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Buttock enhancement can take several forms. At Ranch & Coast Plastic Surgery in San Diego, our surgeons offer different techniques so their patients can benefit from the correct procedure. If you feel your butt requires some enhancement or perhaps simply a lift, please contact our practice to schedule a private consultation. Learn more about the different buttock enhancement procedures below.

Brazilian Butt Lift Procedure

Those patients with a little extra hip roll fat and a flat buttock do best with liposuction and fat transplantation to the buttocks. This is the typical “Brazilian butt lift.” Adding volume to the buttocks normally gives a perkier buttock, and it definitely lifts the buttock as well. The typical amount of fat we utilize is between 250cc and 600cc. The area around the buttock is also sculpted with liposuction, which adds to the effect.

Dr. Francis inspecting patients buttocks

The Del Mar Butt Tuck (Infragluteal Thigh Lift) Procedure

There are those patients who, despite working out and eating a healthy diet, have a hanging or droop to the lower buttock. These patients are the best candidates for an infra-gluteal butt lift which is termed the “San Diego Butt Tuck.” This procedure involves removing a wedge of redundant lower buttock skin and tissue which recontours the lower buttock. The incision is in the lower buttock crease and is inconspicuous.

Thong Lift Procedure in San Diego

A relatively new and unique procedure that is now being performed at Ranch and Coast Plastic Surgery is called a “Thong Lift.” The thong lift is performed by placing small incisions along the inner portion of the buttock crease and then carrying those along the bottom of the buttock to remove skin and fat. This has the effect of making a square buttock look much rounder, especially in the inferior pole of the buttock.

This is a uniquely effective operation for creating a youthful-appearing lower part of the buttock in those patients whose buttocks appear boxy due to sagging lower pole. Our team has performed more of these types of procedures than anyone in the Southern California area.

Buttock Enhancement with Implants

Typically, those patients with a flat buttock and very little fat are the best candidates for our San Diego buttock augmentation with a solid silicone implant placed intra-muscularity in the gluteus maximus muscle. Buttocks augmentation with implants is performed through a vertical incision that is placed between the buttocks cheeks in an area that is completely inconspicuous and not visible when healed.

When you don’t like the shape of your behind, buttock enhancement with implants is a simple, safe solution to improve your body image. Even targeted exercise can’t always change the shape of certain muscle groups. The buttocks can be particularly difficult to address, especially as a person ages or has fluctuated in weight.

Our San Diego buttock enhancement, like breast augmentation, is undertaken with an experienced plastic surgeon adding implants to create shape and volume. Gluteal augmentation can be used to change the contour of the buttocks and provide the patient with a more balanced figure.

Buttock Implant Revision

Fixing Her Butt Implants!

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The Surgeon for Your Buttock Enhancement

In the San Diego area, our surgical team have the experience and professionalism need to achieve your desired result. Call our office at 858.450.1555.

Dr. Chasan maintains a specialized surgical facility, where he conducts all his procedures alongside the other board-certified plastic surgeons. Elegant and soothing, the surgical suite and recovery rooms are equipped with the latest medical technology. Your procedure will be staffed by a dedicated surgical nurse and a board-certified anesthesiologist.

Close up of woman's buttocks

Our Buttock Enhancement Team Meet Dr. Cameron Francis

In addition to Dr. Chasan, Ranch & Coast is proud to present Dr. Cameron Francis as a buttock enhancement surgeon.

Dr. Francis began his medical career by earning a Bachelor of Science in molecular biology, followed by his medical degree from UC San Diego School of Medicine. He went on to complete a prestigious two-year fellowship in craniofacial and pediatric plastic surgery, after which he completed a comprehensive, six-year integrated plastic surgery residency. A leader in his field, Dr. Francis has published over 20 peer-reviewed articles, many of which are the result of original research in the field of plastic surgery. Dr. Francis proudly performs our San Diego buttock enhancement at Ranch & Coast Plastic Surgery, routinely producing stunning results that his patients love.

