Silhouette cosmetic surgery
Cosmetic surgery of the buttocks must be part of an overall treatment of the silhouette
More and more patients complain about their flat and / or sagging buttocks. Each patient has their own vision of a nice pair of buttocks, large and very shapely (Brazilian buttocks) or more discreet but firm and well placed. The media often influences patients’ requests (Pippa Middleton’s buttocks "Pippa's butt," buttocks like Kim Kardashian ...).
To meet these growing demands, Dr. Laveaux offers his patients different methods taught in Brazil or the United States.
Lipofilling (fat transfer).
This "Brazilian Butt lift and augmentation" is preferred whenever possible. It involves removing fat by liposuction from areas where there is an excess of fat and then re-injecting it into the area where you want to restore volume all performed during the same surgery under general anesthesia. The re-injected or grafted fat must first be purified by centrifugation, filtration or decantation.
The rate of engraftment varies between 50 and 70%, which means that we must inject more fat than necessary in theory to achieve the desired volume. We must therefore have a "reserve" of sufficient fat and / or perform several sessions of lipomodelage several months apart.
The advantage of this technique is the natural and definitive characteristic of the fat injections. The result is permanent after the partial reduction phase is completed. Only a significant change in weight will vary the volume of the buttocks. The fat transfer is fantastic for increasing the volume of the buttocks while resculpting the entire figure ("body contouring").
Hyaluronic acid injections
A very dense hyaluronic acid of non-animal origin (Macrolane) is deeply injected through several millimeter long incisions. The injected quantities depend on each case, but they must be high to get a visible result.
Unlike fat injections, hyaluronic acid injections take place at the doctor’s office. This method is the easiest way to increase the volume of the buttocks. However, the absorbable nature of the product requires additional sessions every 12 months to maintain the results.
Buttock implants are available for patients who do not have sufficient fat reserves to have lipofilling and who also want a lasting result from only one procedure.
The implants used are specially designed to increase size of the buttocks. They are pre-filled with the same highly cohesive silicone gel (very strong) as found in breast implants. The casing is also more resistant. In the absence of violent trauma the risk of rupture is very low.
Different shapes and volumes of implants exist to suit any kind of request.
The result can be very natural if the impalnt is not too big and well positionned ; more impressive results can be obtained, nonetheless without excess.
With a good technique, implants are unconspicuous.
Men can also benefit for buttock's implants.
Principle of buttock enhancement with implants
It is performed under general anesthesia and lasts 2 hours on average. The patient lies on their stomach. No drain is set up. Hospitalisation lasts 24 hours.
The scar is vertical, located in the gluteal fold, and is between 6 and 8 cm in length. In general, it is invisible when the patient is standing, as it does not exceed the inter-gluteal fold. In some cases, to allow insertion of the implant, the scar may exceed the gluteal fold by 1 to 2 cm.
Position of the implant
In most cases, the implant is positioned within the gluteus maximus to allow it to be concealed and provide a natural look.
Upon waking and for 3 weeks following, sitting or lying on the back are strictly prohibited to avoid any healing problems. The first postoperative day will be devoted to standing and walking to ensure the swelling does not compress the sciatic nerve.
Standing, lying on the stomach or sides, and sitting down for short car trips, eating and going to the toilet are all permitted.
Showering is permitted from the day after the procedure.
Pain, which is relieved by the appropriate analgesics, only lasts for the first few days but discomfort may be felt for several weeks.
Risk of complications
As with any surgery, a number of complications can occur. But the likelihood of these complications is reduced in the hands of a qualified plastic surgeon and in the presence of a competent anesthetist. The patient’s compliance to instructions given by the surgeon is also essential and include :
- stopping smoking 1 month before and after the procedure (reduction of all risks) ;
- not taking aspirin for 10 days before and after the procedure (reduced risk of hematoma) ;
- not sitting or lying on your back for three weeks.
Fortunately, postoperative effects are generally manageable following a buttock augmentation that has been carried out properly, so serious complications are rare.
In spite of the fact that complications are so rare you must be aware of the following problems :
- Haematomas are quite rare but can occur. They can be evacuated.
- Infection : this is extremely rare when the procedure is carried out in sterile environment.
- Seroma : lymph collection under the skin that can be evacuated and that will dry up without sequelae.
- Delay of healing.
In case of a complications, your surgeon will treat them successfully if necessary.
In practice, the vast majority of cases take place without any problem and the patients are satisfied with the result.
Associated procedures with buttock implants
If we want to improve the appearance of the buttocks, it is essential to also look at the surrounding areas and contours.
During the buttocks augmentation procedure, liposuction of the hips is almost always performed to improve the curves.
Also, nice buttocks can be masked by obvious "saddlebags" that should be treated by liposuction to obtain an excellent overall result.
In the case of ptosis (sagging buttocks), simply increasing volume of the buttocks can be enough to reshape the buttocks.
However, with severe ptosis, a buttock lift can be recommended. It can be performed either in the same operation as the augmentation or during a separate procedure.
Depending on the case, the lifting causes a scar above the buttocks or in the crease under the buttock. This scar, although relatively long, is hidden in a natural fold or by wearing underwear.
Health insurance coverage
As this procedure is considered purely for aesthetic purposes, no coverage is provided by health insurance.
Author: Dr. Christophe Laveaux
Specialist in aesthetic surgery - Antibes
Reproductions, even partial, of the texts are allowed on the express condition cite the author (Dr. Christophe Laveaux) with a direct link to the article mentioned.