Butt implant surgery is very effective and does produce a long term result. Brazilian buttlift can produce a long term result as well. Dr. Hughes performs whatever type of buttock augmentation the patient desires, and he does combination BBL and butt implant surgeries as well. Dr. Hughes may transfer fat to the hips and buttocks and place buttock implants at the same time. Dr. Hughes has used fat to fill defects or implants after previous surgery or trauma. Almost any possible combination can be utilized by Dr. Hughes to get you to the result you desire. This is exceptionally unusual. Dr. Hughes will not tell you that one surgery is always right and one surgery is always wrong, but he will try to provide you with recommendations that will hopefully provide you with the best result for you given your unique anatomy and desires.