---
title: "Gluteal Auto-Augmentation in Istanbul, Turkey | Buttock Lift with Your Own Tissue - Doç. Dr. Ozan Balık"
description: "Gluteal auto-augmentation: lifting and reshaping sagging buttocks with your own tissue; who it may suit, how it differs from BBL and implants, recovery, scar."
url: "https://www.ozanbalik.com/en/gluteal-auto-augmentation-istanbul-turkey/"
language: en
---

Plastic Surgery

# Gluteal Auto-Augmentation: Is It Possible to Lift and Shape Your Sagging Buttocks with Your Own Tissue?

Gluteal auto-augmentation: lifting and reshaping sagging buttocks with your own tissue; who it may suit, how it differs from BBL and implants, recovery, scar.

**What you need to know about buttock lifts, buttock aesthetics and gaining buttock volume with your own tissue | Istanbul, Türkiye**

Are your buttocks not as lifted as they used to be?

The upper part may have flattened, the lower part may have sagged, or they may have lost that round look you want when you wear trousers.

Maybe you lost weight. Maybe your body changed over the years. Or maybe the buttock shape you were born with was never quite what you wanted.

So, to make your buttocks more lifted and fuller, is it always necessary to inject fat from outside or use a silicone implant?

**Actually, not always.**

Sometimes it may be possible to change the appearance of your buttocks by reshaping tissues that are already in your body but have shifted downwards over time.

This is the core idea of the surgical approach called Gluteal Auto-Augmentation.

The aim of this method is not only to lift sagging buttocks, but, in suitable patients, to help the buttocks gain a fuller, more oval and more aesthetic appearance by using the person's own tissues.

In a sense, then, the aim is to change the shape of your buttocks by making new use of tissues already present in your body.

In this article, we will explain in plain language what Gluteal Auto-Augmentation surgery is, how it differs from a classic buttock lift, who it may be suitable for, and the questions you may have about buttock aesthetics.

## Why do the buttocks sag over time?

Attractive buttocks are not only a matter of size.

In fact, one of the most important features determining the aesthetic appearance of the buttocks is where the tissues are located.

Buttocks may be large, but if they have sagged downwards they may not give the expected aesthetic appearance.

By contrast, buttocks that are not very large can look quite aesthetic thanks to fullness in the upper part and a smooth transition in the lower part.

What matters here is not only volume, but the distribution of volume.

### Have you lost weight, but your buttocks don't look the way you want?

Many people face a similar situation, especially after losing a lot of weight.

The abdomen shrinks, the waist narrows, the legs look slimmer.

However, the expected change may not occur in the buttock area.

In some people, the buttocks may even start to look more sagging and flatter after weight loss.

The reason is not only that fat tissue decreases as you lose weight, but also that the skin cannot adapt to its former volume.

Imagine that the air inside a balloon is decreasing.

The balloon shrinks, but its surface may not shrink to the same degree.

The skin on our body is also a structure that can stretch and recover to a certain extent.

However, especially after a large amount of weight loss, the skin may not return fully to its former shape.

As a result, excess skin may form in the lower part of the buttocks while volume loss occurs in the upper part.

The result?

The buttocks may have lengthened downwards, the upper part may have flattened, and the overall shape may have changed.

### How does ageing change the shape of the buttocks?

Over the years, the elasticity of our skin changes.

Skin that is firmer at a young age can lose its elasticity over time.

This change does not occur only in our face.

Similar effects can be seen in the abdomen, arms, thighs and buttock area.

With ageing, in the buttock area:

-   Fullness in the upper section may decrease.
-   Excess skin may form in the lower section.
-   Changes may occur that make the buttocks look longer and lower.
-   The transition between the buttocks and the thighs may become indistinct.

These changes differ from person to person.

In some people the effect of ageing is very pronounced, while in others milder changes are seen.

What matters here is correctly understanding why the buttocks have lost their former shape.

Because the treatment of buttock sagging does not consist only of enlarging the buttocks.

### Why do your buttocks look flat on top and sagging below?

One of the most common problems in buttock aesthetics is the combination of volume loss in the upper section and excess skin in the lower section.

These two changes can make each other more noticeable.

When fullness decreases in the upper section, the buttocks look flatter.

