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Enhancing your shape doesn’t have to mean implants or exaggerated proportions. With fat grafting for buttock augmentation, Dr. Rami Sherif uses your own body’s natural tissue to deliver volume where you want it—and refine areas where you don’t. The result is a soft, harmonious contour that feels like it’s always been yours. Most critically, Dr. Sherif ensures that this procedure is safe and follows the strict guidelines of the American Society of Plastic Surgeons, utilizing the most up to date techniques under continuous ultrasound guidance in the operating room to ensure the highest level of patient safety. 

QUICK FACTS

This two-in-one approach enhances volume while slimming other areas, delivering elegant contouring from every angle.

  • Surgery Time 2–3 hours
  • Recovery Downtime 7–10 days off work; avoid sitting directly for 6 weeks
  • Anesthesia General
  • Visible Results Initial swelling subsides in 3 weeks; final volume stabilizes by 3–6 months

Why consider buttock augmentation?

  • Create fuller, lifted buttocks without implants

  • Use your own fat for a soft, natural feel

  • Improve hip-to-waist ratio and lower body balance

  • Slim donor areas like abdomen, flanks, or thighs in the process

  • Achieve curves that complement your natural silhouette

Am I a candidate?

You may be an ideal candidate if:

  • You desire buttock enhancement with natural-looking results

  • You have sufficient fat in other areas for harvesting

  • You’re in good overall health and a non-smoker

  • You’re able to follow a strict limited sitting post-op protocol

  • You want a long-term solution without synthetic implants

Recovery Timeline

Dr. Sherif provides custom garment fitting, sitting and sleeping guidance, and post-op fat preservation tips to protect your results.

  • Day 1–3

    Soreness and swelling in liposuction areas; avoid sitting directly on buttocks. Use a special pillow or lie on stomach.

  • Day 4–7

    Bruising begins to fade

  • Week 2–3

    swelling continues to decrease; fat begins to “settle.”

  • Week 4–6

    Return to moderate activity; seated pressure gradually reintroduced.

  • Month 3–6

    Final shape and softness are visible; continued contour smoothing.

Dr. Sherif's Approach

Dr. Sherif combines surgical precision with sculptural instinct. His approach focuses not just on the buttocks, but on the surrounding frame—removing excess fat from the waist, flanks, or thighs to create a seamless, proportional result. Injecting fat into the buttocks is just one part, but framing the result by contouring the surrounding structures is the critical finesse maneuver.  Every step, from harvesting to injection, is done with the utmost care to preserve fat viability and minimize bruising or swelling.

 

Key elements of his method include:

  • Smooth liposuction avoiding contour irregularities

  • Ultrasound guided injection for smooth, even volume distribution with added safety

  • 360° contour planning to ensure harmony between waist, hips, and buttocks

  • No-drain technique and compression planning for optimal healing

Questions about appointments

Here are answers to common inquiries to help you feel fully prepared.

You can schedule an appointment with Dr. Rami Sherif by calling (214) 723-6709, visiting our consultation page, or by emailing our office at drsherifoffice@dpsi.org. One of our office representatives will answer your inquiry within 24-48 hours and get you scheduled to see Dr. Sherif!

Dr. Sherif will learn about your goals and desires. After obtaining a detailed health history, Dr. Sherif will perform a physical exam to determine the best approach for you.

Typically, 50–70% of the fat “takes” permanently. Dr. Sherif uses refined techniques to optimize survival and avoid overfilling.

No—unless requested, Dr. Sherif’s approach leans natural and balanced. Subtle shaping and smoothing are often more flattering than excessive volume.

While both methods have risks, fat grafting uses your body’s own tissue and avoids foreign materials. Proper surgical technique and patient selection are key to safety.

Fat that survives the first 3 months is permanent. Weight fluctuations can affect overall size, but the shape remains stable.

Yes—fat grafting can be integrated into many body contouring procedures, and Dr. Sherif can design a combination plan based on your goals.

In the past, fat grafting to the buttock was performed in an imprecise way that unfortunately led to patient fatalities and other complications. Over the past 10 years, an enormous amount of research and guidelines has come out to guide surgeons. We have learned that injecting the fat precisely above the muscle is safe and substantially reduces risk to the patient. This is why Dr. Sherif performs the entire procedure under ultrasound guidance, which ensures that fat is going only where we want it and the patient remains safe.