Buttock Augmentation
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Nice tight buttocks of right shape in combination with slender waist are the fastest growing trend in the world of plastic surgery.
This is not a surprise as by results of tests among men held by British scientists, it is the combination of right waist and buttocks which is the strongest sexual sign to men. Only for the last year in accordance with USA statistics the number of operations for liposuction of waist and implantation or lipofilling of buttocks zone increased by 23%.
Photo: Liposculpture after 4 months. About 1 l was collected from the sides and lower back, only 500 ml were injected into the buttocks. The patient's weight before and after surgery is the same. You can go to work the next day
Many people think that buttocks are easy to augment in the gym with the help of physical exercise, though this is not true. Of course they will become of more round-shape after 2-3 years of exercises but not more than that and only slightly. Therefore augmentation of behind surgically is a highly demanded procedure.
Photo: Buttock augmentation with round Polytech implants 200 ml, deeply under the muscle. Liposculpture of the lower back, sides, abdomen. 3 weeks after surgery
What problems are resolved by plasty of buttocks?
Indications towards plastic surgery of buttocks:
- Undeveloped gluteal muscles
- Small size of pelvis (masculine type of stature)
- Ptosis (prolapse) of buttocks
- Uneven distribution of fatty tissue in gluteal area
- Willingness of the patient to improve aesthetic look of the area of hips
Ways of buttock augmentation
There are 2 surgical ways of augmentation of gluteal area: with the help of implants (endoprosthesis) and correction of shape with own fat of the patient (Brazilian Butt Lift BBL). Choice of the method of plasty takes place depending on anatomic specificities of the patient, his/her preferences and initial shape and condition of buttocks. Often these methods are applied in combination with each other.
Gluteoplasty
Gluteoplasty is a plastic surgery for improvement of shape of buttocks by installation of silicone implants under the dorsal gluteal muscle through incisions of 3-4 cm long in the intergluteal fold. . In the end of surgical intervention, cosmetic sutures are applied with self-dissipating threads.
Installation of implants under the dorsal gluteal muscle makes to possible to reliably fix the implant.
Duration of surgical operation: about 1.5 – 2 hours
Narcosis: general
Augmentation of buttocks with the help of implants is most often used for weakly expressed area of hips or for patients with limited excessive fatty tissue for transplantation.
About gluteal implants
Damage, rupture or leakage of modern implants is excluded due to innovative strong envelope and filling with special cohesive silicone glue which does not diffuse and perfectly maintains the shape. Buttocks implants are very similar to breast implants. However, they have higher density and line of sizes is limited from 240 ml to 520 ml.
Implants of well-known and tested brand of Polytech are used for endoprosthetics in Ukraine like in Europe. The line of Polytech buttock implants is represented by prostheses of oval and round shape with three types of surface. However, mainly the implants of round shape and smooth surface are installed.
A patient never feels buttock prostheses: they are not felt while walking or sitting, do not move and do not overturn.
Implants have a life-long warranty and replacement is needed only in case of natural prolapse of buttocks over age or by wish of the patient.
Contouring of Gluteal Implants: Causes
Contouring of the implant edges is an aesthetic defect characterized by unevenness, grooves, and visualization of the implant contours. Such a result looks unnatural and requires a repeat surgery or fat correction. Inexperienced surgeons often make mistakes when placing gluteal implants, leading to contouring.
Contouring depends on:
- The depth of implant placement, preferably placed under the muscle.
- The thickness of the gluteal muscle and subcutaneous tissue specifically on the buttocks. The thinner the layer, the more contouring.
- The size of the implants, the larger the implant, the more contouring.
All these 3 points are important to consider during gluteoplasty in order to achieve a beautiful, smooth, and natural result.
Rehabilitation after endoprosthetics of buttocks
- Stay in hospital: 1 day (until released by the anesthesiologist)
- Pain feelings: 2-3 days fells like muscle soreness (pain relief drugs are prescribed if necessary)
- Removal of sutures: no, self-dissipating threads
- Period of complete restoration: 1-2 months
- Going for sports: not before 2 months after surgical operation
- Compression garments: wearing compression shorts during 3 weeks
- Control examination: in 3-4 days
- When is it possible to go to work:: in 7 days
Recommendations: to reduce pressure on gluteal area, i.e. sitting is possible immediately after surgical operation but not more than 15-30 minutes (for example: long flights are not recommended). Walking and sleeping on the back is possible immediately after endoprosthetics.
