Table of contents

• Buttocks Implants: A Permanent Augmentation Solution
• The Brazilian Butt Lift (BBL): Augmentation via Autologous Fat Transfer
• Body Fillers: Non-Surgical Volume Enhancement
• Best Clinics in Korea for Flat Buttocks
• The Medical Tourist's Journey to South Korea
• Patient Experiences: Outcomes, Expectations, and Real-World Results
• Conclusion
• References

Considering treatment in Korea? Everything you need to know e.g. — how to avoid scams, visas, interpreters, recovery tips — in our Medical Tourism Master Guide. Plan with confidence in minutes, not weeks!

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Anatomy and Physiological Underpinnings

"Flat buttocks" is often used to describe a lack of posterior projection. Medically, this issue centers on the gluteal muscle complex—the gluteus maximus, gluteus medius, and gluteus minimus. The gluteus maximus shapes the buttock, while the medius and minimus, located deeper, control hip movement and stabilize posture during motion.

A physiological condition closely tied to "flat buttocks" is Dead Butt Syndrome (gluteal amnesia), typically caused by extended sedentary behavior. With prolonged sitting, the hip flexors tighten and the glutes weaken, resulting in loss of muscle tone and strength. This goes beyond appearance; symptoms can include leg pain, hip and back stiffness, and mobility issues. Treatment usually involves physical therapy, tailored exercises, and strength training to reactivate dormant muscles and relieve discomfort.

Aesthetics and Pseudonyms

In terms of aesthetics, a well-contoured buttock showcases a defined "V" zone, a semicircular turn of the gluteal muscle edge, and a distinct 45° lower fold, creating a signature "diamond shape space" at the thigh. Flatness is often visible from the side and suggests insufficient volume in these regions.

Cultural language around flat buttocks is rich and varied, with terms like "derrière," "rear," or "caboose" used interchangeably. Community forums even use self-deprecating nicknames like "pancake ass" to describe lack of projection and sagging. This diversity of terminology highlights not just a clinical concern but a personal matter frequently shared and discussed within online communities.

Buttocks Implants: A Permanent Augmentation Solution

Procedural Mechanics and Strategic Placement

Buttocks implants offer a permanent solution for adding volume and definition to flat or square-shaped buttocks. This surgery uses solid silicone implants, with incisions typically made in the midline above the gluteal cleft. Placement can be within the muscle (intra-muscle) to lower nerve risk, or below the muscle (sub-muscle) for a more natural feel.

Implants are ideal for those with little body fat—patients not suitable for a Brazilian Butt Lift (BBL). They also benefit individuals who have not achieved adequate results from prior fat transfer due to natural fat absorption.

Risks, Complications, and Recovery Protocols

Like any surgery, buttocks implants carry risks such as infection, bleeding, and complications from anesthesia. Wound healing at the incision can be problematic for about 30% of patients, potentially exposing the implant. Other specific risks are implant displacement, asymmetry, and capsular contracture—a tightening of scar tissue around the implant.

Recovery requires discipline: patients must avoid direct pressure on the buttocks for several weeks and use specialized support pillows. A compression garment is necessary for approximately four weeks, with final results usually evident three to six months post-surgery.

The Brazilian Butt Lift (BBL): Augmentation via Autologous Fat Transfer

The Two-Part Procedure

The Brazilian Butt Lift (BBL) is a popular technique that enhances the buttocks using the patient’s own fat, avoiding artificial implants. First, excess fat is harvested using liposuction from the abdomen, hips, lower back, or thighs. After purification to filter out unwanted fluids, the fat is skillfully injected into specific areas of the buttocks.

This dual benefit—removing fat from undesired spots and creating fuller buttocks—leads to the hourglass figure many patients seek.

Major Risks and Patient Safety

Despite its transformative appeal, BBL is not without risks. The most serious is fat embolism, a rare but potentially fatal complication wherein injected fat enters the bloodstream. This is linked to poor surgical technique, especially injecting fat into or below the muscle, and underscores the necessity for a board-certified surgeon trained in safest modern protocols.

Fat necrosis is a more common risk, occurring when transferred fat cells die—often from overfilling or poor aftercare—leading to hard lumps or cosmetic irregularities. Some cases require corrective surgery.