Before & After

What to Expect During Buttock Enhancement

Clients who are considering buttock enhancement are typically unhappy with the shape and size of their gluteal muscles. Despite all efforts with exercise, their buttocks are flat or have begun to sag. There are also occasions in which genetic factors cause an asymmetry—the two buttocks do not look the same.

For some patients, it’s simply a matter of not having enough fat tissue in the buttocks to create a rounded contour. The silicone implants used in buttock enhancement are chosen to form a perfectly proportioned silhouette.

Buttock enhancement is used to change the shape of the cheeks. If the gluteal area is too small, too flat or the buttocks are unevenly formed—this procedure is a way to change your body profile for a sexier, more self-confident look.

Our doctors also perform Brazilian butt lifts, an entirely different procedure that grafts fat cells from other areas of the body to enhance the buttocks.

Buttock Enhancement Procedure

Every surgical procedure performed by our board-certified plastic surgeons begins with a consultation to discuss your procedure. Each step of the procedure is detailed below.


During that first meeting, your surgeon will discuss how the surgery is performed and explain the size and type of gluteal implants they recommend. You will also receive pre-operative instructions.

The surgeon takes the time to answer your questions and discuss how to achieve the best possible outcomes for your particular body type. Their first concern is always for their patients and they do everything possible to facilitate the experience.

If you like, you can use the online consultation form on our website to upload pictures and provide preliminary information. We also welcome and treat patients from out of town and can help arrange your visit.

The Surgery

When you arrive for your procedure, you will be provided a gown and be prepared for surgery. A surgical nurse and a board-certified anesthesiologist are assigned to assist your plastic surgeon.

This procedure involves the use of general anesthesia—you should not plan on driving yourself home after the surgery.

Once you are properly sedated, the doctor will make a vertical incision in the crease between cheeks. This surgical practice means there will be minimal visible scarring when the procedure is complete, and you have had time to heal.

Inserting the Implants

The gluteal implants are solid silicone, so the surgeon will insert them within the gluteus maximus muscle. This approach is called intramuscular and we believe it’s proven the best long-term outcomes for patients.

If gluteal implants were placed on top of the muscle, they might be apparent through the skin and even cause sagging over time. It’s very important to work with an experienced plastic surgeon who focuses on the goals of your surgery.

Once the implants have been placed, the doctor will close the incision and you will be sent to the recovery room. Due to the location of the incision, you can be confident there will be minimal visible scars to distract from your new look.

If you’d like to set up an appointment to discuss buttock enhancement in Del Mar, just call the office at 858.450.1555.

Post-Operative Care

Any time you have surgery that requires general anesthesia, your body needs time to naturally awaken from sedation. Our patients spend approximately an hour or two resting after surgery under the supervision of a recovery nurse.

If for some reason you’d prefer to stay longer, our team is made up of some of the only plastic surgeons in the San Diego area to offer a 24-hour stay. Please feel free to inquire during your initial consultation. If you are coming from out of town, plan to stay in the area for a week.

Please make sure to wear loose, comfortable clothing to your appointment. No thong underwear or any panties that put pressure on your incisions.

You should expect swelling and some pain during the healing process. We will provide the appropriate pain management tools and medications for your recovery. It’s recommended that you plan for approximately a week of recovery, particularly if you have a job that requires you to sit.

It’s very important that you keep your incision area clean. Be careful wiping after using the toilet and follow the instructions provided by our medical team to the letter.

If you have any concerns, please don’t hesitate to discuss them at your follow-up appointment. We are always available to take calls or questions during your recovery process—just call our office.

The Outcome

The results from your buttock enhancement can be seen immediately. As the swelling goes down, the shape and contour will become more apparent—feel free to flaunt your new backside with a new pair of jeans or even a bikini! Thanks to our amazing team at Ranch & Coast, there will be minimal visible scarring.

If you’re ready to create a curvier you, give us a call at 858.450.1555 to discuss buttock enhancement surgery.

Dr. Chasan on The Wellness Hour Discussing Brazilian Butt Lifts

Randy: Brazilian Butt Lift. You’ve been doing them for quite some time.

