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High Definition (HD) Buttocks liposuction and cellulite surgery

English subtitled video

The High Definition (HD) Buttocks liposuction and cellulite surgery at Clínica Sanza in Barcelona consists of extracting the fat tissue accumulated in the area of the buttocks to slim them down and also improve gluteal cellulite.

The combination of conventional liposuction, lipolaser, lipovibrosuction and lipolaser with ultrasound achieves high definition results which are presented below. These techniques are the most accurate that exist now days in regards to body remodelling. 

What is fat and how is it removed forever with liposuction?

What happens to the skin that is left over once the fat has been reduced with liposuction?

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Men and women, although in women It’s more frequent, that by genetics there is a heritage of greater fatty tissue cells in the buttocks area. This is also called lipodystrophy.

We call cellulite, the orange peel looking skin or the small dimples that are also seen in the area.

Sometimes we observe the two pathologies, lipodystrophy and cellulite together.

Even with a good diet, exercise and sport, in many cases there is still no improvement or very little if any. The only solution left would be the high definition liposuction.


The procedure is based on introducing ultrasonic energy or/and laser cannulas, that eliminates the excess fat and adipose, also, it breaks down the fibrin trabeculae, which are the responsible of walling up the fatty tissue, forming cellulites.


  • From 1 to 2 hours.



  • Evaluation of the area for an accurate treatment.
  • Follow the Doctors instruction.
  • Blood tests, cardiac and respiratory tests.


  • Local and sedation, epidural or general if preferred.


  • Ambulatory or one day hospitalization


  • Wear compressive girdle 15-20 days.
  • Take medication if required.
  • Periodical revision, weekly and monthly.
  • Remove stiches if they have not reabsorbed after a week.


  • Normal sedentary life one-week post intervention.
  • Lymphatic massages to speed up recovery.
  • Exercise after 20 days approx.


  •  Non visible scaring.
  • Rejuvenated appearance.
  • Higher self esteem.


  • Simple-medium intervention.


  • Low.
  • Interventions risks: bleeding, bruising, inflammation (very rare).
  • Surgery risks: possibility of irregularities that precise a small retouch to improve.


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Whatever your case may be, do not hesitate in contacting us.

Clínica Sanza in Barcelona, Spain, quality service

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.

Frequently asked questions about lipoinjection or lipofilling​

What is lipoinjection or lipofilling treatment?

It is the treatment that fills the part of the body where we want more volume by infiltrating the fat itself.

Benefits of lipoinjection?

Lipoinjection offers the great advantage of providing autologous filler material, and therefore, allergy problems or rejections are reduced. This technique also grafts cells with great regenerative power. Currently very fashionable in rejuvenation, as they are found in fat tissue in large quantities.

How is the lipofilling procedure?

When lipoinjection is to be performed, previous liposuction is necessary to obtain the fatty tissue. It is a classic liposuction to preserve fat in the most suitable way and maintaining its properties. (LIPOLASER CANNOT BE DONE). We then process the fat and graft it to the recipient area.

Does fat affect mammography and ultrasound studies at a later date?

No. The studies can be carried out without any inconvenience. Fat is easily differentiated from other tissues. In addition, it must always be placed in the posterior plane to the mammary or subdermal tissue.

How long does this procedure take? Is hospitalization necessary?

Treatment by lipoinjection lasts approximately 2 hours and is ambulatory.  Depending on the areas to be liposuctioned, it will take longer.

Is the injected fat absorbed?

With today’s techniques, a small part can be absorbed, but not all of it. Formerly it was absorbed, but now we have developed techniques for cleaning fat cells (adipocytes) that allow their survival and obtain natural and definitive results.


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