Not long ago, Jeff Vickers, who owns a construction company, had surgery to address something that had, fittingly, been the butt of jokes.
"I'd wear jogging pants to work and the guys used to joke that, 'You could drop a plumb bob from the back of your head and the string wouldn't hit anything before it hit the ground,' " he said, referring to the weight on a string used for surveying.
Vickers, 46, who lives in Radford, Va., and is married with four children, cannot remember when it was otherwise.
"I've always had a nonexistent butt," he said. "Zero."
Last fall, he had his first consultation with Dr. Constantino Mendieta, author of "The Art of Gluteal Sculpting" and a cosmetic surgeon in Miami.
"When I went in to the doctor, I said, 'I'm not a girl, so I'm not worried about having a table back there you could sit a coffee cup on,' " Vickers said. "I just wanted to be able to put on a pair of pants and for them to stay up."
Mendieta performed liposuction on Vickers' abdomen and love handles, then injected the fat into the buttocks.
"They take the fat where you don't want it, and put it where you do want it," Vickers said.