When excess skin increases in the lower section, the buttocks take on a longer and more sagging appearance.

In this situation, simply enlarging the buttocks may not solve the sagging problem.

Likewise, simply removing the sagging skin does not fully eliminate the volume loss in the upper section.

This is why, in buttock aesthetics, it is sometimes necessary to address two different problems together:

**Lifting the buttocks and rebuilding the shape of the buttocks.**

The purpose of the Gluteal Auto-Augmentation approach is to consider these two goals together in suitable patients.

## What is Gluteal Auto-Augmentation?

Gluteal Auto-Augmentation is a surgical approach used to lift and shape the buttocks by making new use of a suitable portion of the sagging tissues in the buttock area.

Let's unpack the name a little.

**Gluteal:** Relating to the buttock area.

**Auto:** Using the person's own tissue.

**Augmentation:** Adding volume or enlarging.

Together, these three concepts express the idea of adding volume to the buttock area using the person's own tissues.

However, there is an important detail here.

The aim of this operation is not to add new tissue from outside.

In suitable patients, a portion of the tissues in the lower part of the buttocks that contribute to the sagging is preserved and repositioned.

In this way, rather than these tissues remaining only a cause of sagging, the aim is for them to contribute to reshaping the buttocks.

[YouTube video](https://www.youtube.com/watch?v=u0jHbLv0ssg)

*Buttock Aesthetics with Gluteal Auto-Augmentation | No Fat Injection | No Buttock Implant*

### So, what is done during the operation?

Let's think of this in quite a simple way.

Suppose there is excess skin and soft tissue in the lower part of your buttocks.

A portion of these tissues has sagged downwards.

In classic buttock lift surgery, the basic approach is to remove the excess tissue and position the remaining tissues higher up.

In the Gluteal Auto-Augmentation approach, however, in suitable patients a portion of this tissue is preserved and used to reshape the buttocks.

So the tissue is not regarded only as an excess to be removed.

It is also thought of as a resource that can contribute to the buttocks looking fuller.

In this way, along with lifting the buttocks, the aim is to improve the contour by making use of the redistribution of existing tissues.

The goal here is not only for the buttocks to be moved upwards, but for them to gain a more balanced shape.

### What does using your buttocks' own tissue mean?

The tissues in our body do not only create volume where they are located.

The skin and the soft tissues beneath it can be reshaped under suitable surgical conditions.

For example, in tummy tuck surgery, the abdomen can be made flatter by removing excess abdominal skin.

In arm lift surgery, the contour of the arm can be improved by removing excess skin.

A similar logic applies in buttock aesthetics.

However, what matters in the Gluteal Auto-Augmentation approach is that, in suitable patients, a portion of the excess tissue is used to create the new shape of the buttocks.

In this way, the aim is to make use of the person's existing anatomy.

**In short, it is a method that aims, under suitable conditions, to use a portion of the excess tissue in your buttocks to create their new shape, rather than simply removing it.**

## Buttock lift surgery or buttock enlargement surgery?

Actually, the answer to this question depends on what problem your buttocks have.

Because not everyone who wants buttock aesthetics has the same need.

Some people think their buttocks are small.

Some say their buttocks are not lifted enough.

Others report that the upper part of their buttocks is flat and the lower part has sagged.

These differences determine which operation will be more suitable.

### 1\. If the buttocks are small but there is no sagging

Your buttocks may have little volume, yet you may not have excess skin.

In this case, the main goal is to increase the volume of the buttocks and create more noticeable projection.

BBL, that is, Brazilian Butt Lift, is one of the methods used for this purpose.

In BBL surgery, fat tissue taken from other areas of the body is generally transferred to the buttocks.

However, the person must have sufficient fat tissue and the operation must be able to be performed safely.

A buttock implant may also be considered in some patients.

What matters here is understanding whether the buttocks truly look small because of a lack of volume, or whether their shape has changed because of sagging.

### 2\. If your buttocks are large but have sagged

Some people are happy with the size of their buttocks.

However, the lower part of the buttocks has sagged.

These people do not want larger buttocks.

On the contrary, they want their buttocks to look higher and smoother.

In this case, the main problem is not a lack of volume, but the downward displacement of the tissues.

