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Buttock augmentation with lipofilling

At Essential Aesthetics you will be helped in a safe,
reliable way with internationally recognized doctors

Safety & quality mark
Your safety is crucial to us. Essential Aesthetics is therefore proud to have ISO-9001 and NEN-8009 quality marks. This means that we meet international requirements for quality, safety and care. In addition, this certification emphasises the importance of the wishes of our patients and of our commitment to continuous improvement.

Your trust is the heart of our clinic
The standard of Essential Aesthetics is that the most precious asset that you place in our hands is treated with respect and dedication. Our team understands that surgery is a big step that has not only a physical, but also an emotional impact. We therefore do our utmost to support you in this as well as possible.

Excellence is our norm
The combination of international surgeons and the sharing of knowledge and experience enables us to deliver a high level of aesthetic surgery. The team of Essential Aesthetics always strives for the highest achievable and shows this through great involvement and striving for excellent results. Our surgeons have a heart for people and for everyone’s personal and natural beauty.

Unlimited pre- and post care
Essential Aesthetics is known for excellent before and after care. During the consultations we take the time to listen carefully to your questions and wishes. Our personal attention and warm approach makes you feel at home. Even after the procedure, our medical team will offer you the necessary care.

We specialize, at Essential Aesthetics, among other things, in buttock augmentation with lipofilling, using your own fat. Are you considering a buttock augmentation? Would you like rounder or fuller buttocks? This is now also possible in the Netherlands, in all safety and with long lasting results. Maybe you were not gifted with big buttocks at birth or you feel you are losing buttock volume with age. Essential Aesthetics has commissioned a team of experienced specialists to work with international physicians in developing new, safe and better treatment methods for creating perfect big buttocks.

Excellence through international cooperation

When you choose for our clinic, you choose for reliable and innovative advice. We work together with experienced Dutch surgeons, but also make use of the knowledge and skills of international specialists who have been trained abroad and are happy to share their expertise in the Netherlands. This enables us to use international techniques in a safe and efficient way. We find personal guidance very important and you will be guided by certified specialists and surgeons throughout the entire process. Come and meet our diverse and knowledgeable team that can help you get those beautiful buttocks, without risks or long trips abroad.

Are you ready for that bouncy bottom? Come and discover all our possibilities for yourself!

Butt augmentation with lipofilling

This procedure is perhaps the best known method for creating larger buttocks. Our plastic surgeons combine liposuction with lipofilling to get your buttocks in perfect shape. Multiple treatments can be carried out during surgery, to get the end to your liking. Many of our patients choose for example to combine a butt lift with improving the contours of their lower back and waist.

What happens during the surgery

We would like to give you an idea of what happens during a lipofilling procedure. The surgeon sucks fat out of the area you have determined. That fat is then filtered so that it is suitable for injecting into your buttocks. That is done in several layers for a fuller shape.

This may sound quite simple, but this procedure is quite a complex process. Fortunately, our plastic surgeons are widely experienced in performing this treatment. You will be given, should it be necessary, during the procedure, a drainage to drain off excess lymph fluid.

The whole procedure takes on average 2-5 hours and takes place under general anesthesia, which means it is also possible to improve other parts of the body during lipofilling.

Your body will obviously need to recover after the surgery. The fat cells that have been transferred to the buttocks need time to heal and develop a new blood supply. We will provide you with specialized clothing after the treatment, that puts pressure on the right places and promotes the recovery process.

Our care team is ready to help you with the preparations, the procedure and the aftercare.

The result of lipofilling

In short: nicer, rounder, fuller buttocks! Part of the injected fat will be absorbed by your body in a natural way and will disappear. To take this into account, the surgeon injects a little more fat into your buttocks. This means your buttocks will at first look a little bigger than you might have expected. The end result will be visible after 3 to 6 months. How long your new buttocks stay beautiful partly depends on the aftercare you apply. The better you follow our aftercare advice, the better the result. Your health, future pregnancies and weight fluctuations can also effect your buttocks.

Recovery after lipofilling

We will do everything we can to help your body recover as quickly as possible. You will be given a supportive compression garment immediately after surgery . This will keep your body in the desired shape and will prevent excessive swelling. Swelling usually decreases after the first week. Bruises are also normal and usually disappear after surgery. Depending on how heavy the surgery is, you may have to spend a night in hospital for observation.

