**Abstract**

An attractive buttock has become more popular than ever before owing to social media and popular iconic celebrity figures. For many women today, a full, wellrounded buttock is considered attractive and has connotations of health, youthfulness, as well as sexual allure. There are a host of choices that can be used to improve buttock shape, tightness and size including non-surgical injections, implants, fat, skin removal, liposuction and various energy devices. Understanding the diagnosis is critical to formulate an ideal plan and then select the best technique. This chapter will cover the top three surgical procedures in great detail; the formal buttock lift, the Brazilian butt lift (BBL) and gluteal implants.

**Keywords:** Brazilian butt lift, buttock augmentation, gluteoplasty, butt implant, fat grafting

## **1. Introduction**

An attractive buttock has become extremely popular in the last decade thanks to social media and some popular iconic figures that make a living simply from have what many thinks of as a "nice butt." However, before the recent surg in popularity, various gluteal shaping procedure have been performed over the past half century to correct deformities and improve patient' proportions, laxity or size. Most of the procedures remain about the same but many patient's idea of what a beautiful backside should look like has changed. Still, physiologically, the buttock remains a major weight bearing anatomic unit as well as a source for moment and strength. It has been the source of inspiration by many artists. Yet, many cultures use the buttocks as the site for corporal punishment. In numerous cultures the buttock plays a significant role in sexual attraction and seduction. A full, well-rounded buttocks is considered attractive because it indicates health, youthfulness, and could indirectly be related to fertility, as a larger pelvic is considered more ideal for childbearing.

 There are a multitude of options that can be used to improve the buttock including non-surgical injections, implants, fat, excisional, liposuction and various energy devices (**Figure 1**). Understand the diagnosis helps formulate the ideal plan and selection of the best technique to give the patient a pleasing result. This chapter will cover the top three surgical procedures in great detail; the formal buttock lift, the Brazilian butt lift (BBL) and gluteal implants (**Figure 2**). Currently, more than ever, the buttock plays a significant role in physical and sexual attraction. This particular body part has gained an enormous amount of attention in social media

#### **Figure 1.**

*Enhancing the buttock can be performed via a wide variety of options. Understanding the diagnosis is critical to select the proper technique for buttock enhancement.* 

#### **Figure 2.**

*Not including filler injections, the top three surgical gluteal enhancement or 'gluteoplasty' procedures are Brazilian butt lifting (BBL), formal or skin excisional buttock lifting as well gluteal implant placement.* 

#### **Figure 3.**

 *The buttock has gained a lot of attention in social media and conventional media due to a number of Hollywood celebrities and the rising popularity of social media models who flaunt their extreme curves in the gluteal area in particular. This has caused an exponential rise in buttock cosmetic surgery procedures in the last decade.* 

and conventional media due to a number of Hollywood celebrities and the rising popularity of social media models in recent years causing a spike in gluteal enhancement operations (**Figure 3**).
