BUTTOCK AUGMENTATION
OVERVIEW:
Buttock augmentation surgery is a body contouring procedure designed to reshape sagging buttocks or add volume to a flat behind. Buttock augmentation is done in one of two ways:
- either fat is taken from somewhere else in the body and
injected into the buttocks (a “Brazilian butt lift”), or - soft silicone implants are surgically inserted in the buttocks
to add volume and create the desired shape.
Buttock augmentation can also be combined with a buttock lift. The Brazilian butt lift is normally the preferred of the two methods, mainly because the surgery itself is much less invasive, and therefore the recovery time is shorter and less difficult. It also has the advantage of being completely natural. If there are areas of excess fat on a patient’s body, a Brazilian butt lift has the added benefit of slimming those areas down when collecting fat to expand the buttocks.
01
BUTTOCK LIFT
A buttock lift or gluteal lift, improves the shape and tone of the underlying tissue that supports skin and fat in the buttock area. Ageing, sun damage, pregnancy, significant fluctuations in weight and genetic factors may contribute to poor tissue elasticity that can result in sagging of the buttocks. In order to achieve a smoother and more pleasing contour, excess sagging skin and fat are removed. A traditional gluteal lift will not make a butt larger, but may improve a dimpled, irregular skin surface. This procedure may be included in a body lift or may be performed separately.
02
BUTTOCK AUGMENTATION RECOVERY
After buttock augmentation surgery, you will be taken into a recovery area to be closely monitored. You may be permitted to go home after a few hours. Before leaving, you will be given specific instructions that may include how to care for your buttocks and any areas where liposuction was done, medications to apply or take orally to aid healing and reduce the risk of infection and when to follow up with your plastic surgeon.You will be instructed to wear a support garment “around the clock” following your surgery. Your surgeon will tell you how long you need to wear the garment and if there are any other garments that you may have to wear during your recovery. You will need to follow the steps outlined below to ensure a healthy recovery and good results:
03
BUTTOCK AUGMENTATION WITH IMPLANTS
You will need to wear a support garment for approximately two to three weeks after your procedure. This will help the skin redrape properly and provide support to the augmented buttocks. Final results are noticeable three months after surgery. At this point, most of the swelling will be gone and the implants will be settled in their normal position.
04
BUTTOCK AUGMENTATION WITH FAT GRAFTING
You will be asked to avoid prolonged sitting for about two weeks
(some surgeons prefer longer). This is very important because
prolonged sitting will damage the fat.
You will also be encouraged to sleep face down or on your side.
When you do have to sit, you will have to use a pillow or cushion
placed behind the legs (hamstring muscles) to help raise the
buttocks, avoiding pressure on the fat grafts.
You will also be provided with a support garment that will
apply even compression to the areas that were treated with
liposuction. In addition, small temporary drains may be placed
in existing incisions beneath the skin to remove any excess
blood or fluid.
You will be given specific instructions that may include how to
care for the surgical site and drains, medications to apply or
take orally to aid healing and reduce the potential for infection,
specific concerns to look for at the surgical site or on your
general health and when to follow up with your plastic surgeon.
Your surgeon may encourage you to seek a lymphatic massage
from a licensed massage therapist. You can generally resume
exercise after six to eight weeks.
With either procedure, it is important to be informed about the
steps you can take to aid your recovery.
Be sure to ask your plastic surgeon specific questions about
what you can expect during your individual recovery period:
• What medication will be given or prescribed after surgery.
• What dressings/bandages there will be after surgery.
• How long the compression garment needs to be worn.
• Will stitches need to be removed, if so when.
• When normal activity including exercise may be resumed.
• When follow-up care will be scheduled.
It may take several months for the swelling to fully dissipate.
As it does, your new contours and enhanced self-image should
continue to develop.
Following your physician’s instructions is key to the success
of your surgery. It is important that the surgical incisions are
not subjected to excessive force, swelling, abrasion or motion
during the time of healing. Your doctor will give you specific
instructions on how to care for yourself.
05
BUTTOCK AUGMENTATION PROCEDURE
Your buttock augmentation procedure can be achieved through
the use of either implants or through transferring your existing
fat, or sometimes a combination of both. Your surgeon may
choose between a variety of incision patterns and techniques.
The appropriate technique for you will be determined based on:
• Buttocks size and shape.
• The amount of fat you have in your body that is available
for use through liposuction.
• Your goals and activity level.