In most cases, you can return to work after about a week and a half. The compression garment should still be worn, preferably under loose-fitting clothing. Keep in mind that after one week and a half, it is not yet possible to sit for a long period of time (see also the sitting protocol). You should sleep on your stomach for two weeks after the procedure, so that there is as little pressure on your buttocks as possible. After that, you may alternately sleep on your side, but not yet on your back. A normal sitting and sleeping pattern is normally possible after 6 weeks. Always consult with your surgeon to find out what applies to you.

Check up

Of course we will keep a close eye on your recovery. The first check-up takes place after 1 or 2 days. The next check-up is by appointment, about 3 weeks after the surgery.

Safety through precautionary measures

If you decide to enlarge your buttocks with body fat, we will provide you with a patient information document which you should read carefully. In addition to general advice, the doctor will provide you with advice that is specific to you and based on your health and living conditions. We summarize some points of general advice below.

Before the surgery

  • Stop smoking four weeks before surgery and do not start again for at least 2 weeks afterwards. Smoking slows wound healing and increases the risk of infection.
  • Don’t schedule the surgery during your monthly periods.
  • If you are taking Marcoumar, Sintrom/Sintrommitis, Asprocardio or similar medications, consult with your surgeon whether you can temporarily stop taking this medication, including Aspirin or painkillers with aspirin such as Advil, Diclofenac and others.
  • Do not take blood thinning medication before surgery.
  • Do not forget to arrange your transport home. You can not drive yourself after the surgery and it is forbidden.
  • Ensure you are not alone for the first few nights after the surgery and that someone is available to help you in your home for the first few days.
  • Don’t forget to give us your measurements and details for the compression garment. We recommend that you buy two pieces of clothing, this is for your own comfort and hygiene.

The day before surgery

  • If your surgery takes place later in the day, don’t eat anything 8 hours in advance.
  • Shave the part of your body that will be treated.
  • Enjoy a long shower as it will not be possible for the first 72 hours (three days) after the surgery.
  • Do you have your compression clothing already? Then take it to the operating room.
  • If you have bowel problems on the day of the surgery, the surgeon may decide to postpone the surgery.
  • Do not take a bath for the next three weeks.
  • Do not use make-up or body lotion.
  • Do not wear jewelry or watches.
  • Remove all piercings.
  • Bring comfortable clothing with zippers and elastic bands for after surgery.
  • Make sure you’re on time!

After surgery

  • Keep in mind that most patients stay overnight after the surgery.
  • In some cases it is necessary to perform lymphatic massages during the week after the surgery in order to better drain the fluid.
  • Wear your compression garment as long as the doctor advises. This is on average six weeks.
  • You can’t sit for the first two weeks.

Sitting protocol:
Week 1 – 2: patients aren’t allowed to sit at all.
Week 2 – 4: Patients are allowed to sit for 1 hour at a time with breaks of 10 minutes and only when using a special BBL seat cushion. Ask our care team about this cushion.

Keep in mind that you will not only feel pain in your buttocks, but also in the areas where liposuction has been performed. The first two weeks after the liposuction in particular are very painful. You will be given medication to alleviate the pain as much as possible.

  •  Exercise is very important. You are allowed to move again immediately after your surgery. Most patients move in a normal way after 3 to 5 days.
  • As a precaution, we give most patients a prescription for painkillers, antibiotics (7 days) and Heparin (to prevent blood clots).
  • Take good care of yourself, eat and drink enough and take extra vitamins.
  • You may work again after a week and a half, but always follow the surgeon’s advice.
  • Sports are allowed again after 6 weeks, but this depends on the type of sport, follow the surgeon’s advice.

Buttock augmentation with fillers

It is also possible to get your buttocks in a nice shape with fillers. Fillers are mainly used, in case of unevenness in the buttocks. With small injections the buttocks are (re)filled at the problem spots. This method can bring your buttocks more into shape, but is less suitable for considerable enlargements.

We are happy to take you through the procedure of a filler treatment. Our doctors treat the desired area with injectables. These injectables are filled with gel that consists mainly of bodily substances, the gel is not of animal origin as is often the case.

The shape of the buttocks is improved painlessly. The result is immediately visible and stays in place for an average of 12 months. The body slowly breaks down the injected gel during those 12 months. For a longer lasting result, you can repeat this treatment, or opt for a buttock augmentation with fat or implants.

