When it comes to looking your best…do you work hard to stay fit but need a little extra help achieving your ideal buttocks shape?
Then High Definition Liposuction may just what you’re looking for.
In this episode, Dr. Arian Mowlavi of the Cosmetic Plastic Surgery Institute is going to share:
- What High Definition Liposuction is
- Why it’s far superior to traditional liposuction when it comes to achieving your desired balance between your buttocks, thighs and waist.
- Why it’s an absolute game changer when it comes to attaining and maintaining your ideal buttocks shape.
And, he’s going to give you some free tips and tools that will help you discover your ideal path to achieving amazing results.
Here’s Your Free HD Lipo Resources
HD Lipo Before and After Pictures
Buttocks, tummy, waist & thighs
Take the 1-Minute HD Lipo Assessment Quiz
Would you like to know if high definition liposuction with VASERlipo can help your remove unwanted fat and reclaim your body?
Then click the image below to take this 1-minute Assessment Quiz to receive your Free Personalized HD Lipo Roadmap.
Other Free Resources
- Download your Free HD Lipo Guide
- Ask The Doctor – Click here to discover how you can reclaim your body and eliminate unwanted fat with VASERlipo
- Schedule a Free Virtual Consultation – Discover how you can benefit from HD Lipo in 10 minutes with our private video consultation
HD Lipo Podcast #5 – How To Shape Your Buttocks With VASER Lipo featuring Dr. Arian Mowlavi
00:00:00] Welcome back to the HD Lipo podcast on Frank Felker in Washington D.C. joined again today by board certified plastic surgeon Dr. Arian Mowlavi calling in from Laguna Beach Calif.. Dr. Mowlavi thank you for joining us again. Thank you for having me Frank. Today we’re going to talk about the ideal Botox shape and it’s kind of a humorous topic and that word sounds kind of odd but talks but clearly it’s a big big deal in your business of plastic surgery and it’s also obviously a large deal in the HD Lipo world. So let’s start with this. It seems obvious as always. But let’s if you would would you tell us and imagine it’s different for men than it is for women. What ideal Botox look like and what sort of non ideal Botox. Were people walking into your office with that you were able to help them.
[00:00:56] Sure. So we’re looking. We’re talking about the the bomb right Frank. So everyone’s clear the buttocks or the butt. And so I mean it’s all about that but Frank and US US guys in the states are just realizing that the focus of attention really is moving away from the breast and is going to. But you know and this has been going on now and in Europe and in Brazil for the last five to 10 years. And we’re just catching up now.
[00:01:28] What is it that we’re we’re now looking for in a but let’s start with a woman’s butt that perhaps we weren’t looking for before. What is the ideal but shape that men are looking for in a woman. And as a result a woman is looking to have for herself.
[00:01:44] Well I mean the aesthetics and what men imagine as being sexy and and what they lust for you know changes with generations and even with decades. So what we’re talking about is this sense of for example men finding a young lady attractive based on the shape of her body her her bun her buttocks and the back side is getting more attention on the front side.
[00:02:13] Let’s say somebody came in and they don’t like the way their butt looks. What is it they don’t like about it it’s too big it’s too small it’s to whole round enough and wide it’s too narrow or what. What are we. What is what’s the problem.
[00:02:25] OK so let’s talk about this. You know everything’s changed. I mean I don’t I can’t tell you what’s going to happen next decade quite correctly today. You can’t have a butt that’s big enough.
[00:02:37] And it’s because of stars like the Kardashians are Mickey Ramanathan and all these you know new or new stars and idols.
[00:02:47] What we’re talking about is a differential between a narrow waist and a robust and generous. But the gals call it a bubble but they want it to be round strong full.
[00:03:06] And not saggy and flat and kind of loose.
[00:03:11] That’s what we’re talking about now when women come to you. Do they assume that different women have a different ideal shape in their mind or are they all saying to you it can’t be big enough. I want the J-Lo look I want the Kardashian look yeah there’s a range there’s a range.
