A full and curvaceous rear end is often cited as the most alluring physical characteristic in women, so it's no surprise that butt enhancement surgery is rapidly growing in popularity. While routine estrogen hormone replacement therapy and androgen blockers will increase the growth of gluteal fat, many transgender women desire a way to take it to the next level. As a leader in transgender surgery in Los Angeles, Dr. Sinclair will put his skills to use in creating the feminizing change you want to see and feel.

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Patients that have moderate to large “love pillows” (flank fat) have a reservoir of fat available for grafting into the buttocks. This procedure is commonly referred to as “Brazilian butt lift”. It is powerful because the improvement in buttock size and shape is accentuated by the decreased waist size.

The ne plus ultra of buttock augmentation uses a soft silicone implant with fat grafting to achieve a female shape. This technique allows a safe, permanent and aesthetically acceptable solution to the challenge of creating a female buttock.

In the United States hyaluronic acid or siliconized collagen can be used to increase buttock size, but the cost issues usually make this an impractical choice.

Estrogen promotes increased fat in the buttocks and thighs, while testosterone decreases fat in these areas. Hormonal therapy is the first step in making a more curvaceous female buttock. Corset training is a practical, cost effective and non-invasive way of making the buttock look larger by decreasing the waist circumference.

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Buttock Enhancement FAQ

How does Dr. Sinclair augment buttocks?

Dr. Sinclair can increase buttock size and enhance shape by transferring your fat, placing a soft silicone implant or injecting filler.

Does Dr. Sinclair inject silicone into the buttock?

No. Silicone buttock injections are essentially “illegal” in the United States.

I have heard of people doing silicone buttock injections. How is this done if this is “illegal”?

“Pumpers” inject in motels. This is often done on a first name basis with no follow up and little attention to sterile technique. You probably will not know what is really being injected and the product may not be medical grade.

Complications can occur in the short term include life ending and threatening breathing problems and infections. Even if the initial technique is uncomplicated, long term problems including recurrent infections, drainage, lumps, and skin irregularities are common. Once silicone is injected it is extremely difficult to remove and will leave the patient disfigured.

Do silicone implants have the same problems?

No. Silicone implants are a coherent soft elastomeric silicone that is placed under the gluteus muscle by an inconspicuous incision. They can easily be removed. and are often harder to detect than breast implants.

What about the “Brazilian butt lift”?

“Brazilian butt lift” is a surgery where fat is removed from the trunk (abdomen and love pillows). It is a workhorse technique because it also contours the flank giving the buttock a better curve and proportion. It is patient friendly because it has little pain and allows for a quick recovery. A problem with this technique is that many patients do not have enough fat for the desired correction. Dr. Sinclair does not recommend gaining weight to increase the fat harvest. The most dramatic results occur when the Brazilian butt lift is used in combination with a buttock implant.

Do buttock implants “leak”?

No. The type of implant used by Dr. Sinclair is a soft elastomer and cannot leak.

Is it comfortable to sit with buttock implants?

The implants are place above the sitting area of the buttock (ischial tuberosity). The patient does not sit on the implants.

How long does fat last?

Half of the fat volume is expected to last “forever”. Half of the fat volume is expected to be resorbed in the first year. Be aware of the term “fat volume”, some surgeons inject fluid along with the fat. If fat and fluid are injected together there will be a much greater amount of resorption.

Are Silicone injections actually dangerous?

YES! Injections of fillers are controversial for buttock augmentation. The use of silicone for buttock enlargement is prohibited in the United States. Not only are there disastrous complications like overwhelming infections and death from these injections, but the long term result may become progressively worse.

Patients often will have chronic infections, lumps, discoloration and pain. The injections are usually done by “pumpers” in non medical settings, using unsterile techniques with unknown substances being injected. Dr. Sinclair has treated complications from “silicone” injections and discourages this practice.

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We invite you to schedule a consultation with Dr. Sinclair to discuss how he can assist you with your transition. Consultations for elective cosmetic procedures are complimentary.

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Practice Policy Update Regarding COVID-19 View Update Virtual Consultation


Coronavirus (Covid-19) Update

Updated - June 26th 2020

The COVID-19 epidemic has created unprecedented circumstances for our community. Our practice has been paying close attention to the guidelines put in place by the government and

With this in mind, we are offering virtual consultations to patients via face time, however, face-to-face in-office consultation are still available. We are still seeing post-operative patients and patients requiring ongoing treatments. To schedule, a virtual consultation or in-office consultation call our office.

Please know that we are constantly updating our services and staffing according to the local and national recommendations and doing our part to make sure that you are protected

  • We continue to exercise all the latest recommendations that are handed down by the CDC. Our preventative measures include:
  • Fully training all staff members to understand the disease process and its modes of transmission.
  • Appointments will be staggered to avoid congestion in the waiting room.
  • Checking temperatures of every patient that comes into the office.
  • Asking all staff, vendors and ancillary personnel to refrain from coming to the office if they have any signs or symptoms of a cold or an upper respiratory tract infection.
  • Asking every patient to refrain from coming to the office if they have any symptoms and inquiring about any pertinent travel history.
  • Hand-washing, as this continues to be the most important mode of prevention.
  • Although it is something that we have always constantly done, we are now doing so with heightened vigilance and attention.
  • Constantly sanitizing all surfaces (which we have always done as an accredited facility).

However, we have now increased this routine and are wiping down all surfaces, desks, door handles, keyboards and restroom facilities multiple times each day.

Although Covid-19 is a serious issue, we strongly believe that it will pass and hopefully make our infrastructure and our ability to deal with pandemics in this country even better than it currently is. We are closely monitoring this situation on a real-time basis and will update our practice’s guidelines as needed to protect our patients.

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