Classic buttock lift surgery may be considered in these patients.

However, if there is also marked volume loss in the upper section of the buttocks, a different approach may be needed.

### 3\. If your buttocks have both sagged and flattened on top

This is the patient group in whom the Gluteal Auto-Augmentation approach may especially be considered.

In these patients, there may be excess skin and soft tissue in the lower section of the buttocks.

At the same time, loss of fullness has occurred in the upper section.

In other words, there is an excess in one area of the buttocks and a deficit in another.

For this reason, removing only the excess skin or adding only volume may not be enough.

In the Gluteal Auto-Augmentation approach, in suitable patients, the aim is both lifting and shaping by repositioning the existing tissues.

The goal here is not for the buttocks to be larger, but for them to look more balanced.

## What is the difference between Gluteal Auto-Augmentation and BBL?

While researching buttock aesthetics, you may often have come across the term BBL.

BBL is the abbreviation for Brazilian Butt Lift surgery.

This method is known especially among people who want to increase buttock volume.

However, Gluteal Auto-Augmentation and BBL are not the same thing.

### What is done in BBL surgery?

In BBL surgery, fat is generally taken from areas such as the abdomen, waist, back or thighs.

This fat tissue is prepared and transferred to the buttock area.

In this way, the aim is to increase the volume of the buttocks.

This procedure is an autogenous method in the sense that the person's own fat tissue is used.

However, the fat tissue has to be transferred to the buttocks.

For this reason, safety issues specific to fat injection are important in BBL surgery.

In particular, placing the fat in the wrong anatomical plane can cause serious complications.

For this reason, the safety of BBL surgery is closely linked to surgical technique and appropriate patient selection.

### What is different in Gluteal Auto-Augmentation surgery?

In the Gluteal Auto-Augmentation approach, use is made of the buttocks' own tissues.

In suitable patients, a portion of the sagging tissues in the lower section of the buttocks can be repositioned and contribute to shaping the buttocks.

In this approach, fat injection from outside is not required for the core auto-augmentation.

Therefore, the fat embolism mechanism associated with fat transfer is not present in the core auto-augmentation stage of this method.

However, this does not mean that the operation is completely risk-free.

As with any surgical procedure, wound healing, infection, bleeding and other surgical risks should also be assessed in buttock lift and shaping operations.

### Which is better?

There is no single answer to this question that applies to everyone.

Because BBL and Gluteal Auto-Augmentation are methods aimed at different needs.

If your buttocks are small but have not sagged, fat transfer may be a more suitable option.

If you have marked skin sagging in your buttocks, adding fat alone may not give the appearance you want.

If your buttocks have both sagged and lost volume in the upper section, an auto-augmentation approach may be considered.

What matters is understanding the anatomy of your buttocks before the name of the operation.

## The difference between Gluteal Auto-Augmentation and a silicone buttock implant

Buttock implants are silicone implants used to give the buttock area more noticeable volume.

They may be considered especially in patients who do not have sufficient fat tissue and want more volume.

However, using an implant requires placing a foreign material in the body.

In the Gluteal Auto-Augmentation approach, on the other hand, the person's own tissue is used in suitable patients.

However, using your own tissue does not always mean that more volume will be achieved. Sometimes it may be necessary to perform both operations at the same time or one after the other. That is why seeing the patient's expectations and carrying out an examination is extremely important.

The amount and anatomical characteristics of the existing tissue limit the result that can be achieved.

For this reason, when deciding between an implant and auto-augmentation, the volume the patient wants and their existing anatomy should be assessed together.

## How much does Gluteal Auto-Augmentation surgery enlarge the buttocks?

This is one of the questions patients are most curious about.

However, there is an important detail here.

Gluteal Auto-Augmentation surgery uses the person's existing tissues.

For this reason, how much the buttocks can grow depends on the amount and anatomical characteristics of the existing tissue.

In some patients, there may be a sufficient amount of tissue in the lower part of the buttocks.

By repositioning these tissues, it may be possible for the buttocks to look fuller.

However, in some patients the amount of usable tissue is limited.

For this reason, auto-augmentation alone may not be enough for people who want a very large increase in volume.

### Bigger buttocks do not always mean more beautiful buttocks

What matters in buttock aesthetics is not only the size of the buttocks.