[00:03:29] So one of the first things that we do Frank is we have him choose. We have a card you know a display where they choose what they think is the ideal but interesting. I’ll tell you that as you get older you get more conservative so you don’t want as large of a bird.
[00:03:46] And when you’re younger you want a bigger butt. And so when we evaluate the bomb for a young lady we’re looking at buttocks positioning buttocks formis buttocks shape.
[00:04:04] And often I have a conversation that I’d like to share with you and the listeners around the fact that I treat it like it’s the the picture. And just as important as the picture is the frame around the box makes a big difference. So if I could just give a little bit more detail for the listeners what we’re talking about is the frame that’s framing that but is just as important as the actual the butt or the photo or the image in the center. And so to give you a little bit more detail for example one of the things that I always talk about is converting a double bubble into a bubble butt and I wanted to try to visually describe what we’re talking about. OK. We’re talking about is having prominent love handles or a waistline. That’s the first bubble and then it dips down into where the buttocks proper is that you know where the main blood is and then it comes back out on the lateral thighs. Kind of sunken some of the gowns called up and then a roar. Gosh I’m blanking on the terminology. But you can imagine mudflaps month.
[00:05:26] So I think you got the picture above but we’re talking about converting that double bubble which is the love handle and the lateral thigh prominence. That’s juxtaposed between the smaller buttocks and inverting that so that the waistline is narrow the thighs are tucked in. And then there’s a beautiful robust and more prominent mid level look and that’s the the double bubble.
[00:05:59] That’s what gives you that hourglass shape.
[00:06:02] You did an excellent job describing that because I can really picture in my mind now I understand what you mean by framing the butt by what’s around it.
[00:06:10] And as you’ve often talked about before it’s the contrast between one area of the body and another that really gives it that appeal that pop is as much has as much to do with narrowing the frame around the buttocks as it does adding to the buttocks. So often I will see my patients and to improve their buttocks shape we may actually not make their butt bigger but really focus on kind of squeezing down their waist and squeezing and their legs interstate.
[00:06:45] Now relative to the difference between more traditional liposuction equipment techniques and now the advanced HD liposuction work that you’re able to do. What’s the difference in terms of the effects that you’re able to achieve with the new technology and with the new techniques. Okay
[00:07:01] so it’s a multiple fold. Let me just explain to you one thing. When you when you’re talking about making the butt bigger you have two more modalities or techniques they can use either you’re going to use the patient’s own fat and that’s called the Brazilian but left that’s been coined that because it started in Brazil it has to do with lifting the skin per se but by strategically filling and augmenting you can actually lift them a little bit and that’s how that word came about. This is in contrast to a lot of patients out there that didn’t have enough fat. You see if you don’t have enough fat to transfer to the buttocks then you’re out of luck. And so they would have to do the butt implants. So just like we have breast implants there’s actually blood implants that we can use in them and the major population of patients and ladies that want to get their butts enhanced who didn’t have enough fat. Now those same gals that we didn’t have enough fat to collect because we have the new high definition liposuction technology and because we can now harvest 30 percent sometimes 40 percent more fat than we were able to with the traditional liposuction techniques. Now all of a sudden we’ve opened up the door to these patients that didn’t necessarily want an implant in there but they wanted to have their fat transfer to their butt but they just didn’t have enough to provide. But now all of a sudden we got a huge segment of patients now that are good candidates for the fat transfer to the butt.
[00:08:46] That’s amazing. Another incredible benefit of HD liposuction. Of course as a layman would never have occurred to me. But I can certainly understand why someone would prefer not to have a butt implant inserted into their body.
