Abdominal Liposuction to Harvest Body Fat for Natural Buttock Enhancement*

Our patient is a 42-year-old White male who weighed 163 lbs at the time of surgery and was ready for the next step in his customized buttock augmentation plan after open silicone removal.  He had already undergone a posterior body lift for silicone removal and waited four months to allow his tissues to recover and stabilize, and he was symptom-free from silicone before moving forward.  Because he was dissatisfied with buttock shape but needed a safe, natural source of volume, Dr. Timothy Katzen recommended an abdominal liposuction as the cornerstone of this stage: not only to sculpt the abdomen, but also to harvest the fat needed for a fat transplant to the buttocks.  Under general anesthesia, Dr. Katzen began with a detailed assessment of the abdomen to map out where fat removal would create the smoothest, most athletic contour while keeping the results natural.  Abdominal liposuction is far more than “suctioning fat” because the technique must be controlled and even to avoid bumps, dents, or irregular shadows.  Dr. Katzen used tiny, discreet access points and a thin cannula to gently loosen and remove targeted fat in a precise pattern, focusing on improving the abdominal profile and the waistline while maintaining balanced transitions.  This careful approach helps define the midsection without making the abdomen look overly hollow or uneven, which is especially important in male body contouring.  Throughout the liposuction step, the goal is to remove fat strategically, refine proportion, and create a smoother silhouette that looks consistent from multiple angles.  Just as important, the fat removed during abdominal liposuction can be repurposed for fat grafting.  The harvested fat was collected in a sterile system and then processed and purified to separate healthy fat cells from excess fluid and oil.  This purification step matters because it helps prepare high-quality fat for transfer and supports better fat survival after grafting.  Only once the abdominal liposuction harvest and preparation were complete did Dr. Katzen proceed with the buttock fat transfer portion of the plan, using the patient’s own purified fat to rebuild shape and improve contour without implants.  These photos were taken one week after surgery, and even at this early stage, our patient shows remarkable changes: a visibly more sculpted abdomen and improved overall balance that supports the buttock augmentation goal.  Swelling is expected early on, and the contour typically continues to sharpen as healing progresses.  With proper aftercare, including compression as directed, walking to support circulation, and limiting direct pressure when recommended, the abdominal liposuction results and the harvested-fat transfer can continue to settle into a smoother, more refined outcome over the coming weeks.