Pregnancy, weight gain/loss and time can cause many changes in the body. Some Patients complain that they have a flat or droopy buttock and that their clothes don’t fit properly. Buttock augmentation can be an excellent means to reestablish a youthful feminine form. Though commonly referred to as a Brazilian Butt Lift, the procedure is more appropriately called autologous buttock augmentation and 360 degree liposuction. A symmetric, shapely buttock has been prized in many cultures, particularly in warmer climates, and more recently has gained increased popularity in the United States. Though the media tends to focus on very large augmentations, autologous buttock augmentation can be a very useful way to rejuvenated the waist and lower body with very minimal scarring. The procedure combines liposuction of the stomach, flanks, and back with fat grafting of the harvested fat into the hips and buttock in order to achieve a more refined waistline, increased projection of the buttock, and a smoothing of the silhouette. The fat is placed only in the subcutaneous tissue in order to ensure maximal safety of the procedure.