The proportion of the buttocks to the waist, their transition to the thighs and the fullness in their upper section also matter.

For example, if the upper part of the buttocks has flattened, enlarging only the lower part may not give the desired appearance.

Likewise, if the lower part of the buttocks has sagged, simply adding volume may not solve the sagging problem.

For this reason, the aesthetic goal is not to add the same amount of volume to every area of the buttocks.

**The real goal is for the buttocks to gain a shape that is in harmony with your body, balanced and natural.**

## Why is an oval shape important in buttock aesthetics?

The aesthetic appearance of the buttocks depends on their different areas being in harmony with one another.

The fullness in the upper section, the width of the middle section and the transition of the lower section are assessed together.

When the upper part of the buttocks is very flat, the volume in the lower section can draw more attention.

When there is excess skin in the lower section, the buttocks can look longer and more sagging.

For this reason, in buttock aesthetics not only size but also shape matters.

In the Gluteal Auto-Augmentation approach, in suitable patients, the aim is to improve the oval contour of the buttocks by repositioning the existing tissues.

However, every person's anatomy is different.

For this reason, the shape achieved depends on the person's existing tissues and the surgical planning.

## Who may Gluteal Auto-Augmentation surgery be suitable for?

This operation may be considered especially in patients who have buttock sagging together with volume loss.

For example:

-   People whose buttocks have sagged after losing a lot of weight.
-   People with loss of fullness in the upper part of the buttocks.
-   People with excess skin in the lower section of the buttocks.
-   People who want their buttocks to look higher and more oval.
-   Patients in whom it is thought that a classic buttock lift would not achieve a sufficient result in terms of volume.
-   People who want their buttock contour improved by making use of their own tissues.

However, having these characteristics does not mean that the operation must be performed.

Every patient's anatomy and expectations are different.

For this reason, the shape of the buttocks, skin elasticity, the amount of existing tissue and general health should be assessed before the operation.

### Can it be performed on very slim people?

The answer to this question depends on how much tissue the person has in the buttock area.

Because the Gluteal Auto-Augmentation approach uses existing tissues, a lack of sufficient tissue limits the increase in volume that can be achieved.

For this reason, in very slim people the volume provided by auto-augmentation may be more limited.

However, the degree of buttock sagging and the person's anatomy also matter.

Deciding on the basis of weight alone is not correct.

### May it be suitable for people who have lost a lot of weight?

An auto-augmentation approach may be considered especially in people who experience buttock sagging after a large amount of weight loss.

In these patients, volume loss may occur in the upper section of the buttocks while there is excess skin in the lower section.

For this reason, the goals of buttock lifting and contour correction can be addressed together.

However, it is important that the weight-loss process has been completed and that the person's general health is suitable.

### Can it be performed on people who have had buttock surgery before?

People who have previously had a buttock lift, liposuction or another body-contouring procedure may have different anatomical changes.

For this reason, previous procedures should be taken into account when planning repeat surgery.

Auto-augmentation may be possible in some patients.

In others, a different approach may be more suitable.

This decision should be made following a personal assessment.

## What kind of recovery process does Gluteal Auto-Augmentation surgery require?

The recovery process after buttock aesthetic surgery depends on the extent of the procedure performed.

Gluteal Auto-Augmentation surgery can be done as a procedure covering only the buttock area, and it can also be performed as part of more extensive body-contouring surgery.

For this reason, it is not correct to state the same recovery time for everyone.

After the operation, swelling, bruising and pain may be seen for a while.

These depend on the extent of the surgical procedure and the person's healing characteristics.

### What should you pay attention to in the first days?

After the operation, it is important to follow the recommendations of the surgical team.

Personalised recommendations are given, especially on wound healing and daily movements.

The way you sit, lie down and move may be arranged according to the extent of the operation performed.

For this reason, there is no single movement plan that applies to everyone after the operation.

### When can you return to daily life?

The time it takes to return to daily activities depends on the extent of the operation performed.

Some patients may return to their daily activities sooner, while after more extensive procedures the recovery process may be longer.

For this reason, a personal plan should be created for returning to work, exercise and other physical activities.

### When is the result seen?

After the operation, the shape of the buttocks begins to change immediately.

