Lipotransfer

V-Shaped Glutes: How to Get Them and What Shape Is Yours

December 13th 2024 · Updated on 29 September 2026

Updated on 29 September 2026 • Reviewed by Dr. Gustavo Sordo, plastic surgeon

Each case is assessed in consultation; the complete process, the cases and the price (from €7.100) are in buttock augmentation in Madrid.

What are V-shaped glutes?

V-shaped buttocks are a type of gluteal anatomy in which the lower part of the hips is narrower than the upper part, forming a downward angle that resembles the letter "V". This type of buttocks is common in people with less fat in the buttocks and hip area, resulting in a slimmer, less rounded profile at the bottom.

Features of V-Shaped Glutes

• Structure: The V shape creates a figure where the hips look narrower and the projection of the buttocks backwards is more limited, without a pronounced curvature at the base.
• Fat Distribution: Generally, the fat in this shape of the buttocks tends to accumulate in the upper part of the hips and not in the lower area, which accentuates the V angle.
• Aesthetics and PreferenceAlthough this shape is natural and common, some people seek to modify it towards a rounder or "A" shaped appearance, which usually gives a more balanced silhouette with greater projection.

How to modify the shape of the buttocks: Liposuction, liposculpture and lipofilling

One of the most important variables in buttock remodeling is the patient's initial shape. It is very important for the surgeon to be able to determine and analyze the patient's shape in order to choose the best technique for each case.

V-shaped buttocks, as mentioned, have a narrower appearance at the base and less projection at the back, which is not always desired, especially for those seeking a rounder, curvier contour. Fortunately, there are several surgical and non-surgical options to modify the shape of the V-shaped buttocks and achieve a more desirable profile. Below, we will explore the options available to transform this shape and achieve a fuller, more harmonious buttock with the rest of the body.

1. Lipofilling (Lipotransfer) or Brazilian Butt Lift (BBL)

Lipofilling is one of the most popular techniques for modifying the shape of the buttocks, transforming them into a rounder, lifted, and more voluminous figure. This technique uses the patient's own fat, which is extracted from areas with excess fat (such as the abdomen, thighs, or flanks) and reinjected into the buttocks. By using the patient's own fat, the risks of rejection or complications are minimized, and the results tend to be more natural.

Benefits of Lipofilling:

• Natural Results: By using the body's own fat, the results are more natural and integrate better with the patient's body structure.
• No Visible Scars: Unlike implants, no large scars are required. Only small incisions are made to extract the fat.
• Sculpt the Body: In addition to improving the shape of the buttocks, lipofilling allows you to reduce fat in other areas, such as the abdomen or legs, to achieve a more defined figure.

How does it work?

1. Fat Extraction: Liposuction is performed on donor areas of the patient's body.
2. Purification of Fat: The extracted fat is processed and purified to remove impurities.
3. Fat Repositioning: Purified fat is injected into specific areas of the buttocks, creating volume and contour.

This technique is particularly useful for those with V-shaped buttocks because it allows volume to be added to the top of the buttocks and to the sides, creating a more balanced and rounded appearance.

2. Buttock Implants

For some people, lipofilling may not be enough if they don't have sufficient fat available for transfer, or if they desire more significant results. In these cases, buttock implants may be an option. Implants are silicone devices placed in the buttocks to add volume and shape. While this procedure can offer dramatic results, it also involves more extensive surgery, and the scarring may be more visible.

Advantages of Implants:

• Greater Volume Increase: Implants can provide a more significant volume increase than fat transfer.
• Custom Options: Implants are available in different sizes and shapes, allowing for customized results.

Disadvantages:

• Scars: Incisions are made in specific areas of the buttocks, which leave scars.
• Possible complications: Although implants are generally safe, they may present risks of displacement, rupture or infection.

3. Buttock Liposculpture

Liposculpture is a technique that focuses not only on removing fat from unwanted areas but also on redistributing fat to sculpt and shape a more attractive figure. In the case of V-shaped buttocks, liposculpture is used to redefine the buttocks' contours by removing fat from the sides (flanks) or lower portion and transferring it to add volume to the upper and middle parts of the buttocks. This creates a more rounded shape with greater projection.

Benefits of Liposculpture:

• Redefining the Silhouette: By removing excess fat in unwanted areas and redistributing it to the buttocks, a more curvaceous silhouette is created.
• Increased Projection: The technique allows to increase the projection of the buttocks and improve their shape without the need for implants.

4. Exercise and Muscle Toning

Although surgical procedures offer quick and visible changes, it's possible to improve the shape of V-shaped buttocks through exercise and muscle toning . A targeted exercise routine that focuses on the glutes, such as squats, lunges, and hip thrusts, can increase muscle mass in the area, helping to add volume and soften the V-shape. However, this method is only effective for those seeking minor changes and who don't want to undergo surgery.

Benefits of Exercise:

• Without Surgery: It is a non-invasive option for those who want to improve the shape of their buttocks naturally.
• Improves Overall Health:In addition to sculpting your glutes, regular exercise improves cardiovascular health and overall well-being.

5. Non-invasive therapies: Radiofrequency and Ultrasound

For those who don't want to undergo surgery, there are non-invasive treatments like radiofrequency and ultrasound that help improve skin appearance and tone the buttocks. These treatments don't drastically change the shape of the buttocks, but they can help improve skin elasticity and reduce sagging, giving the buttocks a firmer appearance.

Advantages:

• No Downtime: These treatments do not require recovery and do not carry the risk of surgical complications.
• Soft Aesthetic Improvement: Although they do not provide results as dramatic as surgical procedures, they may be an option for those who desire moderate improvement.

What shape of your glutes do you have?

Personally, I find Miami surgeon Dr. Mendieta's classification very interesting. He classifies the gluteus in 4 basic forms:

• Square Shape: It represents 40% of cases, being the most common.
• Form A: It covers 30%, is narrower at the top and wider at the bottom.
• V shape: It affects 15% of people, where the buttocks have less projection and narrow towards the bottom.
• Circle shape: Also 15%, with a balanced and symmetrical curvature.

According to statistics, the “square” is the most common with 40%, the “A” with 30%, and the “V” and the “round” with 15% each.

After the evaluation, surgeons must determine where to perform liposuction and, very importantly, where to redistribute the fat to round out and improve the appearance of the buttocks. Nothing is better than the patient's own tissue to avoid rejection, the need for implants, or the need for scarring. From my perspective, lipofilling or fat transfer techniques are fundamental for this purpose, and I have been using them successfully for years in what is known in the US as the "Brazilian Butt Lift," a procedure that has been very successful for the last year or two.

Once again, a visit to a specialist and a detailed analysis of the patient are essential to successfully perform cosmetic surgery.

Conclusion

Beyond classifying buttocks by shape, what we analyze in the consultation is the origin of each buttock's contour: how much is volume , how much is in relation to the waist and hips , and how much is skin quality . Often, the most cost-effective change isn't in the buttocks themselves, but in defining the waist and flanks with liposuction, because the contour is perceived by contrast.

When volume is indeed needed, the option we use is lipofilling —using the patient's own fat obtained through liposuction from other areas—always carefully assessing the depth of the injection for safety. This surgery requires meticulous technique, and it's wise to be wary of promises of extreme volume. A realistic expectation is also important: some of the injected fat is reabsorbed, so sometimes more than one session is necessary to achieve the desired result.