Buttock Augmentation

Alsoknown as : Brazillianbutt-lift (BBL), buttenlargement

Procedures
Face
Breast
Body
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Non Surgical

Indications

Buttock augmentation is a procedure that reshapes and enhances the gluteal area, providing an uplifted and shapelier buttock. The most common methods for enlarging and reshaping the buttocks are fat grafting using your own natural fatty tissue (popularly referred to as the Brazilian Butt Lift or BBL) or using buttock implants or both. These procedures are ideal for anyone looking to add volume to the derriere.

Some common reasons why you may want to consider buttock augmentation:

- Your buttocks are too small and flat or square for your body frame and you want a more balanced look.

- Weight loss or the aging process has left your buttocks loose, sagging or flat.

If you are in good general health, have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure

procedure-achieve-bg

Whatdoes the procedure achieve ?

While popularly called a “butt lift,” the BBL procedure is primarily about improving body torso contours, improving the waistline, reducing back rolls,and providing a more curvaceous figure. While some may think this procedure is only for women, that is not quite true since men turn to this procedure as well when their goal is to enhance their overall figure or when they have been unable to improve the gluteal area purely with workouts.

Contraindications

Any patient above 18 years of age who is physically and mentally healthy and wants to improve the shape and appearance of their tummy and lower back region is an eligible candidate. Patients with uncontrolled medical conditions, taking blood thinners or with cardiac ailment must approach this surgery with extreme caution

Consultation

Your surgeon will recommend an approach based the following:

- The size and shape of your buttocks

- The quality of your skin

- What kind of buttock augmentation is appropriate depending on your goals and body type

- Appropriate Adequacy of fat donor sites, if a Brazilian butt lift is planned.

There are various permutations and combinations of what is best for you. Buttock implants may be chosen if you desire a more rounded appearance to your buttocks while fat grafting is an excellent way to contour and reshape your butt. If you are very slender with little excess fat, then implants may be appropriate; however, if you have sagging buttocks after massive weight loss, then a combination of fat and butt implant surgery may be more effective.

NOTE: Silicone injections are an unsafe and unacceptable option for buttock augmentation and are mentioned here only to be condemned. These injections are often offered by unlicensed unqualified individuals and should be strictly avoided.

Always consult with a qualified plastic surgeon if you are considering as important a procedure as buttock augmentation.

Anaesthesia

The procedure is commonly done under general anaesthesia but may be performed under spinal and epidural anaesthesia.

You will be advised to stop smoking for 2 weeks prior to surgery. You will be advised to stop blood thinner medicines for approximately 7 days prior to surgery; after consultation with your physician. All patients are advised to be completely empty stomach (nil by mouth) for 8-10 hours prior to the scheduled time of surgery.

You will be advised a suitable laxative the previous night or given an enema to clear your bowels.

Admission and overnight hospital stay is preferable for both Buttock implants as well as BBL.

Autologous fat transfer (AFT)

This procedure, referred to as a Brazilian butt lift, harvests fat from one area of your body, processes it and uses it to enhance and reshape your buttocks.

  • Liposuction is used to remove fatty tissue from areas of your body with excess fat, such as the abdomen, hips, back, or thighs to contour these areas to achieve a proper sync of body proportions.
  • The fat is processed first & reinjected using syringes connected to cannulas.
  • 3-5 small incisions are needed for injecting the fat, which are easily hidden by clothing.
  • The fat is grafted in layers at multiple levels in the subcutaneous plane,ensuring a smooth, linear deposit of fatty tissue to reshape and augment the buttocks.
  • The liposuction incisions are closed with suturesand a compression garment is worn following surgery.

Not all the fat transferred in a BBL procedure is expected to survive. The final result, at the end of 6-9 months may be somewhat less than initially projected. A repeat BBL procedure (2nd or rarely a 3rd session) are usually advised depending on a patient’s initial results.

Buttock implants

Implants are preferred for treating flat or poorly defined buttocks, particularly in patients who have limited excess fatty tissue. Silicone butt implants are also effective for treating sagging buttocks that may occur after significant weight loss.

  • A soft, shaped solid silicone implant is placed through an incision hidden inside the natural buttock crease.
  • The implant is positioned in anintramuscular pocket or it might be placed above the muscle in a subfascial plane. These options should be discussed pre op with your surgeon.
  • The incisions are closed with sutures, drains may be inserted, and a compression garment is worn following surgery.

When the anesthesia wears off, you may have some pain. Significant fluid drainage is not uncommon after large volume liposuction, and bruising is common. After fat transfer, you will have a compression garment over the liposuction areas and over your buttocks. After implant surgery, you will be placed in a surgical dressing that includes a support or compression garment over your buttocks.

When transported home or to your first post-op follow-up visit, you will be instructed to lie on your stomach in the back seat of the car to avoid pressure on your buttocks. You will also be instructed to lie on your stomach or side while sleeping and while watching TV or reading. This is necessary for a period of at least 2 weeks following surgery. Pain medication will be prescribed for the pain.Drains may be in place for the first 5-7 days to eliminate fluid buildup and oozing from your incisions. Oral antibiotics will be prescribed, to be taken as long as the drains are in place.

Many surgeons do not allow sitting in the first 10-14 days except for using the toilet and eating. After this time, you can sit with a soft ring pillow placed beneath your upper thighs but not touching your buttock, so that your buttocksare in the air and there is no pressure on the newly augmented buttock. You must wear a compression garment for 6-8 weeks.

Direct pressure must be kept off the buttocks for at least eight weeks, so sitting without a pillow is not allowed for that period.

The final results of your buttock augmentation take4-6 months to appear. After fat grafting, you can return to work, drive, or go to the movies after 10-14 days, but you must use a pillow when sitting so that there is no pressure on your buttocks. You can resume normal activities and exercise after 8 weeks.

After implant surgery, you can return to work in 2-3 weeks, but you must use a pillow when sitting so that there is no pressure on your buttocks. At the third postoperative week, you are cleared for sitting and driving (using a pillow) and are encouraged to start stretching exercises. You can resume exercise 8-10 weeks after surgery.

Complications

Some of the potential complications as for all surgeries are:

- Adverse reaction to anesthesia

- Hematoma or seroma (an accumulation of blood or fluid under the skin that may require removal)

- Infection and bleeding

- Changes in sensation

- Scarring

- Allergic reactions

- Damage to underlying structures

- Unsatisfactory results that may necessitate additional procedures

- Risks specific to buttock augmentation are:

Risks of Autologous fat transfer:

- Fat absorption – may be as much as 20-40% – which may produce asymmetry, making this procedure more difficult to predict and requiring additional fat grafting sessions over time to attain the desired “look"

- Fat embolism - this is a rare risk of fat being injected into a blood vessel and traveling (embolizing) to the heart or lungs. Most surgeons have never had a patient with this complication, but in the unfortunate event that it occurs, this can be a fatal event.

Implants

- Implant slippage or rotation, causing asymmetry

- Wound dehiscence

You can help minimize risks by sincerely following the advice and instructions of your qualified plastic surgeon, both before and after your buttock augmentation surgery.

FAQs

After a successful fat transfer buttock augmentation, the fat that remains at the end of 6-9 months will stay there for the rest of your life, provided your body weight is maintained. Like the rest of the tissue in your body, this fat will grow and age with you. If you have implants placed, these devices do not need to be removed unless you develop a late complication.

Although the procedure improves the shape and contour of your buttocks, you should make necessary lifestyle changes to maintain the appearance of your new shape. A healthy diet and exercise regimen can be incorporated into your daily routine to maintain your look.