Body Contouring · Abu Dhabi & Dubai
The answer when there is not enough fat for a BBL — or when you want more projection than fat alone can give. A silicone implant provides lasting central projection, and your own fat is grafted over and around it for a soft, natural, blended result.
Overview
A composite gluteoplasty combines two techniques in one operation: a silicone implant to give firm, lasting central projection, and fat transfer (your own fat) grafted over and around the implant to soften its edges and shape the sides and hips. It brings together the strengths of both methods.
An implant alone can look or feel too defined; fat alone depends on having enough to harvest and on how much survives. The composite approach solves both: the implant guarantees the projection and the fat makes it natural — blending the implant seamlessly into the surrounding contour so the result looks and feels like your own body.
It is the procedure of choice for slim patients who do not have enough donor fat for a full BBL, and for anyone who wants more projection than fat grafting alone can reliably deliver.
The honest science
Each method has a weakness that the other fixes. Understanding this is the key to why the composite approach gives the most natural, reliable result for a slim frame.
A silicone implant provides firm, predictable central projection that does not depend on fat survival. For a slim patient with little fat to harvest, it is the only way to achieve real volume — and it stays, rather than partly reabsorbing.
Grafting your own fat over and around the implant softens its edges, hides its outline and shapes the hips and sides. This is what stops an implant looking “done” — the fat blends it into a natural, continuous curve.
The implant is placed in the intramuscular plane — within the gluteus maximus muscle itself — for the most coverage, the most stable position and the best-hidden result. Both round and anatomic implants are used, chosen to suit your shape and goals.
The key decision
The right route depends mostly on how much donor fat you have and how much projection you want. Here is the honest comparison.
| BBL (fat only) | Implant only | Composite (implant + fat) | |
|---|---|---|---|
| Needs donor fat | Yes, plenty | No | A little |
| Projection | Depends on fat | High, guaranteed | High, guaranteed |
| Natural feel & edges | Very natural | Can feel firm/defined | Natural (fat-blended) |
| Also shapes waist/hips | Yes | No | Yes |
| Best for | Enough fat to spare | Very slim, wants projection | Slim + wants natural projection |
If you have plenty of fat, a BBL is usually best. If you are very slim, a composite augmentation gives projection an implant alone could — but far more naturally.
Our philosophy
Inside the procedure
Two techniques, one plan — the implant for structure, the fat for a natural finish.
Structure
A soft, durable silicone gluteal implant — round or anatomic, chosen for your shape — is placed in the intramuscular plane, within the gluteus maximus muscle. This deep, muscle-covered position gives the most stable, well-concealed result and the volume a slim frame cannot get from fat alone.
Harvest
Where donor fat is available, it is sculpted from the waist, flanks or back with VASER — refining those areas at the same time and providing the fat that will blend the implant.
Blend
The harvested fat is grafted over and around the implant to soften its edges, hide its outline and shape the upper buttock, hips and sides — turning a defined implant into a natural, continuous curve.
Finish
Where useful, plasma energy helps the skin of the donor areas retract and firm, so the whole contour finishes smooth around the new projection.
Book a private consultation with Dr. Paulo Michels — an honest assessment of whether a composite augmentation, a BBL, or implants alone is right for your body.
Recovery
Because an implant is involved, recovery asks a little more than a fat-only BBL — the implant pocket and the grafted fat both need time to settle. Ultrasound-guided nerve blocks keep the first days comfortable.
One to two nights in hospital. You walk early. A compression garment supports the donor areas; the nerve blocks ease the first days.
Limited direct sitting for around three weeks, using a special cushion, to protect both the implant pocket and the grafted fat. Desk work resumes with care as comfort allows.
Sitting normalises gradually. Compression continues; swelling settles and the shape begins to show.
Exercise builds back to full. The surviving fat is now stable and the implant has settled into position.
Swelling fully resolves and the final, blended contour appears — projected, soft and natural.
Candidacy
Good to know
Patient stories
“I was too slim for a normal BBL. The implant gave me the projection, and the fat on top made it look completely natural.”Composite gluteoplasty
“You cannot feel an edge. He covered the implant with my own fat and it just looks like me, only shapelier.”Implant + fat
“He explained honestly why an implant alone would look too firm on me. The composite plan was the right call.”Composite gluteoplasty
Investment
Every body is different, so there is no single price. A personalised quotation follows an in-person assessment. The main factors:
In line with UAE medical-advertising regulations, prices are shared privately in consultation rather than published.
FAQ
It is a buttock augmentation that combines a silicone implant for firm, lasting projection with fat transfer grafted over and around it for a soft, natural finish. The implant gives the volume; the fat blends it into your own contour.
If you have plenty of donor fat, a BBL is usually the most natural choice. If you are very slim and lack fat, or want more projection than fat can reliably give, an implant — ideally a composite implant-plus-fat — is the better route. It is decided together at consultation.
Because fat is what makes an implant look and feel natural. Grafting fat over and around the implant softens its edges, hides its outline and shapes the hips and sides, so the result is a continuous curve rather than a defined shape.
Buttock implants are a well-established procedure when performed in a licensed hospital by an experienced plastic surgeon, with careful planning and aftercare. As with any implant, there are specific considerations that are discussed fully and honestly at consultation.
Modern gluteal implants are soft and durable. Placing them within the muscle (intramuscular) gives a thick, natural cover, and the grafted fat over the top softens them further — which is what keeps the result feeling natural and stable rather than firm or mobile.
Implants are long-lasting devices but not necessarily lifelong; they may need attention over many years. The fat portion of a composite result is permanent once it has settled, with a stable weight.
Direct sitting is limited for around three weeks, using a special cushion, to protect both the implant pocket and the grafted fat while they settle. Normal sitting returns gradually after that.
The implant is placed through a discreet incision hidden in the midline crease between the buttocks, so it is well concealed. The fat grafting uses only tiny liposuction access points.
Yes. Because donor fat is harvested with VASER, the waist and flanks are refined at the same time, and options such as rib remodeling can be discussed to enhance the overall hourglass.
Enquiry
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