Buttock Lipofilling
The essence of such surgical operation is injection of prepared cleansed fatty tissues of the patient into very small incisions in folds of intergluteal area. Fatty tissues are taken from hips, abdomen, sides as well as lower back and injected in a strictly defined quantity while creating the right shape of buttocks.
Duration of surgical operation: not exceeding 1 hour
Narcosis: general
Photo: Excessive fat from abdomen, hips, back is removed through small incisions are transferred to buttocks while improving contours of the body in general
An undisputable advantage of fat transfer is complete absence of scars. A nice bonus to such surgical operation is removal of fat (liposuction) from problematic areas. However, one should be prepared that one procedure may be not enough for achievement of the needed result. As a result of lipofilling, 50%-60% of injected fat is grafted successfully. Rejection of fatty tissue is excluded as those are own cells of the patient.
Photo: Liposculpture after 5 days. From the sides, waist and back gained about 1.5 liters of fat. 600 ml are injected into the buttocks. Over time, with a constant weight, the waist will become even thinner.
I do liposuction by methodology of Power Assisted Liposuction (PAL) on state-of –the-art equipment of PAL-Lipsculptor with the function of vibration which makes it possible not to tear the fat but to break it with a cannula down to doughy condition; vibration causes emulsification of fatty tissue and excludes damage to non-fatty structures. Fat is acquired deeply therefore there are no irregularities left after acquisition of fat.
What to Do If You Have Insufficient Fat?
For thin and athletic women who do not have excess fat, a gluteal lipofilling operation or a combination of implants and lipofilling can be problematic. In such cases, I usually ask to gain 4 - 6 kg. To do this, you need to:
- Increase the number of meals with a high glycemic index, calculate and increase the number of calories per day. Consume easily digestible food.
- Periodically engage in strength training to stimulate the necessary hormones.
- Avoid endurance workouts.
- Get more sleep.
How does rehabilitation take place
- Stay in the hospital: 1 day
- Compression garments: wearing of control belt after liposuction within 3 weeks
- Pain feelings: light discomfort is possible in the area of punctures within a week
- Most of patients can return to habitual lifestyle in 5-7 days
- Physical exercises - not before 3 weeks
- Any small bruises and edemasare usually cured within a week
- Period of complete restoration: 1-2 weeks
Recommendations: to avoid long sitting, pressure on the place of grafting of fat because percentage of grafting will reduce. Refusal from hazardous habits (smoking, alcohol) in order to provide for better inflow of blood to recently injected fat. Not to visit saunas and solariums.
Which method of plasty of buttocks to choose?
For the patient, the main goal is voluptuous buttocks of beautiful shape, as it is fashionable to say now, a "Brazilian butt", and a sexy transition line from the waist and lower back to the buttocks and thighs. However, the method of achieving this goal is individual, depending on the patient's anatomical features and their desired shape and size. Undoubtedly, excellent results can be achieved with both implant placement and lipofilling, as well as with a combination of these methods. Each method has its advantages. The main thing is to choose the method that will be most comfortable and effective for the specific patient.
On the basis of my experience I can say the following: if corrections of small volume are needed, correction of small asymmetry, dents, cavities, making round-shape of gluteal area, in this case, the method of lipofilling will be sufficient (upon condition of availability of a sufficient quantity of fatty tissue in a patient). If there is no own fatty tissue (for example, fitness instructors who cannot pump gluteal muscles up to necessary size even with right systematic exercises due to genetic specificities), then only installation of implants is recommended.
Summary: I like the method of lipofilling for the opportunity of sculpturing, creating a new nice transition between the waist and buttocks (transplantation of fatty tissue from waist into buttocks) as well as an opportunity to remove fat from problematic areas (saddlebags, arms, back). I like endoprosthetics for fast creation of a stable ample shape of buttocks. In combination of endoprosthetics and lipofilling, one can make shape of buttocks and contours of the body in general an ideal.
Content author - plastic surgeon Valentyn Zykov
- Practicing surgeon since 1998
- I perform more than 500 operations a year
- Laureate of the 21st national program "Person of the year"
- I operate in Poland (Warsaw) and Greece (Athens)
