Buttock reshaping (also known as gluteal augmentation, gluteal sculpting or Brazilian Butt Lift) is a term that applies to the use of a variety of surgical techniques that are aimed at producing a desired aesthetic appearance to the buttocks. Techniques used may include fat grafting or transfer, liposuction, placement of implants, a buttock lift or other excisional techniques. The ultimate goal is to sculpt the buttocks and surrounding areas to help you achieve your desired buttocks shape and appearance.
Buttock reshaping is an excellent procedural choice for those who wish to improve the contour and the overall aesthetic appearance of their buttocks. Some may require liposuction and fat grafting alone, while others may require the use of multiple techniques to shape the buttocks and improve balance.
Many individuals seeking buttock reshaping do so following massive weight loss, which results in a flattened, deflated appearance to the buttocks. This typically will require excisional techniques to lift the buttocks as well as augmentation using fat grafting or implants to restore volume and restore shape.
Other individuals may simply be thin and desire improvements in their body contour and balance. Gluteal augmentation and/or fat grafting may be required to give them the curves that they desire. The amount of fat required will vary depending on the individual’s desired size and shape.
Whatever the cause, if you are unhappy with the appearance of your buttock contour and have realistic goals and expectations, buttock reshaping may be right for you. Please call our office at Allure Plastics today and schedule your appointment with Dr. Walker and learn how buttock reshaping can help you achieve your aesthetic goals!
While buttock reshaping is a safe procedure for healthy individuals with appropriate goals and expectations, there are some conditions that can increase your potential for a poor outcome. These include:
- bleeding or clotting disorders
- conditions which result in poor wound healing capability
- history of keloid scarring
- continued fluctuations in weight
- unrealistic expectations
The techniques used during a buttock reshaping procedure may include liposuction, fat transfer, implant placement or excisional techniques. The approach to your individualized procedure will rely on your own anatomy and your desired result.
Buttock reshaping is generally performed as an outpatient procedure and requires the use of general anesthesia.
Small access incisions will be made and tumescent fluid will be placed in the areas where liposuction will be performed. This may include multiple areas such as abdomen, thighs, hips, flanks and back. This not only serves to remove fat for injection into the buttocks, but it also helps shape the back and thighs that will enhance the appearance of your buttocks and provide a pleasing aesthetic balance to your body. Following liposuction, the fat removed will be processed and prepared for injection into the buttock area to augment shape and volume.
Should larger volume be desired than what can be achieved with fat grafting, an incision will be placed into the crease between the left and right buttocks. The gluteal muscle will be spread apart and an implant will be placed within this muscular pocket. The implant used for gluteal augmentation is specially designed for the buttocks. Following placement, the incision will be closed. This incision hides well in the crease between the buttocks. Absorbable sutures are used so that no suture removal is required in the postoperative period.
For those who require excisional techniques, there are a variety of options. During your consultation we will explore your individual anatomy and desired results and design a procedure that will help you achieve your desired goals.
At the completion of your procedure, compressive garments and dressings will be applied.
Buttock reshaping is well tolerated by the vast majority of patients. Pain is mild to moderate and is well controlled by oral medications. Most patients go home the same day.
Prescriptions will include oral medications for pain and nausea and may include an antibiotic, particularly if small drains are placed during your procedure to assist with removal of excess fluid.
At the completion of your procedure, compressive dressings or garments will be applied to help limit swelling and prevent accumulation of excess fluid. These will need to be worn for the first 4-6 weeks. It is very important to continue wearing these garments as instructed in your post-procedure instructions.
You will need to alter your lifestyle for the first couple of weeks. You should sleep on your stomach and avoid putting pressure on your new buttocks as much as possible to allow your newly shaped buttocks to heal.
Strenuous exercise should be avoided during the first 4-6 weeks following buttock reshaping, but you are encouraged to walk starting the day of your procedure. During your postoperative visits, Dr. Walker will instruct you on when you may return to full activity.
Following buttock reshaping, results are immediately seen. The shape and contour of your buttocks, as well as the overall balance of your body will be significantly improved. The transition from your back to buttocks to thighs will be smooth and aesthetically pleasing.
If fat transfer is used, some of the fat may not survive and may be absorbed by the body. If further augmentation is desired, additional procedures such as repeat fat transfer may be required.
The fat that is transferred will respond to your fluctuations in weight. If you gain weight, your buttocks will enlarge and if you lose weight, you will see a reduction in the size of your buttocks.
The results of buttock shaping are permanent but long-term results will be altered by normal aging and also by fluctuations in weight. To ensure good long-term results, you should maintain your weight and engage in a healthy lifestyle.
Incisions for buttock reshaping are placed in inconspicuous locations. Scars will mature over the course of the first year and then should fade with time.
*Individual results may vary
Buttock reshaping is a common procedure performed by plastic surgeons. During your consultation, Dr. Walker will perform a detailed history and physical exam. We will identify factors that may cause your risk of surgery to be increased, and together will formulate a plan to help you achieve the results you desire in the safest manner.
Risks and potential complications of buttock reshaping include the following:
- contour abnormalities
- loss of fat grafts
- bleeding or hematoma formation
- blood clots and pulmonary embolus
- fat embolism
- fat necrosis
- oil cyst formation
- poor wound healing
- opening of incisions
- unfavorable scarring
- anesthesia risks
- seroma formation
- damage to underlying structures and deeper organs including sciatic nerve
- implant rupture or malposition
- need for implant removal or replacement
- distortion of buttock shape
- need for further surgery
During the preoperative consultation, these potential risks will be discussed with you in detail. Should you have any questions or concerns, they will be addressed. Dr. Walker is dedicated to the education of his patients, and he will help you understand the risks, benefits and potential alternatives of buttock reshaping.
Buttock reshaping is rapidly gaining popularity. Development of new techniques such as fat grafting and new approaches to implant placement have helped decrease the rate of complications of buttock reshaping, and have thus made it a more viable option for individuals seeking to change the appearance of their buttocks.
The desired shape and size of the buttocks varies between generations and different cultural backgrounds. Each person has their own idea of ideal buttock shape. This can be a challenge to the surgeon because no single approach will satisfy the desires of all individuals seeking buttock reshaping. With this in mind, it is my job to listen to each person’s concerns and desires, understand what their idea of the ideal buttock shape is, and apply the techniques available to help them achieve the buttocks they desire. While this can be challenging, it allows for creativity and artistry in the medical field which is often more protocol-driven. This ability to design and create is very exciting to me professionally and is the main reason I chose the field of plastic surgery.
Choosing the right plastic surgeon for you is an extremely important decision. Call our office today to schedule your consultation. I look forward to helping you achieve your desired derriere!
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“I was extremely pleased with the work Dr. Walker did for me. Not only was he professional and meticulous, but he also followed up with me several times after the procedure! I will be a returning client. ”
– Lauren / Hazlehurst, MS