The advantage of buttock augmentation with injectables is that you don’t have to worry about the extra worries associated with surgery. There is also no recovery period required. If you want to have more beautiful buttocks quickly and painlessly, buttock augmentation with fillers can be an option for you.

Our doctors will be happy to help you make your choice.

Buttock augmentation with implants

Many people find this an exciting procedure. Although breast augmentation with implants is quite normal nowadays, many people look oddly upon buttock implants. This is also due to fear of bad implants and the associated risks. But nowadays there are very safe implants on the market that have been specially developed for the buttocks. There is no risk of leakage with these implants. The implants feel natural and last a lifetime (provided there are no complaints). Essential Aesthetics works together with a very reliable manufacturer of high-quality implants. They have more than 30 years of experience in making implants for different parts of the body. And now they have used all their knowledge and expertise to develop good, safe and beautiful buttock implants. The silicone implants consist of a core surrounded by 8 layers of silicone. The manufacturer gives a lifetime warranty on the implants because they are of very good quality. But we need more than just implants. The technique for inserting buttock implants has also improved. Our surgeons are trained in techniques that ensure minimal scarring. The traces left after the surgery are barely visible. The chances of the implants shifting are also minimal. And it gets even better: after the surgery, you can sit again within three days!

What happens during a buttock enlargement with implants.

The pre-selected implants are inserted under general anaesthesia via two incisions on the left and right sides of the buttock fold. The scars in these areas are barely visible after the surgery. The surgeon creates space in the muscle with a spatula and then inserts the implants using a special technique (the no-touch technique). This new technique has a short recovery period of 7 to 14 days. Our international surgeons have been trained by the developer of the no-touch technique. The treatment is safe and gives better results in the long term than other methods. There are been many highly satisfied patients before you.

Hybrid technology.

The hybrid technique is a combination of buttock implants and lipofilling with body fat. This treatment offers “The best of two worlds“The implants help maintain a certain a certain volume. Lipofilling can be used to accentuate the round contours, especially on the side of the buttocks. Unevenness or differences between the buttocks can also be equalized with lipofilling. Adding extra fat also makes the buttocks feel softer. If you naturally have little fat on your buttocks, this is a good method to create extra volume.

Recovery and result of the buttock enlargement.

The result of the buttock augmentation can be seen immediately after the procedure. Swelling will have disappeared after about three months and the muscle and surrounding tissue will have adapted to the implant. Your buttocks may be more sensitive for a few weeks after the procedure. In the first few months, the two small scars will be red before discolouring the tone of your skin. After a year, they will be barely visible. Our care team will not only help you prepare for the surgery, but we will also guide you after the treatment. We will make sure that you know exactly what to expect and that you heal as well and as quickly as possible. Once your decision to improve your body through a medical procedure is taken, you can set out on your journey to more self-confidence and more beautiful buttocks. Make an appointment for a no-obligation consultation, we would be delighted to listen.

Lymphatic massage

Surgery can interrupt normal lymph flow, causing lymph fluid to build up in a specific area of the body, often in the arms or legs, where it can cause swelling. Therefore, after a liposuction treatment, it is necessary to perform drainage/lymphatic massages.

During a lymphatic massage, our experienced massage therapist uses a series of sliding, pressing and cupping movements over the body. The movements stimulate the lymphatic system without compressing the blood vessels, thereby draining the excess lymphatic fluid from the liposuction.

The massages contribute to a better recovery process and an optimal end result. It ensures that the contours remain tight without irregular moisture accumulation.

Myth: Gaining Weight Before Surgery Will Produce Better Results

While you may have heard of people intentionally gaining weight so that they have more available fat to transfer to their buttocks, we certainly do not recommend this. If you gain weight prior to your Brazilian Butt Lift, you will need to maintain that weight gain post-surgery if you want to keep your results. This is because when we lose weight, we do not lose fat cells in one particular area. Instead, our fat cells all over our bodies actually shrink.

It is best to have this surgery when you have your ideal or preferred body weight because a consistent weight allows your plastic surgeon to best determine the amount of fat that needs to be harvested and injected into your buttocks. In other words, having an extra 10 kilos does not mean you will get better results during the surgery.