• Skin quality and elasticity as well as the amount of extra skin
Medications are administered for your comfort during the
surgical procedures. The choices include intravenous sedation
and general anaesthesia. Your doctor will recommend the best
choice for you. Regardless of the type of buttock augmentation
procedure you choose, anaesthesia will be used to ensure your
comfort during the procedure.
06
BUTTOCK IMPLANT PROCEDURE
Step 1: Buttock implant procedure
An incision will be made. The incision can be made toward the
top of both sides of the upper buttocks, toward the bottom
in both of the gluteal creases (the areas where your “cheeks”
meet the top of the thighs), incisions between both cheeks
(hidden in the crease) or with one incision placed down the centre of the sacrum, or the crease between the buttocks.
The length of the incision and scar is directly related to the
affected areas
Step 2: Implant placement
A silicone implant specially made for the buttocks is inserted
either in the muscle or above the gluteal muscle on each side.
The method for inserting and positioning implants depends
on the type of implant, degree of enlargement desired, your
body type and your surgeon’s recommendations.
Step 3: Closing the incisions
Incisions are closed with layered sutures in the buttocks
tissue and with sutures, skin adhesive or surgical tape to
close the skin
Step 4: See the results
The results of buttock augmentation are immediately visible.
Over time, post-surgical swelling will resolve, and incision
lines will fade. Satisfaction with your new image should
continue to grow as you recover and realise the fulfilment
of your goal for fuller buttocks. Results of this surgery are
permanent
07
FAT GRAFTING BRAZILIAN BUTT LIFT PROCEDURE
Step 1: Buttock implant procedure
Liposuction is performed through small, inconspicuous
incisions. First, diluted local anaesthesia is infused to reduce
bleeding and trauma. Then a thin hollow tube, or cannula,
is inserted through the incisions to loosen excess fat using
a controlled back and forth motion. The dislodged fat is
then suctioned out of the body using a surgical vacuum or
syringe attached to the cannula. In general, your surgeon
may liposuction up to three times the amount of fat than will
actually be injected into the buttocks.
Step 2: Implant placement
The fat, tissue and blood that were removed through
liposuction are then processed. The syringes are then
connected to a special cannula. Your surgeon will use
this cannula to add the fat to the buttocks through small
injections all over your behind.
Step 3: Closing the incisions
The results of buttock augmentation are immediately visible.
However you will not see your final results until a year after
the surgery, as it takes a while for the fat to “take.” This
procedure offers natural looking and feeling results, but the projection of the buttocks may decrease over time. Some
of the initial volume you experience after your fat grafting
procedure will fade as the fat is absorbed by your body (on
average patients will retain 60-80% of the transferred fat, in
some cases more in others less). Satisfaction with your new
image should continue to grow as you recover and realise the
fulfilment of your goal for fuller buttocks. As you gain or lose
weight your results may change as the transferred fat can
grow or shrink just as any other fat in your body.
08
YOUR BUTTOCK AUGMENTATION CONSULTATION
During your buttock augmentation consultation be prepared to
discuss:
• Why you want the surgery, your expectations and the
desired outcome.
• Medical conditions, drug allergies and previous medical
treatments.
• Current medications, vitamins, herbal supplements,
alcohol, tobacco and drug use.
Your plastic surgeon will also:
• Evaluate your general health status and any pre-existing
health conditions or risk factors.
• Take photographs.
• Discuss your options and recommend a course of
treatment.
• Discuss likely outcomes of buttock augmentation and any
risks or potential complications.
The consultation is the time to ask your plastic surgeon
questions. It is important to understand all aspects of your
buttock augmentation surgery. It is natural to be nervous about
it, whether it is excitement for your anticipated new look or a
bit of preoperative stress. Do not be shy about discussing these
feelings with your plastic surgeon
09
PREPARING FOR BUTTOCK AUGMENTATION SURGERY
In preparing for buttock augmentation, you may be asked to:
• Get a blood test.
• Take certain medications or adjust your current
medications.
• Stop smoking.
• Avoid taking aspirin and certain anti-inflammatory drugs
as they can increase bleeding.
Buttock augmentation surgery should be performed in an
accredited outpatient or ambulatory surgical centre or a
hospital. This is for your safety. If your surgeon has an informal
setting, he or she may not be a board-certified plastic surgeon.
If your buttock augmentation is performed on an outpatient
basis, arrange for someone to drive you to and from surgery
and to stay with you for at least the first night following surgery
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