In the history of gluteal enhancement, Mexico City stands out. It protrudes. It was here, in 1979, that a plastic surgeon, Mario González-Ulloa, first installed a pair of silicone implants designed specifically for the buttocks. The textbook Body Sculpting with Silicone Implants calls González-Ulloa the “grandfather of buttock augmentation.” The early 2000s saw a new generation of Mexico City buttock transformation luminaries, notably Ramón Cuenca-Guerra. In his 2004 paper “What Makes Buttocks Beautiful?” Cuenca-Guerra laid out four characteristics that “determine attractive buttocks” as well as the five types of “defects,” with strategies for correcting each one. I, for instance, have defect type 5, the “senile buttock.” (González-Ulloa’s depiction of
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