If you are interested in the liposuction/lipofilling procedure but feel anxious that you might not have sufficient body fat for a great result, do not attempt to gain excess weight before meeting with your plastic surgeon. Keep in mind that the amount of fat required for a flattering lipofilling result depends on the size of the patient, as it should be proportionate to your body. E.g. smaller women need less fat to reshape their body while larger women need relatively more. Make sure to consult with a professional to determine if your weight is suitable for you to achieve your goals with liposuction/lipofilling.

If you are not an ideal candidate for the procedure, there are other available options, such as butt implants, which can achieve similar and permanent results. We warmly welcome you to visit Essential Aesthetics and to speak with our team of experts, where we will determine which procedure is best suited to your needs and goals.

Risks and complications

As with any surgical procedure, there are risks. After a Brazilian billift, there may be the following specific risks:

  • Blood clots or a pulmonary embolism (we try to prevent this with preventive medication)
  • Infections (we try to prevent this by prescribing preventive antibiotics)
  • Changes in sensitivity. This can be temporary, but in some cases patients have permanently less or no sensation. Think carefully about this, because although this hardly ever happens, there is usually nothing you can do about it.
  • Poor wound healing / scarring
  • Irregularity in body lines
  • Asymmetry of the buttocks
  • Although the surgeon takes into account the natural change in volume, there may be too much fat absorption. On average, 65 – 85% of the injected fat remains.

Safety through precautionary measures

If you decide to enlarge your buttocks with implants, we will provide you with a patient information document, which you should read carefully. In addition to general advice, the doctor will also provide you with advice that is specific to you and based on your health and living conditions. Below we summarise a number of general advice.

Before the surgery

  • Stop smoking four weeks before surgery and do not start again for at least 2 weeks afterwards. Smoking slows wound healing and increases the risk of infection.
  • Don’t schedule the surgery during your monthly periods.
  • If you are taking Marcoumar, Sintrom/Sintrommitis, AsproCardio or similar medications, you should discuss with your surgeon whether you can temporarily stop taking these medications, including when taking Aspirin or painkillers with aspirin such as Advil, Diclofenac, etc. During the period around the surgery, you can use painkillers such as Paracetamol and Panadol.
  • Do not take blood thinning medication before surgery.
  • Don’t forget to arrange your transport home. Driving yourself is not possible and not allowed after the surgery.
  • Make sure that you are not alone for the first few nights after the surgery. Also make sure that someone is available to help you in your home for the first few days.
  • Don’t forget to give us your measurements and details for the compression garment. We recommend that you buy two pieces of clothing, this is for your own comfort and hygiene.

The day of the surgery

  • Do not wear jewelry, watches or piercings.
  • If your surgery takes place later in the day, don’t eat anything 8 hours in advance.
  • Enjoy a long shower as it will not be possible for the first 72 hours (three days) after the surgery.
  • Let your guide know what time you can be picked up. The doctor can give you an estimate of the time.

After surgery

  • You will be supervised by the nurse, the anesthetist and the plastic surgeon until you leave the clinic or hospital.
  • We give most patients, in consultation with the surgeon, a prescription for medication (pain relief).
  • The buttocks will feel a little tense after the surgery. The skin has to adapt to the new buttock volume. The tension decreases by itself.
  • The first day after the surgery, you have to sleep on your stomach, the second day you can sleep on your side and from the third day you can lie on your back and buttocks.
  • Sit up straight after the surgery as much as possible.
  • After the surgery you may move immediately, but take it easy for the first week. Anyway, we advise you to rest well for the days after the surgery.
    With the hybrid technique, the prescriptions for lipofilling of the buttocks apply.
  • Discuss with your doctor, when you can shower again.
  • After one week, a follow-up check will take place and we will remove any remaining stitches.
  • If necessary, a number of further checks will be carried out.
  • Wear your compression garment as long as the doctor advises. This is on average six weeks.
  • Sports however are not recommended for the first 6 weeks after surgery.
  • Take good care of yourself, eat and drink enough and take extra vitamins.

The personal consultation

The first step towards more beautiful breasts is a consultation with our plastic surgeon. This conversation is of course, entirely non-binding. The surgeon listens to your wishes and expectations and then examines the various possibilities together with you. Each body is different which is why it is important for the surgeon to be able to look at you personally. Take this into account and wear comfortable clothing.

