More and more patients complain about their flat and / or sagging buttocks. Each patient has their own vision of a nice pair of buttocks, large and very shapely (Brazilian buttocks) or more discreet but firm and well placed. The media often influences patients’ requests (Pippa Middleton’s buttocks “Pippa’s butt,” buttocks like Kim Kardashian …).
The surgery of the buttocks is not well known in France and sometimes has a bad reputation due to the use of poor surgical techniques in the past. This reputation deprives patients of surgery capable of bringing them enormous satisfaction and treats an area of the body unjustly neglected in favour of more popular surgeries, especially plastic surgery of the breasts. Wouldn’t women prefer to proudly flaunt both lovely buttocks and pretty breasts?
To meet these growing demands in cosmetic surgery of the buttock, Dr. Laveaux offers his patients different methods taught in Brazil or the United States
Beautiful buttocks should be round, firm and sit high. The crease under the buttocks should be well defined but not too pronounced.
Buttock sag due to age or weight changes can be corrected using different lifts. The choice of technique depends on the degree of sagging to the buttocks and associated anomalies (lack of volume or too much volume, poorly distributed volume, poorly defined gluteal crease, cellulite …).
Finally, the contour of the buttocks often requires redesigning by liposuction.
Buttock implants are available for patients who do not have sufficient fat reserves to have lipofilling and who also want a lasting result from only one procedure.
The implants used are specially designed to increase the size of the buttocks. They are pre-filled with the same highly cohesive silicone gel (very strong) as found in breast implants. The casing is also more resistant. In the absence of violent trauma the risk of rupture is very low.
Different shapes and volumes of implants exist to suit any kind of request.
The result can be very natural, if the implant is not too big, the shape is well chosen, and the implant is well positioned. Very plump yet not excessive buttocks can also be obtained at the patient’s request.
With the right technique, the implants are imperceptible by both the entourage and by the patient.
Men can also benefit from buttock’s implants.
This “Brazilian Butt lift and augmentation” is preferred whenever possible. It involves removing fat by liposuction from areas where there is an excess of fat and then re-injecting it into the area where you want to restore volume all performed during the same surgery under general anaesthesia. The re-injected or grafted fat must first be purified by centrifugation, filtration or decantation.
The rate of engraftment varies between 50 and 70%, which means that we must inject more fat than necessary in theory to achieve the desired volume. We must therefore have a “reserve” of sufficient fat and / or perform several sessions of lipomodelage several months apart.
The advantage of this technique is the natural and definitive characteristic of the fat injections. The result is permanent after the partial reduction phase is completed. Only a significant change in weight will vary the volume of the buttocks. The fat transfer is fantastic for increasing the volume of the buttocks while resculpting the entire figure (“body contouring”).