Gluteal Augmentation

Female patient in her 20s underwent awake gluteal implant surgery to augment the size, shape, and projection of her buttocks using silicone implants. While some patients may opt for a Brazilian Butt Lift (BBL) or fat transfer for gluteal augmentation, there is a possibility of fat absorption over time and unpredictable long-term volume. Buttock implants provide a permanent solution for increasing gluteal volume. In addition, for thinner or slimmer patients with limited fat available, buttock implants are often a better option.

The procedure was performed entirely under local anesthesia (without general anesthesia or IV sedation). The patient remained fully awake during the procedure and was able to comfortably lie down and converse with Dr. Kim during the surgery.

Dr. Kim’s awake surgical approach avoids the adverse effects of general anesthesia, such as life-threatening blood clots, and the cognitive decline and memory issues linked to both general anesthesia and IV sedation. His technique allows for precise, tailored implant placement and a more sculpted silhouette that complements the patient’s frame.

The patient attained natural-looking results safely and effectively with Dr. Kim’s awake surgery. This case demonstrates that awake gluteal augmentation surgery using only local anesthesia is not only possible, but also safer and delivers fuller, well-contoured results.