Dr. Usha Rajagopal does not use butt implants in her augmentation surgeries at the San Francisco Cosmetic Surgery and Laser Center. Butt implants may harden over time and lose their natural shape. Surgery involves the incision of silicone implants which are closed with sutures. Other complications may include infection to the implants, and even nerve damage. In addition, special care for silicone implants include not being able to sit on the buttocks for about four weeks. In comparison, Brazilian butt lifts create a more natural, flattering shape with the use of the body’s natural fat. Fat transfer uses suction tubes to remove fatty tissue through liposuction from any area such as the hips, thighs, abdomen or back. The fat is reinjected and grafted at multiple levels. The patient may require up to three visits to the doctor for a permanent contoured behind using the body’s own resources. Fat grafting is an excellent way to contour the buttocks naturally. Recovery time for a Brazilian butt lift involves a one week period off from work, and three weeks away from heavy lifting or exercise.