Procedures - Brazilian Butt Lift (Buttock Augmentation)

Buttock augmentation is a procedure that reshapes and enhances your gluteal area, providing you with an uplifted and rounder buttock profile. In the past ten years, this procedure has become increasingly popular worldwide, with rounder buttocks often seen as a symbol of femininity and sensuality. The most frequent methods for enlarging and reshaping your buttocks are fat grafting using your own natural fatty tissue (popularly referred to as the Brazilian butt lift), or with implants.

When To Consider Buttock Augmentation

  • If your buttocks is too small for your body frame and you want a more balanced look
  • If your buttock shape is too flat or square and you would like more roundness and a more youthful appearance
  • If weight loss or the aging process has left your buttocks loose, sagging, or flat
  • If clothes and swimwear do not fit or feel proper on your figure

Related Procedures
Some people who consider a buttock augmentation also consider a tummy tuck, a thigh lift, liposuction, or breast augmentation.

  • Clothes and swimwear will feel and fit better.
  • Your body will appear more curvaceous and proportionate.
  • Your buttocks will be firmer, rounder and lifted, creating a more youthful and shapely appearance.

  • It is possible for implants to slip postoperatively or for some of the fat to be reabsorbed, causing asymmetry.
  • If you are very slender and want significant augmentation, you may need implants to achieve the size that you request.
  • Because of postoperative swelling, it may take three to six months before the full effect of this surgery is reached.

Am I A Good Candidate For A Buttock Augmentation?
The following are the most common reasons why patients may want to consider buttock augmentation:
  • Your buttocks are too small for your body frame and you want a fuller look.
  • Weight loss or the aging process has left your buttocks deflated, sagging, or flat.
  • Clothes or swimwear are baggy or do not fit properly.
  • The shape or size of your buttocks makes you feel self-conscious and you desire fullness.
If you are in good general health, have a positive attitude and realistic expectations, you are a good candidate for this procedure.

How Is A Buttock Augmentation Procedure Performed?
The two most popular methods for buttock augmentation are fat grafting (using your own natural fat), also called the Brazilian butt lift, and gluteal implant surgery with or without fat transfer for additional contouring. Fat grafting:
This method takes fat from one area of your body and uses it to enhance and reshape your buttocks.
  • Liposuction with suction tubes (cannulas) is used to remove fatty tissue from areas of your body with excess tissue, primarily around the buttocks but also from the abdomen, hips, back, or thighs.
  • The fat is then centrifuged and purified
  • The fat is injected using syringes connected to injection needles.
  • Usually three small incisions are needed for injecting the fat, but clothing easily hides these incision sites.
  • The fat is grafted in layers at multiple levels, with the needle moving back and forth to ensure that a smooth, linear deposit of fatty tissue is left to shape and augment the buttocks area.
  • The liposuction incisions are typically closed with sutures

Buttock implants:
Silicone rubber implants are most appropriate for treating flat or poorly defined buttocks, particularly for patients who have limited fatty tissue. They are not as effective for treating sagging buttocks that typically occur after significant weight loss.
  • With this procedure a soft, shaped silicone rubber implant is placed through an incision hidden inside the natural buttock crease. Dr. De Aguiar will provide further details about these incision locations during the consultation.
  • The implant is positioned in a pocket above the large buttock (gluteal) muscle.
  • The incisions are closed with sutures, drains are occasionally inserted, and a compression garment is worn following surgery.

What Are My Options?
There are two main approaches for buttock augmentation: autologous fat transfer (Brazillian butt lift) or buttock implant surgery. Dr. De Aguiar will recommend the approach based on your aesthetic goals and body shape. 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 shape your buttocks. If you are very slender with little excess fat, then implants may be the best option; however, if you have sagging buttocks after massive weight loss, then fat grafting or a combination of fat and implant surgery may be a better choice.

What Will My Buttock Augmentation Incisions And Scars Be Like?
Depending on the type of procedure you desire, the following incisions may be used:

Autologous Fat Transfer
Liposuction incisions are very small and just large enough to allow the suction cannula to go under the skin and remove the fat. The incisions used for injecting the fat into the buttock regions are even smaller still.

Typically an incision is made in the fold between the buttock "cheeks".

How Do I Prepare For A Buttock Augmentation Procedure?
Dr. De Aguiar will provide you with preoperative instructions, answer any questions you may have, take a detailed medical history, and perform a physical exam to determine your fitness for surgery. The surgical options best suited to assist with your specific problem will be discussed with you in detail during your consultation. We will review the operative details as well as potential risks and complications.

Prior to your procedure, you will be required to:
  • Stop smoking at least four weeks before undergoing surgery
  • Avoid taking aspirin, certain anti-inflammatory drugs, and some herbal medications that can cause increased bleeding.
  • Regardless of the type of surgery, hydration is very important before and after surgery for safe recovery

Recovery Time Frame After Buttock Augmentation
  • It is important that you follow all patient care instructions provided by our staff. This will include information about wearing compression garments, care of your drains, taking an antibiotic, and the level and type of activity that is appropriate. Dr. De Aguiar will also provide detailed instructions about the normal symptoms you will experience and any potential signs of complications. It is important to realize that the amount of time it takes for recovery varies greatly among individuals but usual recovery time is between 6 to 8 weeks. Swelling may initially obscure the final results. When the swelling subsides, sometimes taking up to six months, your true results will be more evident.
  • Under normal circumstances, the results of your surgery will be long lasting.
  • After a successful fat transfer, the fat that remains will stay there for the rest of your life. Like the other 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 should be incorporated into your daily routine.

Fortunately, significant complications from buttock augmentation are rare. The specific risks for buttock augmentation will be discussed during your consultation.

All surgical procedures have some degree of risk. Some of the potential complications of all surgeries are:
  • Adverse reaction to anesthesia
  • Hematoma or seroma (an accumulation of blood or fluid under the skin that may require removal)
  • Infection or bleeding
  • Loss of sensation
  • Scarring
  • Allergic reactions
  • Damage to underlying structures
  • Unsatisfactory results that may necessitate additional procedures

Other risks specific to buttock augmentation are outlined below:

Fat Transfer
  • Fat absorption – may be as high as 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"

  • Implant slippage, causing asymmetry. Any complications or changes in shape may require additional surgery. You can help minimize certain risks by following the advice and instructions of Dr. De Aguiar, both before and after your buttock augmentation surgery.

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