagging buttocks, but not flaccid or with excess skin.

How are threads made in the buttocks?

They are introduced through local anesthesia or sedation through special needles that already come with the tensioning threads. These needles are passed from the intergluteal fold, i.e., above the line separating the two buttocks to each side. We usually pass from 4 to 8 threads on each side, depending on the size or elevation we want to do. Once the threads have been passed, we do not tighten them, but leave them under the skin for about 3 or 4 months. After this time we recommend stretching them and re-tensioning them. We place local anesthesia in the upper intergluteal area where we have left the ends of all the threads and from there we re-tension them again.

What can I expect after surgery?

After surgery, the patient may feel somewhat uncomfortable with mild pain. This discomfort is controlled by the use of analgesics and anti-inflammatories. The bandage along with the drains will be left in place for the first 24 hours and swelling may persist for some time. It is necessary to lie on your stomach for the first 24 hours, and then gradually resume normal activities. We advise according to each technique, the postoperative can be from 24h to 1 or 2 weeks. Then lean on the sides at bedtime until the swelling gradually subsides.


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