Buttock Implants in Brazil – Gluteal Augmentation with Dr. André Ahmed
Dr. André Ahmed · Plastic Surgeon · Member of the Brazilian Society of Plastic Surgery (SBCP) · CRM-RJ 52.82165-9 · RQE 20170 · CRM-SP 225.240 · RQE 106399
Reviewed by Dr. André Ahmed, plastic surgeon, in November 2026.
Short answer: Dr. André Ahmed has dedicated 15 years to gluteal augmentation with implants, with more than 2,000 cases. Gluteal augmentation with implants (gluteoplasty) is plastic surgery that increases the volume and projection of the buttocks with a silicone implant made specifically for this area. Dr. André Ahmed uses an oval implant placed inside the gluteus maximus muscle (intramuscular plane), through an incision hidden in the natural fold between the buttocks. The surgery is done under general anesthesia, takes about 2 hours, and requires a hospital stay of about 12 hours. Most patients return to their routine in 3 weeks to 1 month.
What are buttock implants?
Buttock implants, also called gluteal implants or butt implants, are solid implants made of cohesive silicone gel, firmer than breast implants and designed for the gluteal region. They are approved by ANVISA, the Brazilian health regulatory agency, certified by INMETRO, and developed on a scientific basis with extensive resistance testing.
A silicone buttock implant is not the same as an injection of industrial silicone or of fillers such as PMMA. Injections of non-absorbable substances are unsafe and can severely damage the buttocks. Gluteal augmentation with implants is a surgical procedure performed in a hospital by a plastic surgeon.
Why the oval implant, inside the muscle?
“For many years I have used only oval implants. It is a preference built on years of practice and on observing my patients’ results and satisfaction. In my experience, because it is elongated, the oval implant fills the whole length of the buttock, from top to bottom, lifts the buttock without concentrating the volume in a single point, and is less likely to change position.” – Dr. André Ahmed
Placing the implant inside the gluteus maximus muscle keeps it protected and covered, which helps the result look and feel natural. In most cases, the implant is not noticeable; larger implants may be a little more perceptible.
How is the surgery?
- General anesthesia, with an anesthesiologist.
- About 2 hours of surgery (longer when combined with liposuction) and about 12 hours in hospital.
- Incision in the natural fold between the buttocks, where the scar stays hidden.
- A drain is used in many cases.
- The only procedure combined with buttock implants is liposuction (for example, of the flanks), with or without fat grafting.
Recovery
- Compression garment for 1 month.
- For the first 2 weeks: sleep face down or on your side, and sit with your weight on the back of your thighs.
- Walking from the first days.
- Back to routine in 3 weeks to 1 month.
- Gym: upper body after 3 weeks; leg machines after 6 weeks; glute exercises from 2 months, starting with light weights.
- Stitches are removed after about 3 weeks; the scar matures over 12 months.
How long do buttock implants last?
“The gluteal implant gives a lifelong result: it does not need to be replaced from time to time. A replacement only happens in exceptional circumstances or if the patient wishes.” – Dr. André Ahmed
Imaging exams are not mandatory; if the patient wants follow-up, an MRI after about 5 years is enough.
How to choose your surgeon
Gluteal augmentation with implants requires a specific technique: the implant must be placed in the correct plane, inside the gluteus maximus, and with a size suited to your body. Choose a plastic surgeon registered with the Brazilian Medical Council (CRM) with a specialist registration in plastic surgery (RQE) – you can check both on the CFM website – who is a member of the Brazilian Society of Plastic Surgery (SBCP) and has experience, skill and dedication to this procedure.
Frequently asked questions
Are buttock implants the same as a Brazilian Butt Lift (BBL)?
No. A BBL is fat grafting: fat is removed by liposuction and injected into the buttocks, and part of it (around half) is absorbed by the body. Buttock implants are silicone implants placed inside the muscle, with a predictable volume that does not depend on the amount of fat the patient has. The two can be combined (hybrid gluteoplasty).
Are silicone buttock implants the same as industrial silicone injections?
No. A buttock implant is a solid implant made of cohesive silicone gel, approved by ANVISA, placed surgically in a hospital by a plastic surgeon. Because the silicone stays contained within the implant, it does not spread through the body.
Industrial silicone is a liquid, non-medical product that is drawn into a syringe and injected with a needle into the buttocks, where it mixes with the tissues. Its use in cosmetic procedures is prohibited in Brazil by ANVISA, and it is usually injected by people who are not doctors, often presented as a “filler”. Because it is a toxic product applied without proper conditions, it can cause inflammation, infection, lumps and deformities, and it can migrate over time. These problems may appear right away or years later.
Dr. André has treated patients in this situation. Usually, a first surgery is needed to remove as much of the product as possible, since it infiltrates the tissues, and only then can an implant be placed, with an interval that may be around 6 months.
Can thin patients have buttock implants?
Yes. Because the volume comes from the implant, buttock implants are an option even for patients who do not have enough fat for a BBL. Eligibility is confirmed at the consultation.
Is the surgery painful?
Discomfort is concentrated in the first 48 hours and is well controlled with medication. Many patients report little pain.
When can I fly home?
Usually around 15 days after surgery, preferably 3 weeks, after evaluation by Dr. André. See the International Patients page.
How much do buttock implants cost in Brazil?
Brazilian medical rules do not allow surgeons to publish prices. The cost has three parts – the medical team, the implant and the hospital – and a personalized quote is given after the consultation.
Coming from abroad? See International Patients. Compare: Buttock Implants vs BBL. Portuguese version: Gluteoplastia com prótese.
Book via WhatsApp
Team hours: Monday to Friday, 10 a.m. to 5 p.m. (Brasília time).