[00:09:02] Absolutely. So that’s one point to make. The second point I’d like to make goes back to the framing because we’re able to more comprehensively remove the fat from the frame areas which I’m talking about are the media thighs Larralde thighs and the waistline that alone is another advantage of High-Definition liposuction using the vase or technology in comparison to the traditional technique. I’d like to just fire off a couple of these so people really get accustomed to appreciating why I am so excited about this technology as are the other High-Definition liposuction providers and other and other kind of advantage is that before if you had a lot of fat that I remove from your waistline guess what you’d have a lot of skin redundancy right. Well that’s going redundancy right. And the waistline is going to transfer itself to the blood and it can make your butt saggy. Because I have the cool helium skin tightening technique or tool. Now I can actually tighten up their skin and avoid the butt from falling whereas before I had to cut it and create an incision line that was visible. Now it’s transparent. So there’s all these technical advantages. And we haven’t really talked about fat grafting which is really the critical component of buttocks augmentation. And that’s another advantage. The process of emulsify and that fat Frank.
[00:10:45] So it’s more liquid and that’s achieved with the laser ultrasound. Exactly exactly because we’re able to make the fat more uniform and more liquidy and more less viscous.
[00:11:01] We have advantages that we can. We have improvements in our techniques that we can take advantage of and the grafting process so that’s a whole science behind this.
[00:11:13] When you say grafting What do you mean by that. OK. So we’re literally taking the fat from one area.
[00:11:19] If you can imagine and transfiguring it to the but so that’s how we’re able to increase the size of the buttocks. We’re literally taking the fact that we’re removing and we’re able to add it to that but and so that whole process of transferring the fat out from the body in an auto transplanting a back in is an art by itself and it’s a discussion that we could have for hours. But what I can assure the listeners is by virtue of having a fat that’s more smooth consistency and it doesn’t come out in like strands of semi-solid fat it enables us to more smoothly graft back and and actually more efficiently graft back into the barracks. So we’re actually getting better yields we’re getting better take percentages again. This is main major concern if you get on any of the Web sites that talk about you know there’s a lot of Web sites that patients come on and they ask questions and concerns and probably the most popular one is you know how much of the fat stays. And so using Vai’s or technology along with what I like to use is a close loop system. Again that’s a closed loop system and we can talk about that a little bit more in detail. I feel that the results are superior to the old Brazilian butt lift techniques Okay.
[00:12:56] And so you’re saying that because the fat has been emulsified or liquified melted if you will by the Razor ultrasound device you’re able to shape it more readily and more exactly after you’ve grafted it from one area of the body to the other.
[00:13:14] My understanding yes sir and a more efficiently. So if we can just talk about fat and the grafting process I think it would be entertaining for the listeners at the minimum.
[00:13:27] So what we’re talking about is removing fat out of the body right and then putting it back in. The analogy that I use with all my patients is I treat the fat like a fish. Right. If you take the fish out of it’s out of the water it starts suffocating. Right. And so the idea is to throw the fish back in the water as soon as you can. If you want to live we’re talking about the same thing here Frank we’re talking about fat. If you can imagine this and visualizes that we’re removing from the body. Right. And so it makes intuitive sense if not scientific sense that you want to get that guy back in the body so it can start breathing again. It can get back to its nutrients it can establish its new home in its new setting. Right. So in my in my you know in my opinion I feel the fat needs to be put back in as soon as possible. So here comes the concept of of the closed loop system. So what I am able to obtain and perform is removing the fat out of your body and as efficiently and quickly as possible. And there’s been a lot of studies in this. And most people would agree that 20 minutes is really under 20 minutes is the ideal time or delay before you should put the fat back in. Right. So with the traditional liposuction techniques we would be removing these cores of solid fat.
[00:15:09] And so you would literally have to wash and spin and take the nice layers because remember now before we were ripping the fat out and it wasn’t smooth in its consistency there were there would be strands and fat globules that wouldn’t even fit in the apparatus that we used to push the fat back in. Oh wow. So with this system that I have now which is a closed loop system literally the fat comes out as a liquid it goes into a specialized container never being exposed to the external air and literally within 20 minutes we’re able to push it right back through another tube and right back in the body with no interference of flap the fat globules getting caught or stuck or May. I hope everyone can imagine that advantage.
[00:16:09] Well I certainly can see what you’re saying. And based upon your experience and the way that the energy and enthusiasm with which you’re describing this process clearly you can see it’s making a tremendous difference in the effect.
