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Gluteal Augmentation

Men and women are unhappy with their buttock for a variety of reasons.  Some people feel that they are too saggy.  In many cases this is seen in individuals who have lost a significant amount of weight.  In this case this individual may need a buttock lift.  A buttock lift is a surgical procedure to remove excess skin and fatty tissue from the hips, outer thighs, back, and buttocks.  This tissue can either be removed completely, or used to augment the buttock to give more fullness.  A buttock lift is not a surgical treatment for being overweight.  Overweight individuals who intend to lose weight should postpone all forms of body contouring surgery until they have reached a stable weight.  If you don’t have sagging, but would just like more volume to your back side you may want a Brazilian butt lift.  This is where your own fat is transferred from other areas of your body to your buttock.  If you don’t have enough fat in other areas of your body to place in your buttock you may need a gluteal implant (gluteal augmentation).  There are different surgical approaches to each of these procedures.

What are the other names for this procedure?

Brazilian butt lift, Butt lift, Gluteal Augmentation

How much pain will I have?

Moderate to High

What will it cost?

A price quote detailing fees for the facility, anesthesia and surgeon will be given at the consultation.

What is the hospital/surgery center time?

Surgery will be approximately 2-4 hours as determined on a case by case basis.  Typically this is done as an outpatient procedure, but an overnight stay may be necessary and will be determined by the surgeon.

What medications should I take or avoid taking with my surgery?

You should not take any blood thinners or anti-inflammatory medications for a week before your procedure, and you should hold all over the counter supplements a week before surgery.  This will help reduce the risk of bleeding intraoperatively, and help reduce the risk of postoperative hematoma (collection of blood).  If blood thinners are prescribed for you by your cardiologist or primary care physician, you should get clearance from them to hold these medications before they are discontinued.  You should hold all hormones 6 weeks before surgery.  Birth control pills should be held 6 weeks before surgery as well.  Of course you should make sure to use alternative forms of birth control during and after this time.  Hormones and birth control pills put you at a higher risk of blood clots.  These clots can go to your lungs and cause serious illness or even death.  We call this a pulmonary embolus.  Steroids should be weaned off at least a month before your surgery, and this weaning process should be set up and cleared by your prescribing physician.  Dr. Lovelace and the staff will go through your list of medication, and let you know what exactly you need to do with those medications preoperatively.  Make sure that you bring all of your medications with you to your consultation.  You will usually be given your prescriptions for your postoperative medication on your preoperative visit so that they can be filled and at your house when you get home from surgery.

Will I need clearances from any other physicians?

Depending on your age and medical issues, Dr. Lovelace and her staff will set you up with your primary care physician, cardiologist, etc. for clearance prior to your surgery.  At that time any necessary labs, EKGs, or chest x-rays will be done.

What is the recovery?

Sutures are usually dissolvable, and don’t need to be removed.  You may have a drain with a butt lift.  This typically stays about a week.  You will be able to return to non-strenuous work approximately 2-4 weeks after surgery.  No swimming or tub baths till 4 weeks after surgery and all scabs are gone from your incisions.  Approximately 8 weeks after surgery strenuous activity will be allowed.  Scars will flatten and fade between 3 months and 2 years after surgery.

What are the risks?

There are risks of harvesting the large amounts of fat needed for a Brazilian butt lift. There is an increased risk of loose skin and contour irregularities.
There is also risks of bleeding, infection, scarring, hematoma, seroma, need for further intervention, asymmetry, poor cosmesis, failure to obtain size/desired results, contour irregularities, nerve/vessel/muscle injury, vessel occlusion, numbness, over correction, under correction, skin/fat necrosis, cyst formation, dehiscence, significant bruising, intra-abdominal/intrathoracic injury, bowel injury, cannula fragmentation, resorption of fat over time to varying degrees, cardiac/pulmonary/stroke/DVT/PE events, death, etc.