Recovery Protocols

Recovery from BBL is crucial for maintaining results. Patients must avoid sitting on their buttocks for several weeks to prevent harm to the newly grafted fat. Specialized pillows help distribute pressure away from the area. Swelling and bruising are common, and compression garments must be worn to help healing. Light walking is recommended, but strenuous activities are discouraged for several weeks. Final outcomes may not be visible for up to six months.

Body Fillers: Non-Surgical Volume Enhancement

Non-Invasive Augmentation Techniques

For those wanting a modest enhancement without surgery or downtime, non-surgical butt lifts with body fillers are a convenient option. These injectable treatments often use poly-L-lactic acid (Sculptra) or calcium hydroxylapatite (Radiesse) to stimulate the body’s collagen production—providing gradual volume and contour improvement.

Pros, Cons, and Expert Contradictions

Non-surgical fillers offer immediate return to daily life and are considered safe in qualified hands. However, results are temporary—lasting from a few months up to two years—and significant volume enhancement may require multiple, costly sessions. Some professionals question the efficacy of fillers for substantial buttock augmentation, noting that the results don’t compare to the dramatic transformation possible with BBL. This debate underscores the importance of individualized advice and research before pursuing multi-session plans.

Risks and Recovery

Common side effects include temporary redness, swelling, and discomfort. Rarely, infections, allergic reactions, or filler migration can occur, with vascular occlusion representing the most serious risk if filler enters a blood vessel. Choosing an experienced provider and maintaining good hydration and light activity will support an uncomplicated recovery.

Best Clinics in Korea for Flat Buttocks

Listed below are the best clinics in Korea for flat buttocks:

Clinic Name	Key Features	Special Techniques
Lydian Plastic Surgery Clinic Website	Lydian Cosmetic Surgery & Dermatology Clinic, located in the Cheongdam area of Gangnam, Seoul, is known for body sculpting and Brazilian Butt Lift (BBL) solutions tailored for concerns such as flat buttocks. Led by Dr. An Kyung Chun—recognized among Korea’s Top 18 Aesthetic Plastic Surgery Experts and listed among the World’s Top 100 Doctors in Stem Cell Aesthetic Medicine—the clinic focuses on individualized, anatomy-based body design rather than one-size-fits-all fat removal. To support accurate planning and objective evaluation, Lydian uses Quantificare 3D imaging to provide precise before-and-after 3D videos, enabling detailed pre-surgical design and meticulous contouring during aftercare. For enhancing volume and shape, Lydian specializes in stem cell fat grafting, improving typical fat graft survival rates of 20–30% to approximately 50–60% by extracting and concentrating stem cells with advanced centrifuges operated at an optimal 4°C (instead of room temperature) to help maintain stem cell quality. Safety and quality control are supported by Ministry of Health and Welfare–approved, double-door sealed cleanrooms with Clean Class 10,000 air quality and HEPA filtration during stem cell separation and concentration. During grafting, the Edinizer device helps standardize fat cell size to reduce irregularities and enable denser, more uniform grafting—supporting improved survival and reduced swelling—followed by a structured 4-step aftercare program addressing swelling reduction, lumpiness correction, skin elasticity recovery, and residual fat contouring, alongside continuous investment in up-to-date medical devices.	Quantificare 3D imaging for planning and 3D videos; stem cell fat grafting with cold centrifugation at 4°C; Edinizer device to standardize fat cell size; 4-step aftercare program; MOHW-approved cleanrooms with HEPA filtration; ongoing investment in devices.
THEPLUS Plastic Surgery Website	THEPLUS Plastic Surgery clinic, located in the Garosu-gil area of Gangnam, Seoul, is a four-floor, full-service medical facility designed to support patients from consultation through surgery and post-procedure care. Known for world-class standards and a strong academic foundation, the clinic’s surgeons are active medical researchers who contribute to journals and professional publications, and regularly participate in domestic and international symposiums. This research-driven approach, combined with attentive, individualized communication, supports careful aesthetic planning for patients seeking a more balanced silhouette, including concerns such as flat buttocks and overall body proportion. The clinic is led by a highly regarded team of specialists. Dr. Kim, a board-certified plastic surgeon and award-winning researcher in 3D implants, is internationally active in plastic surgery societies and is recognized for advanced rhinoplasty and facial contouring, as well as annual educational sessions for other surgeons; his philosophy emphasizes harmony and natural enhancement. Dr. Jeong, President of the Korean Society of Plastic Surgeons, is widely invited to speak and teach, with an approach that prioritizes both function and beauty. Dr. Lee, a board-certified plastic surgeon specializing in breast augmentation with experience at top hospitals including Seoul National University Hospital, is committed to natural, long-lasting outcomes. Together, the team’s depth of expertise and safety-focused care supports patients who want results that look proportionate and refined.	Dr. Kim specializes in advanced rhinoplasty and facial contouring; 3D implants; emphasis on harmony and natural enhancement; Dr. Jeong leads with function and beauty; Dr. Lee specializes in breast augmentation with natural outcomes.
365mc Hospital Website	365mc Hospital is Korea’s specialized obesity treatment hospital dedicated solely to body contouring and fat reduction, making it a standout choice for patients concerned about flat buttocks who want a more balanced, sculpted lower-body silhouette. With over 20 years of leadership, an extensive nationwide network of 18 clinics, and 22 main doctors across Korea, 365mc combines high-volume expertise (over 3,000 surgical liposuctions and safety experience distilled from 5 million treatments) with hospital-level safety and precision that meets—and exceeds—large medical school surgery center standards, recognized by the Korean Health Ministry Seal. From advanced liposuction and tailored contouring programs to structured recovery and long-term lifestyle support, 365mc is designed to deliver refined body lines with a strong emphasis on safety, outcomes, and patient experience. - Specialized solely in body contouring and fat reduction, ideal for addressing proportional concerns that contribute to a “flat” buttock appearance by refining surrounding areas (waist, hips, thighs) for improved overall shape. - Hospital-level safety and surgical precision, meeting and exceeding major surgery-center standards, with recognition through the Korean Health Ministry Seal. - High-experience provider with proven track record: 20+ years in the field, 18 clinics, 22 main doctors, 3,000+ surgical liposuctions, and safety insights built from 5 million treatments. - Advanced, tech-driven precision including AI-based optimization and the Microsoft collaboration on the Motion-Capture and Artificial-Intelligence Assisted Liposuction System (M.A.I.L. System), providing real-time surgical feedback for more accurate contouring. - Customized body-contouring options across multiple areas (hips, thighs, stomach, back, arms, etc.), enabling strategic shaping that can enhance gluteal proportions without compromising natural balance. - Specialized approaches for different needs, including traditional surgical liposuction focused on leaving only the essential amount of fat for optimal contour, as well as acceptance of complex cases with a commitment to patient satisfaction. - Minimal downtime alternative for targeted reduction: LAMS (Local Anesthetic Minimal-Invasive Liposuction), combining fat extraction and fat-dissolving injections with minimal discomfort, virtually no downtime, and no scarring. - Intensive recovery support: 1:1 personalized care on the day of surgery at a dedicated Recovery Center, followed by a structured 7-week post-op program. - Recovery and outcome-focused treatments, including hyperbaric oxygen chamber therapy and personalized dietary consultations to support a faster, more comfortable recovery and a more refined body line. - Long-term maintenance support through personalized nutrition and dietary counseling, tailored prescriptions based on lifestyle, and ongoing monitoring via a meal diary app—helping protect results beyond the procedure.	AI-based optimization and the M.A.I.L. System; LAMS; recovery center; hyperbaric oxygen therapy; meal diary app; 7-week post-op program; personalized nutrition and lifestyle monitoring.

Lydian Plastic Surgery Clinic

Lydian Cosmetic Surgery & Dermatology Clinic, located in the Cheongdam area of Gangnam, Seoul, is known for body sculpting and Brazilian Butt Lift (BBL) solutions tailored for concerns such as flat buttocks. Led by Dr. An Kyung Chun—recognized among Korea’s Top 18 Aesthetic Plastic Surgery Experts and listed among the World’s Top 100 Doctors in Stem Cell Aesthetic Medicine—the clinic focuses on individualized, anatomy-based body design rather than one-size-fits-all fat removal. To support accurate planning and objective evaluation, Lydian uses Quantificare 3D imaging to provide precise before-and-after 3D videos, enabling detailed pre-surgical design and meticulous contouring during aftercare.