[00:16:23] Yeah I mean you know it’s it’s all in the results and long term results where patients are maintaining the fat transfer into their body it’s better than the traditional liposuction fat transfer techniques.
[00:16:41] Can you give us maybe a story of somebody I would imagine probably the most dramatic effects and reactions have come from female patients one or or more people that you’ve worked with who’ve just been astounded by the results you’ve been able to achieve for them.
[00:16:58] I think the one that’s most memorable is I think she was 32 year old and she came to me about five years ago and we did we did the Brazilian but left with us which is the fat transfer we’re talking about. I
[00:17:12] thought I did a beautiful result. And you know I put my heart into it and I I worked her love handles and lower back you know to the point where I just couldn’t do it anymore and I gave it my all Frank and it was like traditional liposuction techniques.
[00:17:30] Right. The traditional liposuction techniques and I transferred it all to her box and I made sure the framing was right. The thighs were also done.
[00:17:39] And you know I just. And I try to take pride in what I do. And so I if I was proud of my work and she came back to me and it’s like five years ago Frank So it’s interesting where she was very appreciative of my results. And it just took a toll on me. I can tell you that. And I thought she was unreasonable. Honestly I thought she was unreasonable and you’re not going to believe this but she came back to me recently and gave me another shot at it. And so whereas before I thought I had gone the extra mile for her I basically told her there’s no more fat to remove from you. You know young lady there’s you know I’ve done my best. I assured her that there was nobody that could take out any more fat from her. And this is five years ago. So she actually came back to me and I re-evaluated what I had was what I had left behind. Whereas I I I knew I couldn’t get any more than before and I thought she was crazy. I realized in retrospect that she was actually correct. I just didn’t have the tools.
[00:18:55] So just to let you know I have signed her up and I’m going to remove even more fat from her.
[00:19:00] And I know now what it is that she is expecting from me an amazing story that is I mean you could not have asked for a better case study to highlight the difference between traditional liposuction and the effects you’re able to achieve versus high definition liposuction and what you’re able to do today. I can’t wait to hear the results and I certainly hope you’ll be sharing before and after and before and after.
[00:19:28] I hope so. She is and she’s scheduled so maybe in a couple of weeks or months we’ll talk about her again.
[00:19:35] That’s great. Thank you so much for sharing that with us. I just can’t imagine a better direct comparison between the two approaches and the results you’re able to achieve. And I’ve have to congratulate both her and you for coming back to see you. And for you being willing to take another look at the situation.
[00:19:53] I mean honestly it is it is what it is. Again as we’ve talked about this this is a game changer so where we had patients before that I would pass up I would pass up on their surgery.
[00:20:05] I would pass up on on scheduling because I felt that I just didn’t have enough fat I just didn’t feel comfortable that I would be able to harvest enough fat volume to make an appreciable difference in their buttocks volume. Now I can retain those patients because I and these patients obviously didn’t want to have an implant because I would always you know recommend them to just get an implant. I will see why are you going to waste all this time and energy of me sitting in there trying to get all these fat out where when you and I both know that i’m are not going to have enough volume to make you happy just get an implant. And a lot of the patients are against having an implant and there’s reasons for that. But those same patients today are now excellent candidates because now I can get that fat out.
[00:20:59] Now where can we see some before and after photos now that will show us this dramatic effect that you’re able to achieve with high definition liposuction on on contouring buttocks.
[00:21:12] Sure. So looking at before and after is is critical for high definition liposuction.
[00:21:16] And when it comes to ideal buttocks shape and buttocks augmentation using fat transfer I again would tell the listeners to make sure that your provider that you find does in fact do Vaizey or liposuction technique and look at their results.
[00:21:37] There’s several valuable resources out there. Patients can go to a high definition liposuction that come and see results from some of the world’s experts just to have a bar to compare everybody else to now looking at this from the standpoint of the prospective patient.
[00:21:55] What sort of side effects or recovery issues might they need to keep in mind when using the high definition type of techniques to get them to but that they’re looking for just in general you know liposuction and fat grafting now.
