Many women find an imbalance between the size of their breasts in front and an under projected or flat buttocks in back. Both men and women alike know how nearly impossible it is to shape their bottoms with diet and exercise alone. The Brazilian butt lift can fill up deflated tushes or simply enlarge the buttocks for those who desire. There are two different methods of buttock augmentation, buttock implants, or butt augmentation with micro fat grafting. Fat augmentation of the buttocks has become the preferred choice for gluteal enhancement due to a lower complication rate and much easier recovery. Using your own body fat is very appealing as there is no implant, no chance of rejection, and no chance of capsular contracture, and no chance of “slipping” or shifting out of proper position. Not everyone is a candidate, however, for this procedure as there must be a significant amount of excess fat available for harvesting and micro injecting. For those without enough excess fat to transfer, gluteal implants can be placed.
Dr. Gershenbaum has been successfully performing micro fat grafting for years. As the demand for more shapely bottoms skyrockets, these same techniques have been adapted to augment and shape the buttocks for those who are good candidates. The key to success with any fat augmentation procedure is micro fat grafting or transfer. Fat is harvested using a low-pressure gentle liposuction method, processed and transferred into small syringes connected to micro canulas of 1.5 to 2 mm in diameter. Each syringe of fat requires multiple passes, placing thousands of bead like droplets of fat cells into multiple layers of tissues and in multiple directions through these micro canulas. These small bead-like droplets of fat can establish a new blood supply more easily than a larger mass of fat. Micro fat transfer starts within deep layers of the muscle, in an interlacing fashion, and works slowly toward the superficial fat layers just under the skin. Layering these small droplets of fat essentially one by one, allows for the best blood circulation to the fat cells and maximizes fat cell survival producing smooth, rounded contour and the best results. For example, a transfer having micro fat augmentation of the buttocks of 500 cc for each side will require nearly three thousand passes of the micro canulae. This takes time and patience with an average procedure requiring 4-6 hours. Not all of the fat will survive, some will be reabsorbed. No surgeon can accurately predict exactly how much fat will survive; however, it is believed that what remains after three months will remain permanently.
Micro fat augmentation of the buttocks will not result in lumps and bumps and will not cause cellulite. Actually fat has been used for years to correct irregularities and deformities of various
parts of the body including the buttocks. Adding fat volume to the buttocks will look and feel completely natural as well as improve contour as is it has done in the face by experienced surgeons for years. It is our experience that the vast majority of patients will have successful results with fat survival. One thing is for sure, sculpting the buttocks by removing fat from the proper areas around and adding volume to the buttocks will certainly improve the contour, shape and curves no matter how much fat actually survives. The combination of selective liposculpture and fat augmentation will produce a leaner look and shapelier butt!
- Brazillian Butt Lift Consultation
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Brazillian Butt Lift - Miami, Florida
Buttock augmentation with your own fat is yet another approach to add fullness, projection and shape to the under projected or flat buttock area. Also known as the Brazilian butt lift, this procedure involves a selective “gentle” liposuction technique, harvesting fat from those areas around the buttocks that tend to hide a more desirable shape and then transferring the fat into the proper areas of the buttocks in multiple layers. Harvesting the excess fat from the sides, above, below, and around the buttocks first enhances the curves and projection prior to the micro fat transfer and makes for an even more shapely derriere. Liposculpture and fat harvesting for buttock augmentation can use excess fat from numerous other areas including the abdomen, back, hips, waist, thighs, knees, and arms as needed.
Many women find an imbalance between the size of their breasts in front and an under projected or flat buttocks in back. Both men and women alike know how nearly impossible it is to shape their bottoms with diet and exercise alone. The Brazilian butt lift can fill up deflated tushes or simply enlarge the buttocks for those who desire. There are two different methods of buttock augmentation, buttock implants, or butt augmentation with micro fat grafting. Fat augmentation of the buttocks has become the preferred choice for gluteal enhancement due to a lower complication rate and much easier recovery. Using your own body fat is very appealing as there is no implant, no chance of rejection, and no chance of capsular contracture, and no chance of “slipping” or shifting out of proper position. Not everyone is a candidate, however, for this procedure as there must be a significant amount of excess fat available for harvesting and micro injecting. For those without enough excess fat to transfer, gluteal implants can be placed.
Dr. Gershenbaum has been successfully performing micro fat grafting for years. As the demand for more shapely bottoms skyrockets, these same techniques have been adapted to augment and shape the buttocks for those who are good candidates. The key to success with any fat augmentation procedure is micro fat grafting or transfer. Fat is harvested using a low-pressure gentle liposuction method, processed and transferred into small syringes connected to micro canulas of 1.5 to 2 mm in diameter. Each syringe of fat requires multiple passes, placing thousands of bead like droplets of fat cells into multiple layers of tissues and in multiple directions through these micro canulas. These small bead-like droplets of fat can establish a new blood supply more easily than a larger mass of fat. Micro fat transfer starts within deep layers of the muscle, in an interlacing fashion, and works slowly toward the superficial fat layers just under the skin. Layering these small droplets of fat essentially one by one, allows for the best blood circulation to the fat cells and maximizes fat cell survival producing smooth, rounded contour and the best results. For example, a transfer having micro fat augmentation of the buttocks of 500 cc for each side will require nearly three thousand passes of the micro canulae. This takes time and patience with an average procedure requiring 4-6 hours. Not all of the fat will survive, some will be reabsorbed. No surgeon can accurately predict exactly how much fat will survive; however, it is believed that what remains after three months will remain permanently.
