The buttock area has received much media attention in recent years, which has produced increased patient demand for buttock reshaping. Four different anatomic variables:1. The underlying bony framework, 2. Gluteus maximus muscle,3. Subcutaneous fat topography, and 4. Skin influence the overall shape of the buttocks. The subcutaneous fat has the most significant impact in establishing the overall shape of the buttocks. Liposuction, the number one cosmetic surgery performed globally, is a procedure removing unwanted lumps, bulges, and areas of resistant fat deposits from specific areas of the body. Buttocks Liposuction is performed using a hand-held instrument (cannula) attached to a vacuüm-like machine or a syringe. By pushing and pulling the cannula, fat cells are broken up and then sucked out with a vacuüm which is called traditional Buttocks Liposuction. Today, I can use several liposuction techniques to improve the procedure's ease and enhance outcomes. Based on the experience of Prof Moawad for the last 20 years, he prefers the tumescent technique assisted with a suction cannula for considerable buttocks reduction. If precise contouring is the goal, he prefers syringe liposculpture. Syringe liposuction is a must when fat transfer is needed. Thorough anatomic analysis, surgical technique, and constant patient communication to determine their aesthetic preferences are encouraged.