The tone of the buttock depends on various factors including:
- Skin tone
- Gluteus muscle
Patients with loose skin have less tone than patients with good tight skin. There is an attachment between the gluteus muscle and the skin that provides the structural support for the skin and the fat. With time, this becomes loose and your butt will drop just like your breasts. In general, this is why younger females do not have cellulite and their butts are firmer because the attachments to the buttock are in good shape and condition at this point of their life. Injecting fat into the buttocks increases the tone and lifts the buttocks. It is like inflating a balloon. Now, if you have significant loose skin, then, injecting the fat might not be the solution to increase the butt tone and volume. It is not the best option but a combination of increasing the volume and also excising skin is preferable.
In other words, if you have good skin tone prior to surgery, you will have a better tone after the surgery. If your skin tone is no as good, it will all depend on the excess skin.
Jet liposuction (Water assisted liposuction) is a new liposuction machine designed to simply wash the fat away with a gentle fluid spray. It is considered a newer liposuction technique. There is a study from Germany that showed that such form of liposuction provides a very good fat harvest and the survival of the fat stays very good after being transferred. The key for a successful Brazilian butt augmentation is based on the experience in harvesting the fat, the technique used, and the fat transfer protocol. In addition, there are many lipo machines used to harvest the fat. If planning to harvest fat, it needs to be done with a technology that does not damage the fat during the process. The following are acceptable forms of liposuction machines for a Brazilian butt lift:
- Standard suction-assisted liposuction
- Power-assisted liposuction in low power mode
- Body jet (water-assisted lipo)
- Tickle lipo (similar to power-assisted lipo)
There are no additional benefits of using either of these machines. Everything is determined by the surgeon’s experience and preference.
Unacceptable liposuction machines for a Brazilian butt lift:
- Laser-assisted lipo (Smart lipo, Slim lipo)
- Ultrasonic-assisted lipo (Vaser, Lysonic)
These lipo machines will damage the fat making, thus compromising the final results of the Brazilian butt augmentation. In my practice in Houston, I use power assisted liposuction under a low peer setting to harvey the fat with excellent results.
After a Brazilian butt lift, there is a period of no sitting of about two weeks. After two weeks, you should be able to drive with a cigar shape cushion under your thighs to bump your buttocks and avoid direct pressure on the newly transferred fat. This will help optimize your end results. In my practice in Houston, I routinely recommend this post surgical protocol.
I always recommend my patients to be active after a Brazilian butt lift. You should stay in the area where you had the procedure done for at least 7 days to make sure that everything is going well, your pain is well controlled, and that you are in good condition to be on a flight for a long period of time. Clots do not typically occur on healthy patients after surgery unless the patient was not active after the procedure. Immobility after surgery increases the risk of clots after surgery due to the pooling of the blood in the larger vessels of your leg, thus setting the stage for a cascade of events that result in clots. Most patients after a Brazilian butt lift do not complain of significant pain. If your pain threshold is low, then, this needs to be addressed before your flight so you can move around without significant problems.
Anticoagulation in a healthy patient is currently controversial. There is consensus by most surgeons that patients with high risk for clots should have anticoagulation prophylaxis. On the other hand, cosmetic patients usually do not have significant risk factors to justify anticoagulation. Nevertheless, I sometimes use certain medications, such as Lovenox, on a patient-to-patient basis. For example, if I notice that the patient is not very active, pain threshold is low preventing the patient from moving, or if taking a long flight after surgery among others, I will suggest anticoagulation. Remember it can be a catch of 22 because anticoagulation can prevent clots but can also increase the chances of bleeding. In addition, anticoagulation needs to be done for two weeks after surgery since it is well known that you can develop a clot even in a period ranging from 10-14 days after surgery.
The after care for a Brazilian butt lift is as important as the surgery itself. Here are a few caveats and my protocol for a successful surgery:
- No sitting for about 2 weeks. This is very important because prolonged sitting will damage the fat. The fat behaves as a graft (no blood supply) during the first few weeks. Once the fat develops its own blood supply, then, sitting will be recommended.
- Walk and stretch your legs. You need to move, move, move… This will help to decrease the risk of developing clots.
- Take ibuprofen 400mg by mouth every 6 hrs around the clock.
- Do buttock stretching exercises. This will help with your recovery.
- Wear your girdle at all time. You can remove it to take a shower; then, wear the girdle again.
- Record the drain output. You will have a drain on your lower back to remove all the fluid that is accumulated. This will give better results.
- After 2 weeks of sitting, use a cigar shape cushion when sitting. This will bump your buttock and avoid excessive pressure.
- From the first day after surgery, take water pills for three consecutive days. Your body will be swollen all over because of the fluid shift. This will help getting rid of your swelling.
- Wear a compression stocking net the first day after surgery to help prevent clots.
- Drink plenty of fluid; do not get dehydrated.
- Take clyndamycin for 7 days. This will help decrease the chances of infections.