Approximately two years ago, my cosmetic consultant asked me to attend a training conference to learn how to perform Sculptra buttock injections. Coming from a generation where a smaller backside is more desirable than a larger one, I asked “Why would someone want a larger butt?” She quickly laughed and said, “You will see. There are lots and lots of people, women especially, who would like to have a larger butt because they never had the fortune of being blessed with this naturally, or they would like to see the shape of their butt altered to what it was in their adolescent years or in their twenties.”

I was skeptical initially, but after attending the training, I was excited and ready to start injecting using my Sculptra and my blunt tipped cannulas for minimal pain and discomfort and maximum results! Unfortunately, the gates were not opened and patients were not flooding in two years ago, but over the past 18 months, what began as a patient or two every month, has  now blossomed into a routine outpatient procedure taking approximately 20-30 minutes to perform. 

Patients are consulted initially to determine exactly what their desire buttock will look like. Once scheduled, the Sculptra product is constituted using sterile water and a small amount of lidocaine. On the day of the injection, the patient arrives and is marked while standing to ensure best results. The doctor takes special care to look at both the buttocks as well as the lateral aspect of the hip, and the banana roll beneath the buttock. All of these areas can be addressed with injectable product for a natural-appearing, augmented buttock.

The patient lies on the table and receives pinpoint injections of lidocaine to ensure complete comfort while place the blunt-tipped cannula. The product is injected in a matter of minutes and patients typically report a pain level of 1-3 out of 10 on a scale that would indicate 1 as almost imperceptible pain, and 10 as the most pain they have ever experienced. After the product has been placed, the medical assistant will massage the area for ten minutes. 

Patients are instructed to massage the treated area five times per day for the five days following the procedure. Ice is encouraged post-procedurally, but typically only is needed on the day of the procedure. Following the procedure day, it is common for patients to experience tenderness at the injection sites but Tylenol is encouraged as needed. Patients are brought back to the clinic for photos post-procedurally at one month and again at three months, which is typically the maximum point of return. The product will typically last for 1-2 years before the procedure should be repeated if patients wish to maintain their fuller butt.

If you are interested in learning more about this procedure, please contact the Dermatology Office at 214-373-7546 and ask for a complimentary consultation with one of our two consultants. Perhaps 2019 will be the year of the larger butt!