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On the surface, "Bottoms Up" is a documentary film that examines the newest booming trend in aesthetic surgery - big butts. Placed under a microscope, the film explores the media's impact and other societal pressures that have propelled big butts from a cult fetish to a mainstream phenomenon. With an influx of new "it" girls from Kim Kardashian to Nicki Minaj, the images are inescapable. Women have taken drastic - and often dangerous - measures to achieve the impossible and often unreal. Is bigger always better? When it comes to breasts and lips, the answer has been yes - with thousands of women going under the knife each year in search of augmented features. In recent years, the focus has shifted from breasts downwards, towards other ass-ets. In fact, in 2013, the number of butt augmentations increased by 58%. The film doesn't just point the finger at women and the media, as men have played an equally important role. From Sir Mix-a-Lot, whose 1992 hit "Baby Got Back," sensationalized round posteriors - I like big butts and I cannot lie - to new artists like 2Chainz - She got a big booty so I call her big booty, it is men who actively pursue women with this new fetishized feature. So who is to blame - the media? Men? Women? "Bottoms Up" offers different perspectives on this new issue. Jam-packed with commentary from plastic surgeons, women who desperately long for larger ones, and men who want a little more than a handful, the film takes a look at booties from every angle.