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beautyprocedure obtained from one part using a series of procedures that separates them from the fat and then is reintroduced into the fat graft. This technique, perfected by Dr. Kotaro Yoshimura in Tokyo, Japan, has demonstrated 35 to 40 percent greater volume retention compared to traditional fat transfer. Richard Greco, M.D., a Savannah, Georgia-based plastic surgeon, says sculpting the back and flanks above the buttocks, along with the hips and legs, enhances the operation’s results. “That helps improve the harmony and shape,” says Greco. “By carving above and below the buttocks, you create the appearance of more prominence. You would have to make the buttocks much bigger to get the same overall appeal if you didn’t sculpt.” Injection technique is another key to the operation’s success, according to Howard Sobel, M.D., a Manhattan cosmetic dermatologist. “It’s important that the doctor layers the fat properly so you don’t get irregularities,” he maintains. “Layering also helps the fat develop a blood supply, which
improves its retention. Over time, 10 to 30 percent of the fat will be re-absorbed,” he notes. “You have to warn patients that they will look a little bigger at first,” he says. “You don’t want to overfill too much to compensate for fat loss, because then they will look ridiculous.” Other gluteal augmentation options are more invasive and include implants or a buttocks lift. Buttocks implants (silicone) are inserted via incisions in hidden areas of the backside. A buttocks lift is performed under general anesthesia and it removes excess backside or thigh skin. Both surgeries require more recovery time and are more costly than fat transfer.
isks from buttocks implants include infection, opening of incisions, implant rupture or migration, scarring, nerve damage, and fluid accumulation. Fat transfer is a relatively safer procedure with less recovery time. However, in inexperienced hands, the risk of a fat embolism is possible. A fat embolism occurs when
fat is injected into the bloodstream and causes inflammation in the lungs. Dr. Lorenc says he stopped using implants five years ago: “They have a significant complication rate and a complex recovery.” Recovery time for buttocks enhancement is about one week for fat transfer and up to three weeks for surgical procedures. For about two weeks after the procedure, it is recommended that you wear a control garment, avoid prolonged periods of sitting, use a cushion, and sleep face down or on your side to reduce pressure on the surgical site and promote better results. As always, due diligence in selecting a provider is key. Make sure your choice is a board-certified cosmetic or plastic surgeon with experience in buttocks enhancement. Research the provider and the facility. Ask to see before and after photos and speak to patients who have had the procedure. Expect to pay anywhere from $5,000 to $15,000 for your designer derriere. If it’s glamorous glutes you seek, it is possible (and just in time for swimsuit season)! NEWYOU.COM
New You Magazine - Ashley Tisdale