Gluteal Augmentation

When it is not possible to reshape the buttocks with fat itself, there are two alternatives: prostheses and hyaluronic acid.

Nowadays, the glutes are one of the most valued areas for both men and women when it comes to beauty and body harmony. Therefore, it is not surprising that glute enlargement is one of the latest trends that plastic surgery is having. When it is not possible to reshape the buttocks with fat itself, there are two alternatives: prosthesis and hyaluronic acid.

The alternative of developing the buttocks through physical exercise often also proves to be insufficient due to unavailability of time or otherwise. The genetics and shape of the glutes themselves also condition what can be achieved through exercise.

Gluteal augmentation with prostheses

Gluteal augmentation with prostheses is indicated to correct aesthetic imperfections, improving contour and shape, even when exercise is not enough. This type of surgical procedure is especially suitable for those who have a good overall fitness without having the necessary body fat to perform a lipofilling.

Gluteoplasty is performed in the operating room under general or epidural anesthesia in conjunction with local anesthesia. This technique is performed by placing the prostheses in the middle of the large gluteus muscle, which is one of the strongest muscles the body has. Thus, the result is more natural and harmonious because the prostheses are placed intramuscularly.

To choose the size of the prostheses, it is essential to consider the body proportion and the anatomy of each one. It’s very important, that in consultation, expectations are discussed with the plastic surgeon in order to have the best solution for your case.

Gluteoplasty requires one day of internment and has a two-week recovery during which the patient cannot drive and will have to be careful about sleeping position. Thus, the patient should adopt a sleeping position on the stomach or by his side.

Another important issue is the scar. The mark that remains is a small scar that is hidden in the so-called innerduct groove.

Gluteal augmentation with hyaluronic acid

Buttocks may be enlarged by infiltrating hyaluronic acid in them. This solution has been evolving towards the safety of the materials used and increasing the duration of the effect. The surgeon who performs the procedure has to increase the volume of the buttocks in the neediest locations, either in the central or lateral region, to make this region more balanced and harmonious with the body.

In contrast to gluteal augmentation with prosthesis or fat buttocks, this procedure is performed in a clinical setting under local anesthesia in a so-called minor surgery room.

It is a procedure is an outpatient procedure (entry and exit on the same day). It is almost a “lunch break” procedure, meaning that on a normal day a patient comes to the appointment and on the same day increases the volume of the buttocks. With a few simple precautions and without much pain, you can work the next day.

The patient is awake and the procedure can be observed by the patient as the hyaluronic acid gel is placed.

It is possible to make small volume increases as well as more significant increases without making a big difference in recovery. In general, the procedure is very fast recovery.

The swelling with hyaluronic acid is temporary, unlike the swelling with fat or silicone prostheses. It lasts 24 months on average and the marks that this procedure leaves are minimal.


Dr. Eduardo Matos Up Clinic

Dr. Eduardo Matos

Dr. Rui Lima

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Clinical case


During consultation the plastic surgeon will discuss the procedure details with the patient, in all its phases and using images of similar cases as well as leveraging patient expectations.


Dr. Eduardo Matos Up Clinic

Dr. Eduardo Matos

Dr. Rui Lima

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Gluteal augmentation with prostheses is a 1 and a half-hour surgical procedure that is performed under general anesthesia or epidural combined with local anesthesia. It is a procedure that requires 1 day of internment and a period of downtime of 2 weeks. The final results stabilize within 1 month.


1,5 horas


Anesthesia or epidural combined with local anesthesia


1 day


2 weeks


1 month

Physical activity inhibition

4 to 6 weeks

Flying inhibition

2 weeks

Driving inhibition

2 days

Sexual activity inhibition

1 month

Sun exposure inhibition

1 month