For enhancing volume and shape, Lydian specializes in stem cell fat grafting, improving typical fat graft survival rates of 20–30% to approximately 50–60% by extracting and concentrating stem cells with advanced centrifuges operated at an optimal 4°C (instead of room temperature) to help maintain stem cell quality. Safety and quality control are supported by Ministry of Health and Welfare–approved, double-door sealed cleanrooms with Clean Class 10,000 air quality and HEPA filtration during stem cell separation and concentration. During grafting, the Edinizer device helps standardize fat cell size to reduce irregularities and enable denser, more uniform grafting—supporting improved survival and reduced swelling—followed by a structured 4-step aftercare program addressing swelling reduction, lumpiness correction, skin elasticity recovery, and residual fat contouring, alongside continuous investment in up-to-date medical devices.

You can check out their website here: Lydian Plastic Surgery Clinic Website

THEPLUS Plastic Surgery

THE PLUS Plastic Surgery clinic, located in the Garosu-gil area of Gangnam, Seoul, is a four-floor, full-service medical facility designed to support patients from consultation through surgery and post-procedure care. Known for world-class standards and a strong academic foundation, the clinic’s surgeons are active medical researchers who contribute to journals and professional publications, and regularly participate in domestic and international symposiums. This research-driven approach, combined with attentive, individualized communication, supports careful aesthetic planning for patients seeking a more balanced silhouette, including concerns such as flat buttocks and overall body proportion.

The clinic is led by a highly regarded team of specialists. Dr. Kim, a board-certified plastic surgeon and award-winning researcher in 3D implants, is internationally active in plastic surgery societies and is recognized for advanced rhinoplasty and facial contouring, as well as annual educational sessions for other surgeons; his philosophy emphasizes harmony and natural enhancement. Dr. Jeong, President of the Korean Society of Plastic Surgeons, is widely invited to speak and teach, with an approach that prioritizes both function and beauty. Dr. Lee, a board-certified plastic surgeon specializing in breast augmentation with experience at top hospitals including Seoul National University Hospital, is committed to natural, long-lasting outcomes. Together, the team’s depth of expertise and safety-focused care supports patients who want results that look proportionate and refined.

You can check out their website here: THEPLUS Plastic Surgery Website

365mc Hospital

365mc Hospital is Korea’s specialized obesity treatment hospital dedicated solely to body contouring and fat reduction, making it a standout choice for patients concerned about flat buttocks who want a more balanced, sculpted lower-body silhouette. With over 20 years of leadership, an extensive nationwide network of 18 clinics, and 22 main doctors across Korea, 365mc combines high-volume expertise (over 3,000 surgical liposuctions and safety experience distilled from 5 million treatments) with hospital-level safety and precision that meets—and exceeds—large medical school surgery center standards, recognized by the Korean Health Ministry Seal. From advanced liposuction and tailored contouring programs to structured recovery and long-term lifestyle support, 365mc is designed to deliver refined body lines with a strong emphasis on safety, outcomes, and patient experience.

• Specialized solely in body contouring and fat reduction, ideal for addressing proportional concerns that contribute to a “flat” buttock appearance by refining surrounding areas (waist, hips, thighs) for improved overall shape.
• Hospital-level safety and surgical precision, meeting and exceeding major surgery-center standards, with recognition through the Korean Health Ministry Seal.
• High-experience provider with proven track record: 20+ years in the field, 18 clinics, 22 main doctors, 3,000+ surgical liposuctions, and safety insights built from 5 million treatments.
• Advanced, tech-driven precision including AI-based optimization and the Microsoft collaboration on the Motion-Capture and Artificial-Intelligence Assisted Liposuction System (M.A.I.L. System), providing real-time surgical feedback for more accurate contouring.
• Customized body-contouring options across multiple areas (hips, thighs, stomach, back, arms, etc.), enabling strategic shaping that can enhance gluteal proportions without compromising natural balance.
• Specialized approaches for different needs, including traditional surgical liposuction focused on leaving only the essential amount of fat for optimal contour, as well as acceptance of complex cases with a commitment to patient satisfaction.
• Minimal downtime alternative for targeted reduction: LAMS (Local Anesthetic Minimal-Invasive Liposuction), combining fat extraction and fat-dissolving injections with minimal discomfort, virtually no downtime, and no scarring.
• Intensive recovery support: 1:1 personalized care on the day of surgery at a dedicated Recovery Center, followed by a structured 7-week post-op program.
• Recovery and outcome-focused treatments, including hyperbaric oxygen chamber therapy and personalized dietary consultations to support a faster, more comfortable recovery and a more refined body line.
• Long-term maintenance support through personalized nutrition and dietary counseling, tailored prescriptions based on lifestyle, and ongoing monitoring via a meal diary app—helping protect results beyond the procedure.

