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Procedures to Treat a Flat or Small Bottom


Having a flat bottom can be frustrating – especially for women working hard via exercise to bulk up their behind. At SpaMedica, Toronto plastic surgery clinic, we offer butt lifts and implants for patients who are seeking a more rounded and fuller look. We have various options available for our patients including Brazilian butt lift.

Procedure Details

The most common procedure for flat bottom is fat grafting to the buttock, with the fat being harvested, gently, with needles under local freezing, from other body parts. The fat cells are then purified and, together with the stem cells in the fat, are re-injected into the buttock areas to create more volume, shape and contours. Other procedures include: buttock implants inserted under the muscle of the gluteal region. If there’s associated loose skin with a flat bottom the loose skin can be excised at the same time as fat grafting and buttock augmentation with a buttock lift.

What causes a flat bottom?

People with flat bottom have a relatively common condition related to weight loss or a hereditary condition. In many cases a flat bottom is a result of significant weight loss and/or age.

Weight loss may result in loss of shape and fullness of the buttocks as well as loose skin and folds. With age, there is a generalized loss of body fat, which can result in significant flattening of the buttocks. In some situations, without weight loss there can be a hereditary lack of subcutaneous tissue and fat in the buttock resulting in a small bottom with decreased shape.

If I have my flat buttocks treated will the problem recur?

Recurrence of flat buttocks which lack contour and shape after fat grafting is uncommon. However, dissipation of fat grafting can occur with time, especially if there’s subsequent significant weight loss. Repeat fat grafting of the buttocks can be performed.

Next Steps

If you are interested in seeking a consultation with Dr. Mulholland, SpaMedica Toronto and his expert team of body contouring experts, simply fill out our online consultation request form or call SpaMedica now at 877-712-8367 to schedule a consultation.

SpaMedica Cosmetic Plastic Surgery Centre and Dr. Stephen Mulholland recommend the following treatments for the flat bottom: