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23 Sep

Brazilian butt lift and buttock tone

The tone of the buttock depends on various factors including:Skin tone Fat Gluteus musclePatients 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,...
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20 Sep

Brazilian butt lift and driving

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 p, I routinely recommend this post surgical protocol....
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20 Sep

Brazilian butt lift and jet liposuction

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...
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13 Sep

Brazilian buttock lift traveling and anticoagulation

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...
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13 Sep

Brazilian buttock lift aftercare

The after care for a Brazilian butt lift is as important as the surgery itself. Here are a few caveats and 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...
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28 Aug

Brazilian butt lift and traveling

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...
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25 Aug

Buttock liquid silicone injection part 11 – surgical treatment

If you survive the butt injection with silicone, the first thing you need to do is to thank God. Now, you need to understand that, even if you don’t develop a complication right away, it might happen years after the surgery. There are many ways to manage the complications of silicone Surgical treatment of silicone granuloma, as discussed before, is a challenge. It is a challenge to treat because, once you inject the product in the buttock, it disperses to many areas. If the granuloma or product is well localized, then, it can be surgically removed. On the other hand, most of the times this is not the case since multiple injections of the product in different areas makes it...
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23 Aug

Buttock liquid silicone injections part 9 – pneumonitis

Silicone pneumonitis is closely associated with the silicone emboli syndrome discussed in the previous blog. Silicone pneumonitis is an inflammation of the lung. Injections of silicone in the buttocks have been associated with spillage of silicone in the alveolar space after embolization which spreads to the lungs. Patients typically present several symptoms such as shortness of breath, fever, cough, and vomiting blood.There are two ways (to detect pneumonitis) how pneumonitis presents itself. Most patients present an early response usually a few days after the injections, including shortness of breath, chest pain, cough, and sometimes loss of consciousness. The second response is later after the injection, most typically after 6 months of the injection. Patients present local swelling at the injections’...
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23 Aug

Buttock liquid silicone injection part 10 – medical treatment

There are other options to manage silicone granulomas and complications associated with this product. Painful granulomas have been treated with the following products:1. Steroids 2. Non-steroidal antiinflamatory drugs 3. Tetracycline 4. Immune modulating therapiesSteroids have led to improvement in the symptoms but the effects appear to be transient and the symptoms often relapse upon tapering of the dose. Both injection of the granuloma with steroids and oral steroids have been use in an attempt to control the inflammation with mix results.Non-steroidal anti-inflamatory agents have also been used and led to symptomatic improvement although also the effects appear to be transient.Now, tetracycline including family of antibiotics has led to sustained remission in several cases. These antibiotics have intrinsic anti-inflamatory and immune-modulating capabilities but long...
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19 Aug

Buttock liquid silicone injections part 8 – renal failure

Severe complications have been documented in different states across the country due to the injection of liquid silicone.  In 2007,performed an investigation of three patients that presented acute renal failure (kidney not working) after an injection of presumably silicone for soft tissue augmentation. All the patients had learned about the facility that was injecting silicone through the Internet. The provider was a radiology technician who was injecting silicone without proper supervision. The importance of this possible complication was posted on the CDC epidemic Information Exchange and distributed to physicians countrywide.The literature does not explicitly report that silicone causes kidney failure directly, but some reports indicate that often silicone is either mixed with other products intentionally that   stimulate an acute inflammation...
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15 Aug

Buttock liquid silicone injections part 5 – complications

The reaction of liquid silicone can be presented in different ways. For example, we know that not all the patients that have silicone injection have developed significant complications. It seems that when a high amount of silicone is injected, almost all of the patients will develop palpable nodules. The average time of presentation is nine years. It can take decades for some of the complications to manifest. So, just because nothing happens right away, it does not mean that you will not have a problem in the future. You might be lucky to survive a high volume of silicone in your buttocks.Some of the complications could be the following:1. Multiple and painful lumps2. Skin inflammation3. Skin breakdown4. Granuloma5. Recurrent Cellulitis...
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15 Aug

Buttock liquid silicone injections part 6 – granuloma formation

Silicone granuloma (painful nodes) is the most common complication of liquid injectable silicone.  Granuloma is a medical and pathological term used to describe the formation  of a mass of immune cells, inflammatory cells and scar tissue that forms when the immune system attempts to wall off substances that perceives as foreign but is unable to eliminate. When silicone is injected into the buttocks or any other area of the body, a similar response occurs. The reaction of liquid silicone injected to the buttocks vary considerably and depends on the amount and type of silicone injected. There are two general clinical presentations. In the first one, the patient presents painful multicystic lumps on the buttock area. This can occur in the...
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13 Aug

Buttock liquid silicone injections part 4 – history of liquid silicone injection

To understand the complications of silicone injection to the butt for augmentation we need to understand the history of silicone injection in the breast.Dow Coming Corporation created the first medical grade silicone in the early 1960’s. There were three early silicone products: Dow Corning 200 fluid, Dow Corning 360 Medical Fluids and Dow Corning MDX 4-4011.  The misuse of silicone is clearly documented in the docks of Yokohama Japan were the Dow Corning 200 was being stolen and injected into prostitutes who wanted to have bigger breasts to cater United States Service men who prefer women with larger breasts than the Asians. This product was never intended for use for industrial purposes.  Subsequently, Dow Corning 200 was purified and became...
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9 Aug

Buttock liquid silicone injections part 3 – fda approved liquid silicone

Silicone does have a role in the medical field. Silicone is used in surgical dressing, implants, and ointments for scar treatment. In addition, the FDA approved liquid silicone in 1994 for the management of retinal detachment caused by a cytomegalovirus in patients suffering of AIDS.  In 1997, the first commercial formulation using liquid silicone was approved by the FDA under the name of ). Subsequently, in 2001, the FDA approved another commercial formulation called Adatosil 5000 (Baush and Lamb) for the same ophthalmologic indications.If the FDA approved the liquid silicone, it must me safe to use it anywhere? Sign me on! Not so fast. According to Alcon USA, Silikon 1000 and Adatosil are indicated for use as a prolonged retinal...
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9 Aug

Reshaping the body with liposuction

In the , my patients frequently want to reshape or contour the stubborn areas of the inner thighs, outer thighs, and waist. Liposuction is a very good option, if used properly to enhance and balance the waist to hip ratio. The key for successful results is, not only to remove the excessive fat,  but to balance your figure based on your overall proportions.The ratio of an aesthetically beautiful female figure is a waist to hip ratio of about 0.7. In other words, liposuction is, not just the removal of fat from unwanted areas, but also creating the illusion of a more proportionate body. This is very important in gluteal sculpting were aggressive liposuction of the lower back accentuates the take...
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7 Aug

Buttock liquid silicone injections part 2 – mechanism of reaction

Any foreign body or device that is introduced in the body will create an inflammatory reaction. This is the way our immune system protects us from anything that it does not recognize. Liquid silicone is not an exception to this rule. Silicone injection can create inflammatory nidus, sinuses or fistulas, and granulomas that can be extremely painful.When silicone is injected in the buttock, breasts, or any part of the body, a cell called a macrophage interacts with the silicone starting an inflammatory response. This chronic inflammation results in a mass of chronically inflamed tissue with very specific microscopic characteristics. This inflammation, not only occurs locally, but because liquid silicone is known to migrate,it can affect other parts of the body....
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5 Aug

Brazilian buttock lift and laser lipo

Fat is removed for a Brazilian butt augmentation with liposuction. There are different liposuction techniques that can be used to harvest the fat including traditional liposuction. In my practice, I use power-assisted liposuction for this procedure. Power-assisted liposuction is similar to traditional liposuction in that it uses a suction cannulla, but the cannula vibrates back and forth allowing the extraction of viable fat. Now, the power of this liposuction cannula needs to be decreased by half because it will damage the fat for subsequent transfer.In my , I typically wait for about 6 months after a Brazilian Buttlift before revising an area that requires additional contour. Any type of lipo can accomplish this task including laser lipo. Although I am...
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5 Aug

Buttock liquid silicone injections part 1 – understanding liquid silicone.

I am seeing an increasing number of patients that comes to my clinic with concerns about butt injection with fillers including silicone. I have also seen patient with silicone penis injection and silicone breast injections. Silicone is one of those fillers that appear to be increasing in use for the purpose of buttock augmentation. In the next few blogs I will discuss the properties of silicone, it mechanism of action and the impact it has in the body.In order to understand the role of silicone in soft tissue augmentation there are some basic concepts that are important to realize. Silicone oil by definition is any oil composed of polymers with different molecular weight of polydimethylsiloxane.  Silicone with different length of...
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2 Aug

Butt lift and a tummy tuck – timing for surgery

In , I perform butt reshaping very frequently. To answer your question in regard to having multiple procedures done at the same time, including a tummy tuck, you have to understand what involves the postoperative recovery of the fat transfer procedure to the buttock area and what the procedure is about. The fact is that as much fat as possible is needed to reshape the person’s butt and make it proportionate to the body frame. In other words, fat will be taken from the abdomen, flanks, back, and axilla among other areas. Now, after surgery, you can’t sit constantly on the buttock for approximately 10-14 days to make sure the fat is not damaged. If going to the bathroom, the...
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