However, because there may be swelling in the early period, the early appearance may not be the same as the final result.

Over time, the swelling decreases and the new shape of the tissues becomes more noticeable.

This process varies from person to person.

For this reason, to assess the result of the operation, you should wait for the recovery process to be completed.

## Is Gluteal Auto-Augmentation surgery safe?

When talking about buttock aesthetics, it is necessary to assess not only the aesthetic result but also safety.

One of the important features of the Gluteal Auto-Augmentation approach is that, in suitable patients, the existing tissues are reshaped without free fat injection into the buttocks from outside.

For this reason, the fat embolism mechanism associated with fat injection is not present in the core auto-augmentation stage of the method.

However, **this does not mean that the operation is completely risk-free.**

In buttock lift and shaping operations, wound healing, infection, bleeding, scar formation and other surgical risks may arise.

For this reason, general health should be assessed before the operation.

In addition, where the operation will be performed, the anaesthesia conditions and the post-operative follow-up plan are important.

Patients need to know the limits of the operation as well as its advantages.

## Does Gluteal Auto-Augmentation surgery leave a scar?

In buttock lift operations, a surgical scar forms because excess skin is removed.

For this reason, Gluteal Auto-Augmentation surgery is not a scarless method of buttock aesthetics.

The position of the scar may vary according to the surgical approach used and the patient's anatomy.

Before the operation, where the scars will be and how they may look should be discussed with the patient.

Scars can change over time.

However, it cannot be guaranteed that they will become completely invisible.

What matters here is that the surgical procedure needed to lift and shape the buttocks is planned in a way that suits the patient's anatomy.

Once a good result has been achieved, no patient gets hung up on the scar from this operation.

## Is the result of Gluteal Auto-Augmentation permanent?

The shape achieved after the operation can be maintained for a long time.

However, the appearance of the buttocks can change over time.

Weight gain and loss, ageing and changes in skin elasticity in particular can affect the result.

For this reason, it cannot be said that the operation will provide the same appearance for life.

The success of the operation should be assessed not only by the appearance in the first months, but together with the person's long-term anatomical changes.

## Gluteal Auto-Augmentation surgery in Istanbul

Istanbul is one of the important centres for aesthetic surgery in Türkiye and internationally.

It is important for patients considering Istanbul for buttock aesthetics to research the surgeon's experience and the post-operative follow-up process as well as the type of operation.

In personalised surgical approaches such as Gluteal Auto-Augmentation, correct assessment of the patient's anatomy is especially important.

Because not all buttock sagging is the same.

In some patients, a classic buttock lift may be sufficient.

In some patients, fat transfer may be considered.

In other patients, reshaping the buttocks by making use of the person's own tissues may be suitable.

For this reason, a personal assessment should be carried out before the operation.

### If you are thinking of having buttock aesthetics in Istanbul

Before deciding on surgery, it will be useful to find out the answers to these questions:

-   Is the main problem with my buttocks sagging or volume loss?
-   Could a classic buttock lift be sufficient for me?
-   Is shaping my buttocks with my own tissues possible?
-   Is BBL or an implant suitable for my anatomy?
-   What will the post-operative recovery process be like?
-   Where will the surgical scars be?
-   What are the possible risks of the operation?
-   How will post-operative follow-up be carried out?

The answers to these questions can help you make a more informed decision.

## Frequently Asked Questions About Gluteal Auto-Augmentation

### What is Gluteal Auto-Augmentation?

Gluteal Auto-Augmentation is a surgical approach that aims to lift and shape the buttocks by repositioning suitable tissues in the person's own buttock area.

It may be considered especially in patients who have both buttock sagging and volume loss.

### Does Gluteal Auto-Augmentation enlarge the buttocks?

In suitable patients, the aim may be for the buttocks to look fuller by repositioning the existing tissues.

However, the volume achieved depends on the person's existing tissues.

### Is fat injection performed in Gluteal Auto-Augmentation surgery?

In the core auto-augmentation stage of this method, free fat injection from outside is not required.

The aim is to improve the buttock contour by reshaping the person's existing tissues.

### What is the difference between Gluteal Auto-Augmentation and BBL?

In BBL surgery, fat taken from other areas of the body is generally transferred to the buttocks.

