When Should I Consider Buttock Sculpting?
- Loss of skin elasticity of the hip and buttock area.
- Excess, loose skin to the buttocks and hip area; typically resulting from significant weight loss.
- Significant sagging skin to the buttock creases.
- Loss of buttock shape and volume, resulting in a flatter, square shaped buttock.
- Loss of curves to the buttock region; posterior region.
- Tighter, toned appearance to the buttock regions, lower hips, and buttock creases.
- Resembling a hour glass figure.
- Improvement to the appearance of the skin surface irregularities to the buttock.
- Permanent improvement with sagging buttock skin; a more lifted buttock appearance.
- Fuller, more rounded and shapely buttock curvature.
The Gillian Institute’s body contouring and reshaping philosophy is based on maintaining the feminine contours of the body. Our surgeons can achieve natural, feminine contours of the buttock, referred to as the “Brazilian Buttock” by re-creating the optimal silhouette. We can perform a more traditional incision type approach buttock lift procedure to remove excess skin of the buttock and hip area while repositioning the tissue underneath the buttocks to create a more shapely, lifted buttock area and also perform buttock sculpting by performing buttock augmentation and reshaping by using fat grafting to the buttocks. Surgeons can harvest fat by performing liposuction to areas on the body and transferring the fat to the buttocks to give a more lifted and more shapely appearance. Fat grafting to the buttocks will decrease fullness to the waistline and place emphasis on a narrow waist and increased curves and rounded shaped to the buttocks. Fat grafting can also address mild skin laxity and sagging by restoring volume to the buttock region for improved shape with a tighter skin envelope. The Gillian Institute can also perform a variation of both approaches and techniques if needed for optimal buttock contouring.
For a more traditional approach for a buttock lift procedure, the incision is located in the lower back region which is easily concealed with clothes or a swimsuit. This is a more common approach with weight loss patients, whom have lost 100 lbs or more and are experiencing a high degree of excess skin laxity, stretch marks, and overhanging, loose skin. This approach will tighten the waistline and address excess skin and stretch marks to the lower back and buttock crease area. The lower back and buttock skin and tissue is tightened resulting in a more toned, tight appearance and the tissue is re-positioned in the buttock region for augmentation and improved shape with a permanent lifted appearance. Liposuction is performed at the same time or prior to the buttock lift procedure for optimal contouring purposes. No amount of exercise or weight lifting program will result in an improved appearance of the buttock skin redundancy, but typically weight loss will procedure more excess skin. For previous tummy tuck patients, this incision would be extended along the lower back to perform a buttock lift. The recovery period is 2 weeks and positioning after surgery recommends maintaining a straight, non-flexed position to the lower back or a hyper extension of the lower back to reduce tension to the incision. Patient are required to limit lifting to less than 10 lbs for the first 2 weeks, and no twisting, turning, or bending for the first 2-3 weeks post operative. When patients return to desk jobs or computer jobs, a good posture must be maintained to ensure adequate healing of the incision. We will place a drain(s) to the buttock region for the first 1 week and will be removed in the office. Topifoam compression pads are placed under the compression garment for the first 1 week and the compression garment is required for 6 weeks.
Patients are required to stop smoking and use of all tobacco products a minimum of 6 months prior to surgery to decrease the risk of complications related to healing and decreased blood flow to the tissue and skin resulting in skin necrosis and incision separation. Smoking has been shown to decrease blood flow by 30% to the incision and tissue resulting in complications related to healing, which will significantly increase the recovery period. Ideally, the longer the smoking has ceased the better in terms of reducing the risk of complications. We would also recommend you are within 15-20 lbs of your ideal body weight to optimize the final result and to decrease the risk of complications related to healing.
For fat grafting to the buttocks, the buttock region looks more appealing, attractive, and lifted with adding more volume, creating an improved shape. And it is not always an emphasis on increasing the “volume” of the buttock, but more importantly, where the fat grafts are placed that determines the lift and reshaping results. The Gillian Institute performs liposuction to the desired area(s), typically the back, hips, thighs, and knees, to remove the desired amount of fatty tissue. The liposuction aspirate is treated using the “Coleman” technique in surgery. The liposuction aspirate is strained and the fat grafts are placed in syringes for re-injection with special blunt injection cannula. Our doctor uses a special layering technique in order to maximize survivability of the fat grafts and to avoid a significant over correction approach. We will place the fat grafts in the regions desired for optimal lift and reshaping by placing pearl sized drops of the fat grafts in different layers of the muscle and fat to ensure an adequate amount of blood supply. Due to the relationship between the blood supply and survivability of the fat grafts, cessation of smoking is required a minimum of 3-6 months prior to surgery for optimal results. The layering method for buttock fat grafting will create a smooth, more rounded “Brazilian” buttock.
The incisions used for the fat grafting procedure are very small, 1.5-2.5 cm, are very well concealed to the buttock region. By using your own fat cells, there is no chance for rejection. One of the most widespread myths is that fat grafting will result in a lumpy or bumpy appearance. Another myth is that fat grafting will create or cause a cellulite appearance. In fact, just the opposite is true, fat grafting is frequently used to correct irregularities and deformities in the skin and underlying skin. After fat grafting to the buttocks, your skin to the buttocks will feel and look very natural because the fat grafts will grow into your own tissues. The recovery period is 2-3 weeks and positioning after surgery requires no lying on the fat grafts for the first 2 weeks. We recommend positioning on your side or stomach for the first 2 weeks. Patient are required to limit lifting to less than 10 lbs for the first 2 weeks, and no twisting, turning, or bending for the first 2-3 weeks post operative. When patients return to desk jobs or computer jobs, a good posture with sitting off the graft sites is recommended. The doctor will place a drain(s) to the buttock region for the first 1-2 weeks and will be removed in the office. Topifoam compression pads are placed under the compression garment for the first 2 weeks and the compression garment is required for 6 weeks.
Planning the Surgery:
Time off Work:
2 weeks for recovery period with lifting and positioning restrictions for the first 2-3 weeks post operative.
You must have a caretaker for the first 48-72 hours after surgery. You must have a driver for the first 1-2 weeks post operative.
The Day of Surgery:
The procedure is typically performed as an outpatient procedure under general anesthesia. The procedure typically takes 3.5 to 5 hours.
Light dressings are placed with skin glue adhesive and steri-strips to the incision for the first 2 weeks. A scar treatment will be recommended after 2 weeks. The Topifoam compression pads are placed for 1 week under the compression garment. The Topifoam compression pads add additional padding under the garment to alleviate swelling sooner, decrease bruising, and aid in molding the skin for appropriate skin contraction The compression garment is required for 6 weeks post operative to reduce swelling. Post-operative external ultrasound massage will begin will begin one to two weeks following surgery to reduce any areas of firmness and swelling, encourage the lymphatic system, and promote skin contraction. The post-operative massage is performed in the office by a licensed aesthetician or nurse. You will receive oral pain medication for the initial discomfort. Once the tenderness and swelling subside, you may find Lycra or spandex garments more comfortable. Bruising and swelling usually subside in 6 weeks, and the final contour becomes apparent over 3 months. A recommended cooling device (designed from the NASA Space Program) may replace the use of traditional ice application if desired by patient. The cooling device will allow the body to receive an uniform cooling temperature.
Note: It is important to address any concerns with The Gillian Institute at the time of your consultation. There is some risk, as with any surgical procedure. Minor complications that do not affect the final outcome occur occasionally. Major complications are unusual. We can explain the procedure and potential complications to you in detail and can assist you in determining if a buttock lift is right for you.