For as long as we have known, buttock augmentation surgery, or BBL, has been associated with very curvaceous figures looking for a visual impact of maximally projected buttocks and ultra-narrow waists. But as with everything, there is always a time for evolution, and this surgery is no exception. Today, some women prefer a more natural, balanced, and sophisticated version.
The new trend for more natural buttocks results is known as the Topeka Tush. Today, we will explain what it is and what makes it so well-known.
Surgery trend
It’s no secret that celebrities are often the ones who set the trend in surgical procedures. Since last year, we have been seeing a decrease in volume in celebrities who used to have quite curvy figures; many of them opted to reduce the size of their breast implants or to reduce the fat in their buttocks.
This has given birth to the new BBL trend: Topeka Tush.
This is the ideal surgical procedure for patients with excess skin or fat on the eyelids. It can be performed on the upper eyelids, lower eyelids, or both. The result is a fresher, more rejuvenated look without altering the natural expression of the face.
The initial recovery period for eyelid surgery lasts one to two weeks. It is recommended to sleep with your head elevated for the first 3 days; most patients can return to work after one week.

What is the Topeka Tush?
The Topeka Tush is the new way in which a Buttock Augmentation using fat grafting is seen, with a clear objective: To achieve a more harmonious and naturally beautiful figure, with a subtle projection in the upper part of the buttocks, a filling in the depressions of the hips and a sculpted waist, but without exaggerations.
Its significant difference from previous trends, such as the “Miami Look,” is that it does not seek an extreme look, but instead works on specific areas to enhance the best of the silhouette without excessively altering the proportions.
How is the Topeka Tush achieved?
This trend is performed using a fat grafting technique (BBL or Brazilian Butt Lift), which consists of:
- Extracting fat from areas such as the abdomen, flanks, or lower back through liposuction.
- Purify and process the fat to ensure its viability.
- The fat is placed in the upper buttocks and hip depressions, generating a natural projection and a smooth, feminine silhouette.
The primary focus is the specific shaping of areas, not simply to increase volume. In other words, it aims to create a more fluid and realistic silhouette tailored to each individual’s body.
Why is it so popular?
The reality behind this trend in plastic surgery is that it has always existed, but today it has become more popular because patients are no longer looking for big buttocks just for the sake of being big. Now, they prioritize a figure that looks good with clothes, provides comfort, and maintains a natural appearance, even in the nude.
How do I know if I am an ideal candidate for a Topeka Tush?
At your personalized assessment appointment, our board-certified surgeons will evaluate your case, review your body fat distribution, and guide you.
You will be an ideal patient if you desire:
• A subtle but visible improvement in your buttocks.
• Fill out areas such as hip dips
• Define your waistline and shape your silhouette naturally.
• Avoid implants or exaggerated results
• A procedure for your body fat
At Ideal Plastic Surgery, we understand that there is nothing like feeling confident, comfortable, and authentic with your body. If you are in California and considering a Buttock Augmentation or a Topeka Tush in a safe and informed way, we are here for you. We prioritize your well-being and confidence at every stage. Schedule your appointment today!