Micro fat augmentation of the buttocks will not result in lumps and bumps and will not cause cellulite. Actually fat has been used for years to correct irregularities and deformities of various parts of the body including the buttocks. Adding fat volume to the buttocks will look and feel completely natural as well as improve contour as is it has done in the face by experienced surgeons for years. It is our experience that the vast majority of patients will have successful results with fat survival. One thing is for sure, sculpting the buttocks by removing fat from the proper areas around and adding volume to the buttocks will certainly improve the contour, shape and curves no matter how much fat actually survives. The combination of selective liposculpture and fat augmentation will produce a leaner look and shapelier butt! - Brazillian Butt Lift Operation
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The Operation
Micro fat augmentation of the butt, otherwise known as the Brazilian butt lift, is performed in our out patient facility under general anesthesia. This procedure will generally take 4-6 hours. Additional liposculpture beyond what is necessary for the buttock enhancement can add one to two additional hours. In front of a full-length mirror, the areas for liposculpture and fat harvest are outlined as well as the areas for the micro fat transfer to the glutes. After speaking with the anesthetist/anesthesiologist, the patient is brought to the operating room. After asleep, the tumescent anesthetic solution combined with a medication that shrinks blood vessels and capillaries to reduce bleeding is instilled. Next, gentle low vacume pressure liposculpture is performed through tiny incisions to obtain the amount of quality fat necessary for augmentation. Selected areas of excess fat that will enhance the overall shape and curves of the butt are suctioned first.
With the liposculpture complete, the fat is washed and excess fluid and oils are removed. An antibiotic solution is added to the fat in addition to intravenous antibiotics given at the start of the procedure. The fat is next transferred into small syringes and one by one; long beads of fat droplets are injected into the deep layers of the muscle in a multi-directional and interlacing fashion through the micro canulas. Slowly, layer-by-layer the micro fat transfer continues through the muscle then above the muscle, progressing into the deep fat until the layer just under the skin is reached. A dramatic change on the one side can be seen as the second side is completed in a symmetrical fashion, tailored to each individual’s specifications. The average micro fat augmentation procedure will range from 200 cc to 600 cc on each side. Special silicone backed foam is placed over suctioned areas to reduce bruising and swelling and a compression garment is applied.
- Brazillian Butt Lift Recovery Period
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The Recovery Period
After surgery, patients will experience some swelling and soreness/pain around the surgical areas easily controlled with oral medications. There is generally only minimal discomfort in the buttock area. Patients may sit one to two days after surgery on a soft, full pillow, however should avoid sitting for extended periods. The foam pads come off in 3-4 days at which time the patient may shower. We recommend continued use of the pillow for approximately 2 weeks. Depending on the extent of the liposuction and augmentation procedure the patient can generally return to work within one week. The compression garment must be worn for two to four weeks depending on the extent of the procedure. It generally takes no more time to recover from fat augmentation of the buttocks as it does to recover from liposculpture. People generally feel back to normal after approximately four weeks at which time exercise may be started.
It must be remembered that complete healing takes time and patience, taking several months before realizing the final results. After this procedure, the buttocks will swell to varying degrees and slowly subside. This should not be confused with the transferred fat being absorbed; it is a natural part of the healing process. It is generally believed that what remains after three months is the indication of what will remain. Patients from out of town are required to stay a minimum of one week barring any complications.
As with most cosmetic surgical procedures, complications are unlikely when performed by a skilled and competent surgeon. Complications include, but are not limited to anesthesia risks, bleeding, infection, fluid accumulation under the skin which may need to be drained, nerve damage, poor healing and unsatisfactory scars. Also possible is asymmetry, under correction/poor fat transplant survival. Also rare, but possible, are blood clots or emboli (blood clots which dislodge and travel in the blood steam to distant sites) which can be fatal.
At Aventura Center for Cosmetic Surgery, Venodyne calf compression devices are used for every buttock (gluteal) surgery (and all other surgeries). Venodynes are pressure cuffs that fit over each lower leg from the ankle to the knee circulating every one to two minutes to reduce the pooling of blood in the lower extremities and further reduce the possibility of blood clots or emboli. In addition, smokers must stop smoking well in advance of surgery. Smoking seriously decreases blood circulation in the skin, which increases the risk of complications and poor healing.
- Brazillian Butt Lift Complications
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Complications
As with most cosmetic surgical procedures, complications are unlikely when performed by a skilled and competent surgeon. Complications include, but are not limited to anesthesia risks, bleeding, infection, fluid accumulation under the skin which may need to be drained, nerve damage, poor healing and unsatisfactory scars. Also possible is asymmetry, under correction/poor fat transplant survival. Also rare, but possible, are blood clots or emboli (blood clots which dislodge and travel in the blood steam to distant sites) which can be fatal.
At Aventura Center for Cosmetic Surgery, Venodyne calf compression devices are used for every buttock (gluteal) surgery (and all other surgeries). Venodynes are pressure cuffs that fit over each lower leg from the ankle to the knee circulating every one to two minutes to reduce the pooling of blood in the lower extremities and further reduce the possibility of blood clots or emboli. In addition, smokers must stop smoking well in advance of surgery. Smoking seriously decreases blood circulation in the skin, which increases the risk of complications and poor healing.
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