Gluteal increase (Brazilian Buttock Lift)
Increase the volume of your lower back, you can even change the shape is art. Often, in fact, we do not have shortage of gluteal muscles and despite the shape of the side B challenging physical activity tends to remain the same. If you trace a line extending from the posterior-superior iliac crests to trochanters, each of us could see that their lower back will take the form of an A (typical of women), a V (typical of men), or Square.
Brazilian Butt Lift is meant therefore the procedure to create a rounded lower back, shaped or C through a redistribution of body fat: you aspire liposuction fat from the hips, abdomen, thighs, back and love handles, and Lipofilling is injected into specific areas of the buttocks.
All this happens through tiny incisions as liposculpture, which remain well hidden in the body and therefore invisible folds.
Unlike injections of hyaluronic acid, the method has no problems of rejection because it is autologous tissue. The result is also permanent, although up to 30% of the volume of the transferred adipose tissue is reabsorbed over time.
In patients with absence of adipose tissue withdrawable you have to resort to the gluteal silicone prosthesis. These, positioned in the context or superficially to the gluteus maximus muscle, also allow to obtain a good shape of the side B, especially if associated with Liposculpture; the scar necessary for their positioning remains well hidden in intergluteal groove. However, as all foreign bodies, they are subject to infection, palpability, displacement and extrusion, in part due to decubitus same patient.
Because the fat cells are perennial and therefore are not renewed by the body, there will be a lasting change in the shape of buttock, especially if you continue to maintain a healthy diet and a healthy weight after surgery. However it is impossible to ensure correct and not to the patient a engraftment of added fat by 100% and then it is right to consider the possibility of having to repeat the procedure a second time in the case of an increase not obtained satisfactorily. The result, also because of the various responses of the organism from patient to patient, can not be precisely prognosticato a priori: it shall be deemed final 6 months after the treatment.
The aspect elimination of “orange peel” typical of “cellulite” is NOT an objective of this intervention, although it tends to improve it!
Preparation for surgery
The surgery should not be performed in pregnant or breast-feeding and it is preferable, but not required, to avoid the period of menstruation.
They should not be taken for two weeks prior to surgery or medications containing aspirin or acetylsalicylic acid, as well as taking oral anticoagulants should be adequately replaced with low molecular weight heparins agreeing everything with the patient’s GP. A month before the operation should be suspended the estrogen-progestin therapy (birth control pills) in patients who use it: this is to further decrease the risk of deep vein thrombosis in the legs.
If you smoke, it is right to quit for a least a week before surgery to reduce the chance of post-operative complications.
And ‘it recommended getting right now an elastic compression belt and stockings to the treated areas.
The night before must be done carefully cleaning shower, depilated with razor completely regions to be treated, removed the nail polish for hands and feet.
Observe the fast of at least 8 hours before the ‘intervention.
The surgery is performed under local anesthesia with sedation or general anesthesia depending on the case and the areas to be treated, and usually stays in hospital for one night. It lasts from 2 to 4 hours depending on the extent of the areas to be treated with liposuction.
The areas to be treated are first infiltrated with a tumescent solution of saline, local anesthetic and adrenaline. This helps to reduce bleeding, bruising and swelling and makes it easier to remove the fat cells.
Millimeter incisions are sutured at the end of ‘intervention and applies a compressive dressing modestly through mitigation-elastic bands.
During the first few hours after the surgery you will have a leaking Mixed infiltration serum from small holes in the skin, not to worry.
You may feel a slight pain, swelling, soreness and discomfort in the treated area: it is easily kept at bay with standard analgesics and in any case will regress within a few days. If the pain may arise suddenly and accompanied by sudden swelling you must immediately inform your surgeon for a possible development of hematoma.
During the first week and sometimes ten days, they will develop swelling and bruising not only at the level of the treated areas, but also in the neighboring ones by gravity. They are physiological and subside spontaneously. Similarly, data may lead to hardening of scar tissue, which also resolve within two months and that can also be treated with lymphatic drainage massage on indications of the surgeon.
The few and tiny sutures are removed after 7 days. At this point you can make your first shower and get back to work.
You must wear the elastic compression day and night period in the 4 weeks after surgery to control the swelling and support the tissues while they settle into their new shape and to decrease the risk of complications. It still can be removed during washing and bathing.
For at least one week no one can sit, to avoid the displacement and lack of engraftment fat. For 2 months after it is allowed to sit but recline a pillow on the chair.
After 2 months you can start exercise, except in the case of gluteal implants in which the squat exercises will always prohibited.
Always for 2 months you will have to sleep “on his stomach under” prone.
For the first 1-7 days after surgery is recommended rest; the variability of the period will depend on the extent of the still body areas treated.
In any case, it is shown a rapid recovery of walking, especially outdoors, because it favors the resorption of swelling and decreases the probability of forming blood clots in the leg veins. The stationing in an upright position without walking is rather to avoid.
For about a month will have to be avoided exposure to the sun or heat (sauna, sun lamps, etc.).
For a few months there will be some reduction in skin sensitivity on the area treated.
As with any surgery, albeit modest and performed on patients in good health, a small bleeding wound is normal.
In the rare cases of wound infection, it is manifested by pain, swelling, warmth and redness of the skin, whether or not accompanied by fever. Any infection can usually be treated with antibiotics and local wound dressings, but may result in poor quality scars.
The appearance of a hematoma in the first hours after surgery is rare and is treated with immediate or suction drain. It is manifested by severe pain and sudden increase in volume and hardness that must be reported immediately to the surgeon, as well as bruising on the overlying skin in the following days. If modest it reabsorbed spontaneously. If larger may require the evacuation also through evacuation in the operating room.
The formation of seroma is the accumulation of a yellow and transparent liquid called serum, entirely similar to that which forms in blisters and bubbles of burn victims. Small amounts are absorbed spontaneously, while more substantial collections may require aspiration as in the case of major hematoma.
Skin necrosis is very rare. Usually heals with outpatient medication; It may require a new suture to improve the scar. And ‘more common in diabetics, smokers and obese.
Rare but more frequent than in other interventions of Plastic Surgery are phlebitis and pulmonary embolism: incidence increases if the patient is not mobilized early. In patients with risk factors and large areas treated it will be prescribed antithrombotic prophylaxis with low molecular weight heparin subcutaneously for at least two weeks.
In treated areas may appear small bruises that autorisolvono within a few days.
Irregularities and nodularity on the skin of modest entity are relatively frequent, especially in lipoaspirazioni and in lipofilling most important, and due to phenomena of retraction of the scar to the subcutaneous tissue layer.
Inevitably the intervention produces permanent scarring although millimeter, well hidden and which improve over time. In addition some patients, due to excessive skin reactivity can develop reddened scars, enlarged or hypertrophic and therefore easily visible. They are treatable by surgery or require revision surgery after one year.