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Buttocks plastic surgery update

Buttocks plastic surgery update


buttock shapes

I recently saw a classification for buttock shapes. It turns out there are pear, apple, mandarin and tomato buttock shapes.  Funny but no one told me that during my training. It also appears that the citrus fruit among these, mandarin, is the shape most aspire to: two round balls for buttocks. Buttocks plastic surgery keeps on evolving and its time for a buttocks plastic surgery update!

From a cosmetic plastic surgeon’s perspective, there are three types of buttocks plastic surgery that can be performed: patients want their buttocks larger, smaller or just lifted.


Making buttocks bigger

The options for making buttocks larger are:

1. Silicone implants

In this outpatient cosmetic procedure, a 2-3 inch incision is made between the buttock cheeks and a solid silicone implant is placed under the buttock (gluteus) muscles.

  • Silicone implants used are different from ones used in breast augmentation and are firmer to touch
  • Implant have to be placed higher in buttocks, as you cannot sit on implants for fear of rupture; we all sit on the bone under our buttocks
  • Healing takes about 10 days and full recovery 1-2 months

2. Fat injections – Brazilian buttock lift

  •  Even though the Brazilian buttock lift has “lift” in its name, it’s a plastic surgery procedure that both enlarges and lifts buttocks
  • Liposuction of abdomen and hips is performed, and harvested fat is injected into buttocks
  • I typically inject about 800 cc into each buttock at one surgery for maximum effect
  • This is an outpatient cosmetic surgery requiring 3-4 days for recovery and 1 month for full healing
  • About 30% of  fat injections will naturally disappear, but some will remain permanently; everyone is different


Making the buttocks smaller

There is really only one cosmetic procedure to make buttocks smaller, and that is liposuction. In this procedure, three to four small incisions are made around either cheek and fat is removed, leaving behind a smaller buttock. The cosmetic danger is in removing too much fat and turning a plump cheek into a flat and droopy one—not a good idea.


Lifting the buttocks

There are two options for this cosmetic procedure, buttock lift surgery and, again, Brazilian buttock lift.

Buttock lift surgery

In this surgery, a scar is placed in a crease under the cheeks and the skin is turned in to give a modest lift.

The problem is that the plastic surgeon is trying to push and hold your skin and fat tissues in a high position against gravity’s force; given the weight of skin and fat, gravity wins. The scars are not great from this surgery, and I try hard not to perform it!

Brazilian buttock lift 
As above, fat injection will not only make a buttock larger but will also lift it, in the same way an empty bag is “lifted“ when full. With liposuction I can actually change the shape of the buttocks to to make them larger and lifted or smaller and lifted!

The concept to keep in mind with all these surgeries is that by changing the shape of the skin and fat around an area I can change the apparent shape of the area itself!

The update

I first wrote this blog in 2010. $ years later not much has changed other than…

I now perform a lot more Brazilian buttock lifts than before; it is a routine procedure now.

I do very few silicone implants these days

I have not done a simple lift with cutting of the skin in 4 years! – It is just not a good surgery.

We still do not know how come much fat cells survive in some areas and not in others as well!

Brazilian Buttock Enlargement with Liposuction Fat Transfer

Big fat bums


For information about Brazilian buttock enlargement, look here: http://www.Tavmd.com/buttock-enlargement-lift

 The world is the sort of place where those who have one thing are clamoring for another thing they don’t have. If you have curly hair, you want it straightened; and your hair is straight, you curl it. If your buttocks are small, you want buttock enlargement; if they are big you want them… bigger? Well, yes, in some cases.

Size of buttocks

The size of bums is determined more by their shape than their actual volume. Buttocks look big if they are long and wide, long in terms of length from the upper hip to the lower end of  buttocks and wide in terms of distance from the central bum crease to the outermost parts of the hips or saddle bags. In one of my cosmetic plastic surgery patient’s before photos below, notice how much distance there is between the back crease and the lower part of the buttocks. In the after photo, this distance appears shorter. By the way, that is her result a week after a natural buttocks enlargement via a belly fat transfer!


What patients want for their buttocks

Most patients want to have buttocks that are shapely, round or full. Sometimes that is confused with size/volume. Buttocks enlargement means different things.

Round, full bottoms offset by a small narrow waist will look bigger; sometimes even liposuction of the waist will give the impression that bottoms have been made larger. For men who want larger or fuller buttocks, waists cannot be narrowed as much as for women.

Some patients have a paucity of fat in the lateral (outside) part of  their bum.  These patients need fat to be filled in those areas in order to get a rounder bum.

How to do buttocks enlargement

In previous posts, I have discussed larger buttocks with silicone implants or with a Brazilian buttocks enlargement technique.

My preference is for a Brazilian buttock enlargement or natural buttock enlargement, in which fat is suctioned from other areas of the body such as the belly/abdomen. Next, a fat transfer and injection into the buttocks is performed. This procedure is gaining in popularity. I have taught several of my cosmetic plastic surgeon colleagues how to perform this surgery. There are a number of companies that sell cosmetic plastic surgeons different materials to allow for easier or quicker harvesting of  fat, but I find that these don’t really help. Liposuction with fat transfer under the buttocks’ skin and muscle in multiple lines gives the best results.

How long does fat injection into the buttocks last?

When I first started performing this cosmetic procedure years ago, I would tell my patients what I had been told to say by the plastic surgery authorities at the time: “We don’t know, but it should last at least two years.”  I now know that I still don’t know, but results can sometimes last for almost a lifetime; they might disappear when you are getting on a bit.

Risks of Brazilian buttock enlargement

  • Infection – can be devastating and eat away all the injected fat.
  • Bleeding – very rare.
  • Loss of volume – sometimes occurs unpredictably.

With more and more cosmetic plastic surgeons performing surgery to enlarge buttocks, results are becoming better and more predictable. So, whether you are a man or a woman, a nice round big bum is hopefully within your reach…