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Houston Buttock Augmentation

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Brazlian butt lift anticoagulation

I always recommend my patient to be active after Brazilian butt lift. You should stay in the area where you have your 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 such a long period of time. Clots do not typically occur on healthy patient after surgery unless the patient was not active after the procedure. Immobility after surgery increases the risk of clots after surgery due to pooling of the blood in the larger vessels of your leg setting the stage for a cascade of event 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 address 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 patient 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 sometime use these medications (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, long flight after surgery etc, I will suggest anticoagulation. Remember it can be a catch 22 because anticoagulation can prevent clots but also increase the chances of bleeding.  In addition, anticoagulation needs to be done for two weeks after surgery since it is well know that you can develop a clot even after 10-14 days after surgery.

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.

Many of my patients come from other parts of the country and this is a common question they ask. The post operative instructions are as important as the surgery itself.  Remember that the fat that has been processed and reinjected into the buttock behaves as a graft for the first two weeks. This means that the fat is nourished by its surrounding soft tissue, and it does not have its own blood supply yet. The fat needs to be handled with care and prolonged pressure by sitting after surgery can have a detrimental effect on the fat survival.

If you have to travel after surgery, I recommend that you stay in the area where you had your surgery for at least 7–10 days. On your way back, make sure that you walk for some time  during your flight. In addition, buy a cigar-shaped cushion. You will put it under your thighs to bump you buttock and minimal pressure will be applied to the gluteal area.


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Wilberto Cortes, M.D.
50 Briar Hollow Lane
Suite 100 (West Building)
Houston, TX 77027
Phone:281-407-3472
Fax: 281-888-6443

Houston Buttock Augmentation

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