If you have pictures or pictures of your dream buttocks, feel free to bring them to the conversation and show them to the surgeon, who will be able to give you specific advice and tell you if your expectations are realistic. The surgeon will also ask you about your health and medical history. Give as much accurate information as possible, this is important for your own safety. The surgeon will honestly tell you if he thinks it is wise to perform the desired procedure and will go through it with you. Also take the opportunity to ask about other treatments or wishes you have. Our surgeons can always give you more information about other treatments. Feel free to do some aftercare and read up well in advance, e.g. via the internet. You can even find online videos of this surgery.

Once you have decided which treatments you want, our care team will give you a quote for the treatment costs. It is usually possible to make an appointment for the surgery straight after the consultation. Once that crucial step towards a version of you that makes you feel wonderful is taken, you will receive all the important information. Of course you don’t have to decide right away. Take time to think about it calmly and in-depth. You deserve it. When you’re ready, our experts will be happy to help you!


  • Buttock augmentation with implants  € 6.800,-
  • Buttock augmentation / Lipofilling from € 8.500,-
  • Buttock augmentation with filler from € 2.500 to € 6.000,-.

Use the free (and obligation-free) consultation, to ask any questions you may have. The doctor will examine, together with you, the possibilities that best suit your body. Should you want another appointment after this one or need more information, we would be delighted to oblige. This is your body we are talking about, you deserve the best so make that appointment. Essential Aesthetics is proud to have already helped so many patients on their journey to a more beautiful body and is honored with a satisfaction score of no less than 96%. [Read the reviews here]

Book a free personal consultation with one of our care team specialists 070 220 2222. Because you are essential to us.

The second consultation with your chosen surgeon costs € 50 and is then deducted from the cost of the operation(s). Even if you do not go forward and book a treatment with us after the second consultation, you will still have received, for € 50, an extensive and medically sound consultation which will provide you with a lot of information, and a valuable basis for any subsequent steps.


Before / After


Why choose Essential Aesthetics

Pleasantly surprised by the care I received at Essential Aesthetics. Top doctors and staff are very kind and caring!  definitely recommend this clinic!


Essential Aesthetics is a special clinic with ISO-9001 and NEN-8009 certification, in a beautiful monumental building in The Hague. We are specialised in plastic surgery, injectables, weight loss and anti-ageing treatments. From our vision, Essential Aesthetics offers you as much guidance as possible in all disciplines necessary for a healthy lifestyle.
Our clinic was born from the passion of one woman. The passion for beauty and a deep sense of gratitude for all that our body gives us has led to the life work of the owner and founder: a clinic that encourages women to become more self-confident and empowered and to enjoy more of the gift of a beautiful and healthy body. And that’s what Essential Aesthetics does with a passionate team of Dutch, international doctors and experienced experts. Essential Aesthetics is a brand made by women, for women. It’s a lot to trust your body to someone else. We understand that and therefore offer you only the best and safety from our clinic.
You can come to our clinic for fillers, muscle relaxants treatments but also for plastic surgery: breast augmentation, buttock augmentation, facelifts, liposuction and more. What makes our clinic unique is that we will also be offering you professional DNA research, nutritional advice, connective tissue massage and sports guidance.

Meet our specialists

Our ISO-9001 and NEN-8009 certified clinic only works with experienced qualified specialists with passion for the profession, who care and have an eye for your needs and wishes as our patient, with respect for your natural beauty. Our business is built around fulfilling your wishes! We bring in the commitment to details, to the highest quality and safety requirements, to ensure the best result. Thanks to our international doctors active in the field and up to date with the latest trends and techniques, we can help you to get the best result possible. Our specialists are looking forward to working with you to see how we can make your dream come true. The Essential Aesthetics care team is there for you before, during and after the journey. From the intake to the aftercare. With us you are in capable, safe hands because you are essential to us.

Dr. Gabriel Jansen

Senior Dutch plastic surgeon

Cosmetic surgery requires a personal,
tailor-made approach, something that
Dr. Gabriel Jansen is always aware of.

Dr. Aniel Sewnaik

Medical director & Face surgeon

Dr. Sewnaik is a BIG-registered physician with years of experience in reconstructive surgery to the head and neck.

Dr. Luca Piombino

Italian plastic surgeon

Dr. Luca Piombino is an Italian trained and registered expert in plastic surgery.

Dr. Professor Philippe Levan

Renowned French plastic surgeon

Dr. Professor Levan is a leading French plastic surgeon with more than 27 years of experience in plastic surgery and a pioneer in the field of remodelling. He is an internationally recognized innovator in the field of buttock implants and the inventor of biconvex implants.


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