Gluteoplasty is a surgical procedure destined to increase the volume of the buttocks, commonly known as Brazilian Butt Lift when using the fat collected during a liposuction.
This procedure is considered mainly for a series of reasons:
- To improve the woman´s corporal outline that for personal reasons thinks that her buttocks are too small.
- To improve the volume, roundness and projection of the buttocks.
- To correct a reduction of the buttock volume after certain diseases.
There are 2 surgical alternatives: Silicone implants and fat injection extracted from other body parts, it is for people that wish to increase the buttocks volume. You must discuss with your surgeon what the more adequate option is for your case in particular.
The gluteal augmentation is accomplished through a gluteal implant wrapped with silicone and filled with silicone gel. Every day more prosthesis evolve and the current tendency is to place bio dimensional prosthesis, that means placing prosthesis shaped according to the gluteal own characteristics and filled with gel that instead of being in a liquid form it is cohesive with similar characteristics to gelatin.
This procedure is a very personal change that provides an improvement of the shape, volume and position of the buttocks, it is a considerable change so it has to be performed based on your own personal decision and not by somebody else’s insistence.
Per general rule, this procedure can be performed on healthy patients that have realistic objectives and expectations so that the following considerations are taken into account to guarantee the best outcome possible:
1. Unsatisfied with the gluteal size or shape.
2. To correct asymmetry, congenital or acquired deformities.
You will get an integral evaluation, it is important to know all the details of your health, your habits and it is equally important to know your expectations.
1. Medical condition, diseases, medication, previous surgeries especially surgeries or procedures like lipo-sculpting or buttock augmentation.
2. Family history of cancer.
3. Tobacco, alcohol, vitamin supplements, dietary supplements or any other treatment consumption.
You will get the following:
1. Evaluation and complete clinical examination.
2. Examination of the anatomic areas you are interested in, identification of structural alteration signs.
3. The requesting of pre-surgical tests necessary to assure the condition of your health is the adequate for the procedure.
4. Presurgical pictures taking.
Risks and safety information
Patients may expect pain, swelling and bruising the first days.
The main complications are:
- Unfavorable cicatrization
- Necrosis or skin tissue loss
- Deformity and asymmetry
- Complications related to anesthesia
- Sciatic nerve lesion
- Liquid accumulation
- Persistent pain
- Skin discoloration
- In severe cases profound vein thrombosis, breathing problems, pulmonary
thromboembolism and death.
There are 2 types of anesthesia that can be used, the first one is neuraxial blockage with sedation and the second one is general anesthesia. The best option will be discussed with you directly to offer you the greater comfort with the minimum risk possible.
The more appropriate technique will be chosen according to your goals and surgical instructions mainly based on:
1. Gluteal shape and size
2. The amount of fat at disposal in your body to use when performing liposuction.
3. Skin quality and elasticity
Gluteal augmentation with fat grafting or Brazilian Butt Lift
Step 1: Liposuction
The liposuction procedure is performed first in which through very small incisions, all the treatable areas are infiltrated with numbing solution that helps to minimize the trauma and helps with analgesia, afterwards the aspiration of fatty tissue from the problematic areas is performed with steel cannulas.
Step 2: Fat Injection
The fat collected is processed and prepared as grafting, then it is introduced in a sterile way with special syringes fitted with cannulas into the buttocks.
The result is immediate obtaining a visible improvement although the final outcome will be apparent 6 months after when the grafting is integrated to its new receptive area. It is normal to observe a decrement in the gluteal projection and it is due to the grafting reabsorption, the average retention is 60-80%. The performance of the fat grafting in your buttocks is alike to the rest of your body, it increases when you gain weight and vice versa therefore it is recommended to perform it when you have reached your goal weight.
Step 1: An incision is made on the medial line of the inter gluteal area, in the upper part.
Step 2: A pocket for the implant is made inside the gluteal muscle in which this one is inserted based on the patient’s preferences.
Step 3: The incisions are closed by planes and dressings with sterile bandages are placed as needed.
The improvement is immediate, swelling is settled in 4-6 months but with permanent results.
Generally, hospitalization is necessary, generally a 24-hour supervision and post-surgical care are needed so it is recommended to have a light bag ready with comfortable clothes and personal items as well as a companion to assist you on your way back home.
You will only be discharged when your condition is stable and had a favorable recovery, at your discharge you will be given the following:
1. Detailed instructions for the after surgical care at home.
2. Dressings change and wound care instructions.
3. A prescription for oral medication.
4. A contact phone number for any doubt or concern.
5. A date and time for the next follow up appointment with your surgeon.
Right after surgery
You will have dressings and bandages on your buttocks, wound care and garment change is performed 12 hours after. It is normal to have moderate swelling and the presence of ecchymosis or bruising as well as certain difficulty to walk around during the first 48 hrs.
1st week after surgery
The first post-op consultation takes place, most of the sutures will be removed, you will continue with ecchymosis or bruises in some areas and have moderate to minimum pain handled with analgesics with no problem. You are still not able to resume work activities in general and any workout routine is contraindicated.
2nd week after surgery
Generally, in better general conditions. The edema and swelling has gone down substantially,
you can resume some light work activities like the office type but still with the presence of slight ecchymosis or bruising. Strenuous activities or weight lifting is not recommended yet.
3rd and 4th week after surgery
A satisfactory recovery to resume every day domestic activities. Bruises are almost completely gone. Scars generally start to lose, these are permanent but in most cases they tend to fade
and improve with time.
6 months after surgery
With a complete swelling and edema resolution and with the final outcome already apparent, resuming all normal activities including the gym.
Before and After