Dr. Chasan: Yes, I have. I think Brazilian Butt Lifts are probably one of the biggest new techniques in our arsenal. Not every woman is endowed with a great butt. And it’s kind of one of those things been ignored for many years, you know? Breasts are beautiful. Butts are beautiful. And we really haven’t had the techniques until the Brazilians kind of brought it up to us. And I hate to admit it, you know, in the United States we think we’re the best at everything, but they had as on that. And that’s one place, and I spent two weeks in Brazil learning their techniques.

Randy: So, what are you doing? I mean what exactly? You’re not doing implants.

Dr. Chasan: I do implants too.

Randy: Okay.

Dr. Chasan: I do implants, I do fat transfer. If they don’t have any fat and they have a flat buttock, then I’m gonna use an implant. If they have some fat, they have to have some fat. Then I’m gonna use the fat that I get from the liposuction and implant that into their buttock. Now, up until, you know, five, six years ago when I wasn’t doing a lot of breasts…Brazilian butt lifts, I could contour around the buttock and make the buttock look a lot better.

Randy: Contour meaning with Liposuction.

Dr. Chasan: Liposuction. Right. But now I can even take that farther. I can contour around the buttock, take that fat that I have harvested and then inject it into the buttock. And now, not only do you get a butt lift and its skin is tighter, and the butt looks rounder, and more shapely, and some of the cellulite goes away. The fat has some effect that makes a whole buttock look more rejuvenated.

Randy: And I was asking earlier, what about the lumps?

Dr. Chasan: Surprisingly…

Randy: And so you’re injecting fat in there. How do you get that round?

Dr. Chasan: Yeah. So, if you blow up a balloon it’s…you know, goes from a shriveled thing to a round thing. And that’s what you’re trying to do. It’s one of those things in life that actually works better than it should. It works better than you think.

Randy: Is that right?

Dr. Chasan: Yeah. Initially, I think why we were, surgeons in this country were a little reticent to start doing Brazilian Butt Lifts is for that very fact that we thought we would inject a bunch of fat and it’s gonna die and get a lot…very lumpy. I have injected up to 900 ccs per each buttock, no lumps. No lumps. It’s all taken up. It all lives and I mean the patients are thrilled, and you don’t get a lumpy hard butt.

Randy: So, it’s subtle though for some people. You don’t have to have a big result.

Dr. Chasan: Like everything, some women want big breasts, some want subtle result. You can do a subtle result and inject maybe 200 ccs in a buttock, 400 ccs. Some women want a max result.

Randy: Is this common, this Brazilian Butt Lift?

Dr. Chasan: It is. It’s very common, especially now with Kim Kardashian and all. You know, every era has its person. Remember “Bay Watch?”

Randy: Okay, yes.

Dr. Chasan: Pamela Anderson. Now a lot of people wanted big breasts after that. Every era has their person. This person, this era, Kim Kardashian. Now, she has this tiny waist and big buttock. And a lot of women want that look. And you know what? She looks very beautiful. And in some way, like I had mentioned before, the buttock has been kind of ignored. And now it’s celebrated here in this country, and now we can do something about it. So, take a look at this photo, Randy, look at look at her waist. I tend to be very aggressive with the liposuction. So I was able to contour her waist very narrow, and then look at the difference between the proportion between her waist and her buttock. Trying to get that waist skinny and give that a proportional difference between the waist and buttock I think gives her a lot of beauty. And then look at the lower picture. See how her buttock protrudes out? It’s more round and lifted. So I think that that’s when the…like one of the most beautiful parts of a woman’s body that’s been ignored for so many years in cosmetic surgery.

Randy: And it’s so smooth. I mean it’s so smooth. And that’s all in the design?

Dr. Chasan: That’s all in the design.

Randy: The fat doesn’t get lumpy and bumpy?

Dr. Chasan: No. Surprisingly not. Surprisingly not.

Randy: Are men doing this too?

Dr. Chasan: I haven’t done any Brazilian Butt Lifts on men, but I have done buttock augmentation on men.

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