This area, an essential component of beauty, is a growing focus of attention with the proliferation of cosmetic surgery. To achieve firm, taut, and lifted buttocks, fat-shaping techniques and implants are used alongside each other. If the patient’s own tissue is sufficient, fat-shaping techniques yield good results. If not, implants are used. Significant advances have been made in recent years in the prosthetics and placement techniques used for this area, resulting in improved results.