There are many different procedures that can be performed to enhance the gluteal area all of which aim to achieve a better contour and nicer shape. In general, there are three major procedures for reshaping the gluteal area:
- Fat transfer (Brazilian butt lift)
- Butt implants
- Buttock lifting
The specific procedure used to enhance a patient’s buttocks will depend on the amount of projection desired, the quality and tone of the skin, the overall shape of the buttocks, and the amount of sagginess among others.
The most versatile procedure to transform such part of the body is the fat transfer or what is commonly known as the Brazilian butt lift. This procedure can be used to change the buttocks any way the patient wants. It helps increase the harmony of the buttocks to the waist ratio and their projection to the desired proportion. Not everybody is a good candidate for this procedure.
It needs to be combined with liposuction and fat transfer to achieve the best results. In this particular procedure, reshaping is performed by rearranging the buttock’s soft tissue in such a way that it will have a better projection and will anchor the soft tissue to help achieve long lasting results.
THE BRAZILIAN BUTT LIFT
The famous Brazilian butt lift is in surgical terms a fat transfer procedure to the buttocks. The Brazilian butt lift is equivalent to butt shaping with fat transfer. In this procedure, areas with excess fat like the abdomen, flanks, thighs, arms, lower and upper back are sculpted. The fat that is removed is processed and re-injected or grafted into the buttock area. This procedure is a total body sculpting procedure through which, not only the shape of the buttock is made nicer, but the actual proportion of the hip to waist ratio is improved. This transformation creates, not only a nicer looking butt, but also a sexier figure. Although by augmenting the buttock the butt is actually lifted to some extent, the “butt lift” is an actual misnomer because long incisions are not done.
When we think about lifting an area of the body, we immediately think about long scars to reposition the butt to make it look more youthful. In this procedure, small incisions are done, not only to remove the fat with liposuction, but also to re-inject the fat into the buttock area. The butt is actually lifted to some extent by increasing its volume with fat injections. Think about the butt like a deflated balloon. When you inject air, it gets bigger and firmer and its overall shape is “lifted.”
Not everybody is a good candidate for this procedure though. There are many factors that are taken into consideration before doing a Brazilian butt lift and age is not one of them. It is well known that age by itself is not a contraindication for cosmetic surgery. The following is part of the criteria to determine if a patient is a good candidate for butt sculpting:
Amount of fat: We need fat and the bigger the desired butt, the more fat you will need. If you would also like to have relatively larger hips, then, you need to have more fat.
Location of the fat. The fat needs to be accessible.
Health: You cannot have any significant medical problems.
Shape of your body before your surgery. Not only the amount of fat will determine if you will have good results but also your hip to waist ratio, your bony/hip frame, the preoperative shape of your buttocks, and the length and width of your buttocks.
Quality of your skin: If your buttock skin is very saggy, then, you will not be a good candidate for just butt augmentation. You might need to have excision of the excess skin, which is a more traditional butt lift.
Realistic expectations: This procedure can do wonders to your body and can even transform you life, but you will need to be realistic on what to expect in terms of your goals and what the surgeon can provide. The results depend on a combination of multiple factors: your skin tone, shape of your body before surgery.
Overall, the main factor that determines if you are going to be a good candidate for the Brazilian butt lift will be your weight and the location of the fat in your body. In addition, the fat needs to be accessible, which means that it should be extra-abdominal fat, not intra-abdominal fat. Intra-abdominal fat is the fat around the liver and guts. This fat cannot be harvested. Only the fat that you can grab with your hand can be used for the procedure itself.
What if you do not have enough fat? Then, you will need to gain weight.
In order to do liposuction and harvest fat for any butt shaping procedure, small incisions (5 mm) are strategically placed in different areas. As part of the Brazilian butt lift, we can perform liposuction of the abdomen, flanks, thighs (if the patient wants this area to be liposuctioned) and upper and lower back.
- Local anesthesia is given with very fine needles.
- Small 3mm cannulas are used to inject the fat.
- Inject the fat in multiple passes.
- Inject the fat in different layers.
- Avoid excessive blood in the fat.
- Do not irrigate the fat with saline or any product. It has been shown that minimal handling of the fat gives better results than the “cleaning and washing approach.”
- Avoid the fat from being exposed to air for a long period of time.
- Avoid pressure on the buttocks that can damage the fat by not sitting for 10 – 14 days.
- Do not smoke.
- No sitting for about 2 weeks. This is very important because prolonged sitting will damage the fat.
- The fat behaves as a graft (no blood supply) during the first few weeks. Once the fat develops its own blood supply, then, sitting will be recommended.
- Walk and stretch your legs. You need to move, move, move… This will help to decrease the risk of developing clots.
- Do buttock stretching exercises. This will help with your recovery.
- Wear your girdle at all time. You can remove it to take a shower; then, wear the girdle again.
- After 2 weeks of sitting, use a cigar shape cushion when sitting. This will bump your buttock and avoid excessive pressure.
- Wear a compression stocking net the first day after surgery to help prevent clots. Drink plenty of fluid.
Implants are often used in plastic surgery to reshape and augment body parts like the female breast and the calf. Likewise, gluteal implants can improve the shape of patients’ buttocks. Not only do you look better, you’ll have more self-confidence and be more approachable, thanks to your shapely new figure.