In the Gluteal Auto-Augmentation approach, on the other hand, the buttocks' own tissues are repositioned.

For this reason, the two methods have different surgical principles.

### What is the difference between Gluteal Auto-Augmentation and a classic buttock lift?

In classic buttock lift surgery, the main aim is to remove excess skin and lift the buttocks.

In the Gluteal Auto-Augmentation approach, on the other hand, in suitable patients a portion of the existing tissues is preserved, and shaping the buttocks and adding volume are also aimed for.

### Who is Gluteal Auto-Augmentation surgery suitable for?

It may be considered especially in patients who have buttock sagging together with volume loss and who have sufficient tissue for auto-augmentation.

However, suitability should be determined following a plastic surgery examination.

### Does Gluteal Auto-Augmentation surgery leave a scar?

Yes.

In buttock lift operations, a surgical scar forms because skin is removed.

The position and visibility of the scar depend on the method used and the patient's anatomy.

Ultimately, as with every operation, in this operation too, as long as the scar is aesthetically acceptable, almost no patient gets hung up on these scars. Our scar, curving on the right and on the left like a seagull-wing and extending to the buttock cleft, will be extremely delicate. If you wish, there are also extremely beautiful types of tattoo that can be applied over it.

### Can Gluteal Auto-Augmentation surgery be performed in Istanbul?

A plastic surgery assessment for buttock lifting and auto-augmentation can be carried out in Istanbul.

However, which method is suitable should be determined according to the patient's anatomical characteristics and expectations.

## Conclusion: You may want to reshape your buttocks, not enlarge them

When talking about buttock aesthetics, the first thing that comes to mind is often enlarging the buttocks.

However, not every buttock aesthetics patient needs bigger buttocks.

Some people want more lifted buttocks.

Some want to regain fullness in the upper section.

Others want to correct the sagging that has appeared after weight loss.

For this reason, the most important issue in buttock aesthetics is correctly understanding the person's anatomy.

The Gluteal Auto-Augmentation approach may be considered in suitable patients for the purpose of lifting the buttocks and reshaping them by making use of the person's own tissues.

In this method, a portion of the suitable tissues in the lower section of the buttocks is preserved and repositioned.

In this way, the aim is for the buttocks to look higher, more oval and more balanced.

The absence of free fat injection from outside is one of the important features of this method.

However, the operation has general risks and anatomical limits.

For this reason, it is not possible to achieve the same result in every patient.

**Remember: Your buttocks do not have to be very large in order to look beautiful. Sometimes what you need is for your existing tissues to be reshaped in the right way.**

Gluteal Auto-Augmentation is one of the surgical options that may be considered for this purpose.

## Buttock aesthetics assessment with Doç. Dr. Ozan Balık

If you are experiencing problems such as buttock sagging, volume loss or dissatisfaction with the shape of your buttocks, a personal assessment can be carried out to find out which surgical approach is suitable for you.

Which of Gluteal Auto-Augmentation, classic buttock lift, BBL and other buttock aesthetics options is suitable for your anatomical structure is determined following an examination.

This article has been prepared for general information purposes. Surgical methods and results may vary according to personal anatomical characteristics. The decision to have surgery should be made following a plastic surgery examination and a personal health assessment.

### Related Pages

-   [Buttock Aesthetics (Buttock Augmentation)](https://www.ozanbalik.com/en/buttock-augmentation-istanbul-turkey/)
-   [BBL Turkey: Patient Guide](https://www.ozanbalik.com/en/bbl-turkey-guide/)

*Medically reviewed by Assoc. Prof. Dr. Ozan Balık. Last updated: 6 November 2026*

The information on this page is for general information only; always consult your doctor for diagnosis and treatment.

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## Contact

- Doç. Dr. Ozan Balık (Assoc. Prof. Dr. Ozan Balık), Plastic, Reconstructive and Aesthetic Surgery
- Address: Levent Mahallesi Çilekli Caddesi No:10, Beşiktaş / İstanbul, Türkiye
- Phone: +90 532 609 08 73 · +90 212 215 53 33 · WhatsApp: https://wa.me/905326090873
- Email: info@ozanbalik.com
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*The information on this page is general information; an examination is required for diagnosis and treatment.*