Welcome to the World Association of Gluteal Surgeons
The World Association of Gluteal Surgeons (WAGS) was founded by a group of top-rated plastic and cosmetic surgeons who are committed to performing gluteal procedures in the safest manner possible. In recent years, the Brazilian Butt Lift has been condemned as a dangerous cosmetic procedure.
WE DISAGREE.
Gluteal surgery is often life-changing, as it dramatically alters the shape of the patient’s abdomen and buttocks. As long as surgeons adhere to the SAFER guidelines of fat injection and body fat transfer, the operation can be performed safely and successfully.
Our mission is to help educate doctors around the world about the safest ways to perform a Brazilian Butt Lift. By joining WAGS, you can be one of the elite members in the medical industry to have access to our library of educational materials. Members are also able to access our WAGS Hotline, where medical professionals can get their questions answered by our dedicated experts.
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Meet Our Team
Dr. Michael Salzhauer
WAGS Founder
D. Michael Salzhauer, most popularly known as Dr. Miami, is one of the most sought-after plastic surgeons in the nation. Having amassed more than one million followers on social media, Dr. Miami is celebrated for opening up the closed doors behind plastic surgery by showing tidbits of live surgical procedures on Snapchat. As a nationally recognized expert specializing in the Brazilian butt lift, not only does Dr. Salzhauer pride himself on his zero-fatality rate, but he also felt it necessary to help establish the World Association of Gluteal Surgeons (WAGS) to educate other doctors about the safest ways to perform the procedure.

Meet Our Team
DR. GABRIEL H. PATINO
WAGS CEO
Dr. Patino is the Chief Medical Officer of The Cosmetic Surgical Center of El Cerrito, located in the San Francisco Bay Area in California. With more than 20 years of experience in major cosmetic procedures, he specializes in the Breast Augmentation through the belly button with saline implants, extended tummy tucks and the Brazilian Butt Lift.
He was the first surgeon who modified the Transumbilical Breast Augmentation technique allowing for the manual insertion of silicone implants without an endoscope. He has been teaching Cosmetic surgery since 2014. He is a Fellow and has been a Faculty member of the AACS, CACS, ASOCP and ASCBS . He is board certified by the ABIM. Dr. Patino is very humbled and honored to manage the World Association of Gluteal Surgeons. His mission is to ensure that all patients who receive a fat transfer to the buttocks are getting the safest and most successful procedures possible.
He promotes the use of tumescent anesthesia which provides less pain, bruising and a faster recovery, the infusion of CO2 (Carboxy Pneumo Dissection) to expand the subcutaneous space and Ultrasound Gluteal Fat Transfer to visualize the safe injection of the fat graft above the muscle. Doctor Patino has a zero fatality rate from all Cosmetic Surgical procedures.

Meet Our Team
Dr. S. Alexander Earle
WAGS President
Dr. S. Alexander Earle, MD, FACS, is an Ivy League-educated plastic surgeon, double board-certified by the American Board of Surgery and the American Board of Plastic Surgery. He is the founder and owner of Pure Plastic Surgery in Miami.
Dr. Earle has vast experience in both reconstructive and aesthetic surgery and specializes in aesthetic procedures of the body including breast surgery, abdominoplasty, gluteal augmentation (BBL) with fat transfer and liposuction.
In addition, he is extremely skilled in Ultrasound Guided Brazilian butt lift (BBL) procedures adding additional safety measures for his patients. Since adopting the technology in 2019, he has safely performed more Ultrasound Guided BBLs than any surgeon in the U.S.
Dr. Earle has a B.A. from Princeton University, a Doctor of Medicine from NYU Grossman School of Medicine and completed his general residency at the University of Miami-Jackson Memorial Hospital where he simultaneously completed two years of research funded by the National Institute of Health (NIH). He completed his plastic and reconstructive surgery residency at Duke University.
Dr. Earle is a Fellow of the American College of Surgeons, a member of the American Society of Plastic Surgeons and President of The World Association of Gluteal Surgeons (WAGS).

Meet Our Team
Dr. K. Roxanne Grawe
WAGS Vice-President
Dr. Roxanne Grawe, the top-rated female plastic surgeon in the United States, is a highly respected board-certified plastic and reconstructive surgeon located near Columbus, Ohio. Dr. Grawe has teamed up with the World Association of Gluteal Surgeons (WAGS), holding the position of vice president, to help spread the importance of safe surgical practices during cosmetic and plastic gluteal surgery. Her ultimate goal is to ensure that all cosmetic surgeons have access to proper surgical training and education surrounding a Brazilian Butt Lift.