Over the years, the aesthetics of the "ideal" woman has evolved. Historic sculptures portray curvaceous, thickset silhouettes, while waif-like models strutted runways in the late 20th century. More recently, with rising emphasis on health and lifestyle, "thick fit" is the new "skinny."Fitness and strength is now promoted, celebrating well-developed glutes/thighs and an itsy bitsy waist.
For some patients, this hourglass ideal may be difficult to achieve. Patients who desire a curvy, voluptuous derrière may consider butt augmentation, aka Brazilian Butt Lift. This procedure enlarges the buttocks with your own fat! Fat is harvested from other problem areas and replaced into the buttocks, both tightening your waist and enhancing the buttocks to produce the hourglass.
Dr. Lisa Hwang will work with you to develop your customized butt augmentation plan--she will carefully assess your anatomy and discuss your goals to ensure you have realistic expectations of your results. A beautiful BBL requires careful contouring with an aesthetic eye to achieve the most natural-appearing results.
Butt augmentation is not only about achieving a bigger butt, but also a shapely one. Studies have delved into ideal proportions i.e. waist to hip ratio and areas of maximum projection in all 3 dimensions. Dr. Hwang takes your natural figure into consideration while shaping you to ensure that the ultimate result is voluptuous yet proportional.
In butt augmentation, liposuction is first performed to harvest fat from other problem areas i.e. belly, flanks aka love handles, thighs, etc. With good skin elasticity, a tight waistline can be sculpted. One limitation is the amount of fat you have; thinner patients will not be able to achieve a dramatic result. For others, this combination procedure can transform your body into a stunning hourglass!
Fat transfer utilizes a patient's own tissue and redistributes it for a natural enhancement (vs. silicone buttock implants). After fat is grafted to the buttocks, about 50-70% survives long term, after which it permanently becomes a part of that part of the body. Future weight gain or loss will affect the buttocks, just as it will affect the rest of your body.
Brazilian Butt Lift (BBL) is a combination surgery that involves liposuction and fat transfer to the buttocks. The duration of the surgery depends on the amount of fat that is transferred. Generally, surgery can take from 2 to 4 hours. The procedure is performed at a surgery center under general anesthesia. After surgery, compressive garments are applied, and the patient can go home.
Patients can expect soreness, swelling, bruising, and decreased sensation (temporary). Bruising should resolve within the first 2 weeks, but swelling and firmness will continue to improve over the first 3 to 6 months. Compression garments should be worn as long as necessary to reduce tissue swelling. Patients should AVOID sitting directly on their buttocks for at least two weeks to allow the fat to survive successfully. For the first three months, patients are advised to sleep on their stomach, and to avoid sitting for prolonged periods.
After surgery, stay well-hydrated and walk! Walking encourages blood flow in the legs to prevent blood clots from forming. Butt lift is a big surgery; even the most active patients must rest to aid in recovery. Please refrain from any heavy lifting over 10 pounds. Patients are generally recommended to take one week off work; patients with sedentary jobs or have long commutes must make arrangements to not sit for prolonged periods of time. At 3 weeks, you can begin to resume more active exercise, as tolerated.
risks & complications.
Risks of butt augmentation include bleeding, infection, delayed wound healing, changes or loss in sensation, contour deformity, scarring, and asymmetry. Most importantly, patients should be aware of the risk for developing blood clots in the legs or the lungs, as this can cause serious morbidity if missed. Tightness/pain in calves or shortness of breath after surgery should be reported.