BUTTOCK AUGMENTATION
A buttock augmentation can be obtained using different techniques depending on the patient’s wishes. Autologous fat injections, take fat from one part of the body of the person to add volume to the buttocks. Donor sites may include the abdomen, hips, back and thighs. Fat cells are removed using liposuction and then injected into layers in the buttocks. A disadvantage of this technique is for the fact that it is difficult to predict how much fat the body reabsorbed, because of this; multiple sessions are sometimes necessary procedure.
Fat transfer technique:
A buttock augmentation can be obtained using different techniques depending on the patient’s wishes. Autologous fat injections, take fat from one part of the body of the person to add volume to the buttocks. Donor sites may include the abdomen, hips, back and thighs. Fat cells are removed using liposuction and then injected into layers in the buttocks. A disadvantage of this technique is for the fact that it is difficult to predict how much fat the body reabsorbed, because of this; multiple sessions are sometimes necessary procedure.
Usually, this surgery is performed under general anesthesia. And its duration will depend on the individual patient.
A buttock augmentation procedure needs to average around 250-350cc of fat for each side. Indeed, this is a good amount of fat and, therefore, this surgery is not recommended for very thin people.
When fat is removed, purified and is carefully processed; consequently, only a small percentage of the initial amount will qualify to be transplanted.
After processing the fat, the injection phase can be carried out. The doctor injects small amounts of fat in various regions of the buttocks and at different depths, only this way we can achieve lower rates of permanent absorption. The whole procedure therefore requires many micro-fat injections which are essential to give a natural look, even and smooth appearance to your “derrière”.
Because the buttocks augmentation procedure is quite meticulous, it can take between 2 to 3 hours to carry it out successfully.
Technique implants:
Buttock implants are an alternative way to give a new shape to the buttocks. This procedure is performed by making an incision in the crease between the buttocks and inserting a silicone implant in the “pocket” created intramuscularly, this positioning has been proven as the safest for the implant.
This surgery is performed under general anesthesia and usually takes about 1 to 2 hours to take place. The area where the implant is placed is previously determined and marked just before going to surgery.
Through the incision, the gluteus maximus is elevated to create a large enough opening for the implant. When the implant is placed, the doctor will continue his work on his other buttock, by examining the two and ensuring that the results are symmetrical and look completely natural.
When desired results are achieved, the incisions are sutured with a few stitches and a compression garment or girdle short is put on the buttocks to remain compressed, reducing the level of inflammation and discomfort for the patient. Micropore ® should be used for no rubbing or friction points directly to the wound with dressing while protecting the wound.
What are the main risks and potential complications of buttock augmentation?
Like any major surgery, buttock augmentation has potential risks and complications. Therefore, you should consider as seriously as you would any major surgery. Also, keep in mind that increased implant has a much higher rate of complications compared with fat injection.
What are the most common minor complications of importance or the consequences?
Changes in skin sensitivity: This is a normal consequence that occurs throughout the world to varying degrees. You may experience “paresthesia” which is an altered sensation at the site of liposuction. This can be either in the form of increased sensitivity (pain) in the area, or loss of any feeling (numbness) in the area. This sensation is permanent in very rare cases. However, in almost all patients is within the first two to four months after surgery. Massaging the area of liposuction helps increase circulation and facilitates the recovery of normal sensation of the skin.
Swelling:This, too, is a normal event that occurs in every patient. Compression garments and post-operative massage helps minimize this risk, and reduce its duration to less than two months.
Bruising: There will be bruising in many areas that were aspirated or grafted, and in areas adjacent or dependent. For example, you will also consider the bruises and swelling on the back of the thighs and genitals. Bruising, usually move downwards due to gravity. Some bruising can last a long time or even lead to permanent skin pigmentation. Sunbathing immediately after surgery can cause these injuries to become permanent skin stains.
Skin irregularities and holes: Injection areas of fat can develop contour irregularities, including elevations and dimples in terms of its elasticity of the skin and the degree of fat injection. Usually, post-operative massage helps to soften these areas.
Asymmetry: No two body halves are identical. Therefore, after buttock augmentation may appear to be very slight differences between the contour and size of the two parties. Disorders Scoliosis or other spine can magnify body asymmetry.
Muscle spasm: It is very common to get temporary muscle spasm or cramping in the muscles of the buttocks. This usually resolves quickly by itself or can be helped by massage or local heat.
Pain and discomfortr: You should expect to have pain or discomfort similar to the feeling of having worked too hard. Some of this may feel like a stabbing pain in the area increased, and in adjacent areas. Usually can be administered for pain medications, and generally lasts a few weeks.
Seroma or fluid collection: After fat injection or implant placement, straw-colored fluid from the blood, in the areas of the buttock. Your surgeon can alleviate these by draining a small needle in an office procedure.
Absorption of fat and fibrosis: Approximately 30% of the injected fat survives and is not absorbed. If this happens unevenly, there may be areas that you feel or see dimples or dents due to excessive fat reabsorption. Furthermore, in the areas of fat absorption scarring can occur which causes the fabric to feel hard.
The rare and severe complications:
Infection:Infection can occur after any surgery and may rarely occur after liposuction. The infection rate increases with increasing amounts of injected fat because it increases the risk of seroma formation, but the overall rate remains very low due to routine use of preoperative antibiotics. Furthermore, it has been reported a significantly increased risk of infection with the use of implants buttocks, which can be as high as 25-30%. This is probably due to the proximity of the incision to the rectum. Because of this, generally, patients are put off an implant placed unless they are fully aware of this risk very serious and meticulous postoperative care. If you develop a mild infection can be treated with antibiotics. Otherwise, the implant must be removed and the wound must be left open to close slowly, so it may take several weeks. In extremely rare cases, infections can be serious or life threatening.
Stroke: This too is extremely rare and is reduced by early postoperative ambulation. Fat embolism can occur when fat is loosened and enters the blood through blood vessels ruptured (broken) during liposuction. Micro fat fragments are trapped in blood vessels, gather in the lungs, or travel to the brain.
Visceral Perforations (puncture wounds in the organs)
Skin necrosis (death of skin)
Implant Protrusion
Nerve Injury: Buttock implants can press on or migrate on the sciatic nerve, which travels in the region of buttock. This could cause a shock or injury to the nerve. Treatment may include removal of the implants.
Fluid imbalance
The toxicity of anesthesia
Deaths related to liposuction: There are numerous reports of deaths related to the liposuction procedure. Studies to date are inconclusive; making it difficult to be sure how often death occurs.