The perception of beauty has changed over time, but the emphasis given to breasts and gluteal areas remains constant. The form and size of these areas have been culturally perceived as defining symbols of feminine appearance.

The first report of gluteal augmentation was described by Bartelli et al in 1969 for aesthetic and reconstructive purposes. Given the increasing aesthetic expectations and demands regarding the shape, structure, and location of the implant, many surgical methods have been developed and applied since then. In time, gluteal augmentation has gained a substantial place in aesthetic body surgery.

Though gluteal augmentation had started with implants. It is not right to talk about the attractiveness of the gluteal region without the presence of a proportionate body. The hourglass shape has been widely perceived as a symbol of attractiveness. The ideal ratio of the waist to the hip should be between 0.67 and 0.80. It is better to evaluate the buttock area as a whole, including the hip and the waist together. Therefore, it is important to recognize that most augmentation with implants alone is not sufficient, and that areas around the buttock should also be shaped.