Liposuction can significantly improve both size and shape of your buttocks. Clients almost always proclaim the results excellent, as the appearance is both smoother and more symmetric.

Which technique gives the best results?

For best results we use a process that involves microcannulae, with a diameter of less than 3mm, and the tumescent liposuction techniques.

There are older techniques, which involve liposuction of the buttocks using large cannulae, but these cause lumpiness and an irregular shape – not something we aim to achieve. Larger cannulae are considered outdated, and often used by surgeons more concerned with speed than precision and finesse.

Is there a danger of having too much liposuction on the buttocks?

Yes, as it may leave a sagging appearance, and skin irregularities. The aim should be a smooth, attractive and well-proportioned appearance, not the maximal volume of fat.

As a rule of thumb, at most 40% of buttock fat should be removed by liposuction. The surgery will not lift or elevate the buttock to any appreciable degree. The weight of the buttocks can be reduced by removing fat uniformly, and the natural elastic recoil of skin may give a slight elevation.

What is the sacral fat pad?

A sacral fat pad is located on the lower back, immediately above the intergluteal crease. This is usually a result of genetics – something completely normal and a natural part of the buttocks. Whilst there is certainly nothing wrong with having a sacral fat pad, if there are aesthetic or cosmetic issues we may be able to address this with liposuction.

Should I have a horizontal crease below the buttocks?

A horizontal crease under the buttocks is regarded as a boundary between the buttocks and the back of the thighs. It is created by a meshwork of fibrous connective tissue stands called Luschka’s ligament. This connects the skin to the surface of the muscles in the buttocks.

Not everyone has this horizontal gluteal crease, and if you don’t it is not possible to create one through liposuction, as this would make the area look furrowed or even ‘scooped-out’. It would resemble a deformity, most visible when bent over and the area is stretched.

Taking away too much fat from this area can produce pain when sitting on a hard seat; the risks outweigh the benefits, and we do not recommend this procedure.