Buttock contouring is a procedure designed to sculpt or enhance the shape of the buttock with the use liposuction, fat grafting or placement of implants. Liposuction can be used to sculpt the buttock into an ideal shape. If the buttock size is small and augmentation is needed fat grafting can be used to add volume to the buttock. The advantage of fat grafting over other tissue fillers is that the fat belongs to your own body. In this way you do not have the risk of having a reaction to a foreign substance. In some individuals it is not possible to use fat for augmentation. In such cases a solid silicone implant is used for this purpose. A combination of procedures is sometimes needed to get an ideal result.
Buttock contouring refers to a set of procedures used for shaping or augmenting the buttock. Virtually any area of the body can be sculpted into the desired shape with the combination of liposuction and fat grafting. For example, if you want fuller lips, fat can be placed in the lip to achieve that shape. One of the most common locations that we use fat grafting is the buttock. If the buttock size is deficient, it can be easily filled and given a better shape with fat grafting. In those patients who do not have enough fat to donate for grafting we have used buttock implants. Implants have the advantage of being very easily placed. However they do not have the same feel as your own natural tissue. You can ask your plastic surgeon for more details concerning these procedures.
The liposuction is done through a small puncture hole that is hidden in a natural fold of the body. The incision itself can be as small as an eighth of an inch. The area to be suctioned is then infiltrated with a solution containing medicines that cut back on bleeding and postoperative pain. The fat is removed from strategic areas of the buttock to bring out the ideal shape in much the same way a sculptor would remove stone in order to bring forth the ideal shape hidden in the stone. If fat is being placed in the buttock, first we remove the appropriate amount of fat from your own body. This is usually taken from the abdomen or the thighs. This fat is then processed for injection. With minute incisions the fat is placed in the desired area. Amounts of injection vary according to area and the amount of augmentation needed. With the new techniques of fat grafting most of the fat survives and gives long lasting results. Sometimes however, it may be necessary to re-inject an area with more fat. If this is necessary it can be done 2-3 months after the first procedure.
After surgery you will have a moderate amount of drainage from the liposuction incisions. You will need to rest for the first two or three days, but most people are up and about shortly after surgery. The buttock may swell for 1-2 weeks after surgery. The amount of swelling varies according the area injected and your own body's reaction to the fat graft. We generally recommend our patients to take off 10-14 days from work. Heavy lifting and exercising should be avoided in the first two weeks. You body will tell you when you are ready to get back into your regular exercise routine.
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