A Look from Behind

Throughout history, the search for the perfectly sculptured and chiseled body has challenged us. In depth analysis coupled with mathematical calculation led to the popularization of what we often refer to as the “hour glass” figure. Computational analysis puts the ideal waist-to-hip ratio at 0.7. Thus cementing the popularity of buttock augmentation in today’s society. The history of buttock augmentation is relatively new compared to other fields of cosmetic surgery. The 1^st attempt was recorded by Bartels and colleagues in 1964. They used breast implants to augment and lift the buttocks. However, this attempt resulted in implant migration and capsular contracture (ripples). With modern advances in silicone and silicone elastomer technology, most of this problem is now solved today. In fact, buttock augmentation is among the top plastic surgery procedure in the US. This also gained prominence because of the shift in demographics and fashion statement of today’s culture.

Doctors will make the usual pre-operation screening of the patient (blood pressure, diabetes screening, etc.). Then a detailed plan will be formulated to determine contour irregularities in the buttocks area and the proper procedure to be done. This is usually an outpatient procedure and could be done in the doctor’s office.

During the operation patients will be put in a face down position. General or topical anesthesia may be used; this will be according to patient needs.  Incision will be made between the buttocks and upper leg area (near the anus). Through this incision, the doctors will place the implants that will enhance the buttocks appearance. Then it will be sutured back in place using fine stitches, this is to avoid the formation of scars.

The “Brazilian Butt lift” is one of the most common buttocks augmentation used. This is also commonly called as fat grafting or transfer. Liposuction is used to suck out the fat from the buttock area. These are then reprocessed and purified before reinjected into the butt area. The amount of reinjection will depend on the degree of augmentation that the patient requires

Implants used are made of elastomer that is virtually unbreakable; these are usually stronger than those used in breast implants. They are placed on top of muscles above the sitting area. In some countries they use acrylic glass that will be implanted by use of liposuction (same way as fat injection).

The patient is advised not to lie down after recovery. Some swelling and bruises might develop but it will usually be gone after 2 weeks. Any strenuous activity should be avoided at all times. Customary post-operative treatment of sutures is also necessary.

Contour deformity is not unusual in this procedure. This could be rectified by using smaller cannula and cross pattern liposuction procedure. Unwanted scarring could develop; this could be remedied by a reoperation. One “touchy” complication would be patient’s unmet expectation. This could be avoided by specifically telling the patients of the outcome (showing graphical contour change or computer generated photo). Doing so will not get the patient to expect “magical” result from the procedure.

Advances in cosmetic surgery will continue. Superficial defects could be addressed with less surgical risk. This will definitely give our behinds the boost it needs.