Buttock implants are used in plastic surgery for reshaping and augmenting different parts of female breast and calf. Buttock implant not only improves the shape of patient buttock but also gives you a better and shapes your figure also. In this procedure a small scar is made below the butt and the implants are placed.
Evaluate The Buttock’s Shape:
There are other variables, such as size, shape, and skin quality, that need to be considered before making any determinations about which butt augmentation procedure is best for you. If you are thin and wear a size two to four dress, you may not have enough bodily fat to spare for the fat transfer butt enhancement method; therefore, in order to create a new, curvier rear, you would have to receive butt implants.
When evaluating the shape of the buttock, we divide its anatomy into three sections; the upper buttock, the mid-buttock and the lower buttock. Each area needs to be evaluated and addressed separately to provide the best gluteal harmony.
In the process of buttock augmentation, implants will be placed can be of different types such as:
According to shape
According to fillers
- Cohesive silicone
- Solid silicone
According to surface
Incision can be made on three surfaces such as
- top on both sides of upper buttock
- towards bottom in both of gluteal area
- down towards centre of sacrum
This type of operation involves placing an implant that is made of silicone (either cohesive silicone gel or solid silicone) in the buttocks to improve size, shape, and contour. The process of buttock augmentation is done under local or general anesthesia with sedation and it is completed within one hour. Extra half hour is needed if it is needed to be done along with liposuction. The face of the patient is placed in downwards position, then a 5 to 6 cm vertical incision is made in the crease of the buttocks. On both sides of the sacrum dissection is seen till buttock muscle is reached. Then a pocket is made for placing implants there will be minimal bleeding in this procedure. The implants are placed over the newly made pockets and the implants are placed above this. Then the midline incision is closed.
The implants are placed through a single, well-hidden incision that, when healed, nobody will ever see. In most cases, the implant is placed under the layers of buttock muscle and fat so it’s there to stay. Plus, there’s no danger of breaking and leaking because the implants are made of semi-solid silicone. After all, you sit on not the implants, but on the bones designed to support your weight. The actual implants are placed up higher in the buttocks.
Virtually all buttock implant patients say the new, curvy rear, along with its “wow” factor is worth it. Once healed, buttock implant patients love filling out new styles and really love filling out a bathing suit. Plus, you’ll have more self-confidence and be more approachable, thanks to your shapely new figure.
The final decision will be whether or not liposuction should be combined with the implant procedure to add further contour to the buttocks.
Most of the patients who were having the operation had flat buttocks, but they also had a role of excess fat in the upper-outer part of the buttock. They looked flat from the side but wide and flat from the back. After the augmentation, the patients had nice-looking results and a large wide look from all angles. We can combine the implant procedure with liposuction of the upper outer part of the buttock to improve the wide appearance. I then noticed a tremendous change in the contour and shape of the buttocks.In some patients, liposuction of the lower buttock and outer thigh is also needed to improve the droopy look we can do buttock augmentations with liposuction.
The Operation: Buttock augmentation is done under local anesthesia with sedation or spinal anesthesia or general anesthesia that takes about an hour to perform.
Your New Look
After your butt implant procedure, you will need to wear a support garment for approximately two to three weeks. At first, you will notice a definite difference in the gluteus contour, but because you are swollen, the buttock will appear very full, and will have a boxy appearance. You may also notice the implants sit quite high on the buttock. That is all normal, too; kindly remember that you are swollen. It will take at least three months for all the swelling to go down and for the implants to settle into their normal position. You may experience occasional temperature changes and numbness over the buttocks. But that will also improve over the next three months. You may feel a little timid and scared when sitting down, but remember the implant is much higher on the buttock than where you normally sit, so don’t worry.
TRADITIONAL BUTT LIFT
In the traditional butt lift, long scars are strategically placed around the gluteal contour to actually lift the buttocks and at the same time preserve soft tissue to augment them.
The range of problems that can be solved with a buttock lift requires careful analysis in order to tailor the solution using the most appropriate surgical techniques. The degree of sagginess, skin tone and laxity, amount of deflation of the buttocks, and location of the deformity are just a few of the many factors that must be taken into consideration.
- Upper buttock lift
- Lateral buttock lift
- Butterfly buttock lift
- Lower buttock lift
The upper buttock lift is one of the oldest procedures and is mostly used for those patients who have lost a lot of weight after a bariatric surgery. In addition, the excess tissue is used to augment the buttocks. This procedure is like performing a tummy tuck in which a long scar is performed to remove the excess tissue but the scar is not a straight line; instead, it follows the superior roundness of the buttocks.
The lateral buttock lift is a technique that I use to enhance the buttocks when mainly the deformity of the buttocks is located on the sides and hips and the degree of sagginess of the butt is moderate. The incision is located around the hip buttock junction and the length of the incision is much shorter.
The butterfly buttock lift is a procedure that is very useful to enhance the buttocks in those cases where there is mild to moderate sagginess on the central buttocks. The incision follows the gluteal crease and extends to the sides following the junction of the lower back with the gluteus. This approach to buttock rejuvenation improves the actual sagginess but does not significantly lift the inferior gluteal crease.
You are required to wear support garment for two to three weeks after the procedure. It will help in redraping of the skin and giving a proper support to the buttocks. Final result of the procedure will be seen after three months of the surgery, most of swelling will subside by this time. Three months is needed for subsiding swelling and for making implant to go in their normal position. Initially you may have some temperature change and numbness over your buttocks which will improve in next three months.