You can check out their website here: 365mc Hospital Website

The Medical Tourist's Journey to South Korea

Why South Korea?

South Korea has become a global hub for plastic surgery, attracting international patients with advanced technologies, innovative surgeons, and generally lower costs than Western countries. Techniques like advanced 3D planning and minimally invasive options increase its appeal.

The Patient's Process: A Step-by-Step Guide

Most medical tourists use agencies or clinic concierge services to simplify booking, accommodation, and travel. The process typically starts with remote consultations before arrival. On arrival, patients are guided through pre-op exams, surgical consultations, and full explanations of their procedures. Clinics often provide on-site accommodations and daily post-op care, making recovery smoother. Staying one to two weeks in Korea is recommended to ensure proper follow-up and healing.

Comparative Cost Analysis

Table 1: Comparative Costs for Gluteal Contouring Procedures (Estimated USD)

Procedure	South Korea	The United States	Turkey	United Kingdom
Buttocks Implants	$7,500 - $9,800	$4,500 - $22,000	N/A	N/A
Brazilian Butt Lift (BBL)	$5,300 - $7,600	$5,000 - $24,000	$3,500 - $8,000	$6,500 - $13,000
Buttock Fillers	from $200	from $500	from $400	N/A
Non-Surgical Butt Lift Package	$3,960 - $6,730	from $4,000	from $3,716	N/A

Prices are estimates and can vary based on clinic, surgeon expertise, and package details.

While South Korea strikes a balance of affordability and quality, extremely low prices may raise safety concerns. Reports suggest that bargain procedures abroad can result in complications or infections, particularly if follow-up care is limited after the patient returns home.

Patient Experiences: Outcomes, Expectations, and Real-World Results

Buttocks Implants: From "Pancake Ass" to Contoured Silhouette

For those who struggle with years of exercise and little change in shape, buttocks implants can create a dramatic and permanent transformation. Testimonials often mention a newfound roundness and projection that diet and fitness routines couldn’t achieve. Many emphasize implants’ durability compared to fat grafting, which can lose volume over time.

BBL: The "Snatched Waist" and Hourglass Shape

Patients who undergo BBL frequently report being “absolutely thrilled”—not only with increased volume but with slimmer waists from liposuction. The transition to an hourglass form delivers emotional satisfaction and confidence, especially when surgeons listen closely to their goals and set realistic expectations.

Patient Forums and Key Takeaways

Online forums like Reddit and RealSelf are essential resources, filled with patient experiences and warnings. A common theme is to prioritize a surgeon’s expertise and avoid clinics with suspiciously low prices or unqualified providers (often called "chop shops"), as these are linked with higher rates of serious complications and infections. Community wisdom places patient research and cautious decision-making at the heart of safe, successful outcomes.

Conclusion

Choosing among buttocks implants, the Brazilian Butt Lift, or non-surgical fillers requires balancing individual goals, anatomy, and risk tolerance. Patient safety is directly tied to the expertise of the provider and adherence to safest practices. Real-world feedback and cost analyses reinforce the importance of researching qualified surgeons, recognizing procedural risks, and rigorously following aftercare for the best possible and safest results.

Table 2: At-a-Glance Procedure Comparison

Feature	Buttocks Implants	Brazilian Butt Lift (BBL)	Body Fillers
Primary Mechanism	Solid silicone implant	Autologous fat transfer	Injectable fillers (e.g., poly-L-lactic acid)
Permanence	Permanent	Semi-permanent	Temporary
Recovery Time	Long (3-6 months final)	Moderate (2-8 weeks no sitting; 6 months final)	Short (no downtime to few days)
Primary Risks	Implant migration, capsular contracture, wound issues	Fat embolism, fat necrosis, asymmetry	Lumps, filler migration, vascular occlusion
Ideal Candidate	Very thin, no excess fat	Has fat reserves for transfer	Seeks subtle, non-surgical enhancement
Cost	$7,500 - $9,800 (Korea)	$5,300 - $7,600 (Korea)	Starts from $200 per injection

References

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