A firm, well-trained bottom is seen as a symbol of youth and beauty. At a young age, a lot can be achieved through targeted training and the right diet, but these "conservative" measures are not always enough to achieve a beautiful bottom shape. Patients who have lost a lot of weight are particularly bothered by their "sagging", volumeless bottoms. A buttock lift (also called a buttock lift) can lift the skin again, depending on the severity and findings, via a lower incision in the buttock crease or an upper incision above the buttocks. If the buttocks are also very flat - caused by insufficiently developed gluteal muscles - volume can be increased by inserting a silicone implant (similar to breast enlargement) under the large gluteal muscle. This procedure is not particularly popular in Germany, but in Brazil it is one of the most frequently performed procedures in aesthetic plastic surgery.