Model demonstrating the ideal features of youthful buttocks.

The "Ideal Buttocks"

Characteristics of an attractive buttocks
In order to create attractive, youthful buttocks, it is important that your surgeon understand the the features that are common to attractive youthful buttocks in all ethnic groups.

1. A smooth inward sweep of the lumbosacral area and waist.
2. A very feminine cleavage as the buttocks separate superiorly and inferiorly.
3. Maximum prominence in the mid to upper buttocks.
4. There should be minimal infragluteal crease, with no droop above this line.

Sacral dimples or depressions may be present or absent in attractive youthful buttocks, but are not a determinant of their beauty; rather, they are incidental.

Universal Ideals of Beautiful Buttocks
As in any cosmetic surgery, the surgeon must understand not only the patient's requests, but also any universal ideals of proportions and contours that create the impression of beauty and youth.

Ethnic distribution of our patient population.

Most cultures have different ethnic ideals of buttocks shape. Dr. Roberts learned this concept from more than 300 buttocks augmentations (275 by micro fat grafting and 25 implant cases) and the photographs they brought in as an example of ideal buttocks shape.

There does not seem to be any other area of plastic surgery other than Rhinoplasty where cultural ideals are so crucial to patient satisfaction. The American population is ethnically more diverse than most other buttocks augmentation patients.

Caucasian Patient
Caucasian A: Full, Voluptuous		Caucasian B: Trim, Athletic
Caucasian patients generally want buttocks that are full but not extremely large. Any fullness of the lateral thigh is considered objectionable. As for lateral buttocks, Caucasians fall into two groups: some prefer a full rounded lateral buttocks, wile others prefer a flat or hollow lateral buttock, which gives a more "trim" or athletic look. See before and after photos
Hispanic Patients		Asian Patients
Patients that are Hispanic or of recent Hispanic descent choose buttocks that are very full, lateral buttocks that are very full, and prefer a slight fullness in the lateral thigh. See before and after photos		Asian patients preferred buttocks that are small to moderate in size, but shapely; they do not like or request fullness in the lateral buttocks or lateral thigh. See before and after photos
African-Americans & Caribbean's of African descent
African-Americans and Caribbean's of African descent have a strong and consistent cultural ideal of very large buttocks, and several request a "shelf" (extreme prominence of the upper buttocks). The lateral buttocks must be very full. A woman with a very full, prominent trochanteric area of the lateral thighs is considered attractive by both men and women in this culture. See before and after photos