[00:22:13] So we have a second layer to the story when we’re talking about the buttocks.
[00:22:17] Then there is you know there’s risks involved and any time you go under surgery you have to make sure you read all the lines and dot your i’s and cross the t’s. You know there’s some serious complications that can occur when you’re fat grafting. Now whether it’s traditional liposuction or Vai’s or liposuction you know studies haven’t been really done to try to delineate whether one save for or not.
[00:22:43] But you know this is a serious serious event for patients and so they have to take it seriously. There can actually be some really detrimental complications and one of them involves fat Mbala. Are you familiar with that. FRANKEL I have not heard that term. So it’s one of the worst complications that we can get in any kind of surgery and it’s if it’s a piece of fat or a fat south gets into the vascular system that’s the arteries and veins. It can actually go up to your lungs and it can cause what we call a pulmonary Mbali and that can be a serious complication. And so you know you just have to make sure that your provider provides you lists of things that can go wrong. So you know what to look for in case something does go wrong that you can identify it and get medical attention immediately in order to avoid any any any horrible event.
[00:23:47] That makes perfect sense. We certainly need to be an informed consumer and the onus is on us to do our homework. But certainly as you say that you’re also you should expect your provider to give you the type of information you need to make these decisions. Now relative to cost what does a procedure like this cost generally.
[00:24:08] So as you can imagine this procedure is bundled into the other procedures. What I’m talking about is you can’t make the buck bigger with fat grafting. If you don’t have the fat right. I see. Sure. So this process especially the way that we’ve done it now for the last small period where it’s a closed loop system the time it takes to actually inject the fat back into the barracks is minimal compared to the time it takes to harvest a fat so the buttocks augmentation gets bundled into whatever other area that we’re performing High-Definition liposuction on.
[00:24:51] For example if you’re going to use your back contouring you’re going to be paying for basically the back contouring and it’s minimal extra cost to have the fat put back in.
[00:25:02] Oh interesting. OK. OK so it’s going to be more a question of where you’re harvesting the fat from and what other Bhanot procedures you’re having done at the same time that will determine the what.
[00:25:15] Exactly. It comes down to how much volume of fat are we actually removing. And then you know typically we’re keeping all that fat we don’t throw any fat or way it all goes back.
[00:25:26] And so patients can get anywhere from 300 milliliters or 300 CCs to one leader per butt cheek. Wow. Yeah. So that defines the cost. How long it takes to get the fat out.
[00:25:41] Interesting. Well we’ve talked about a lot of different aspects of this. So any question I haven’t asked cure any important information you’d like to share. Before we sign off.
[00:25:52] Sure. Just like any other area. Frank I want the listeners really appreciate the artistry that’s involved in creating these buttocks. It’s not just make the butt bigger it’s make the butt more attractive.
[00:26:07] And so there’s nuances again when we’re talking about the butt. Like just like that we’re in the arm or the back or the belly. And I just wanted to share just a couple of these concepts with the patients. And that and what I want to talk about is the differences between men and women. And this is important when you’re going you’re going to augment a buttocks for a man. It’s a totally different concept than a woman. And so let’s just talk about a couple of these so the listeners kind of appreciate that these subtleties when it comes to a male but a male but has more square. So when you’re augmenting it you have to take this into consideration when you’re talking about a young lady’s buttocks is more rounded. And typically what we want is a little bit more fullness over the upper lateral aspect. And remember the upper lateral aspect of this but now has to have a smooth transition to the narrowest part of the waist. And we call this the transition zone. You don’t want to take out too much fat and there’s a lower back area when it comes to men. We want Actually we want a shelf so the upper aspect of the butt is more straight. It’s more square. And if it falls down quick So there’s a shelf so you call out the lower back allow a lot more aggressively just to talk about the bottom of the butt the bottom of the butt in men is more square. Whereas in the Ladies it’s a little more rounded especially when we come into the inner part of the barracks.
[00:27:42] There’s an area in the middle lower part of the buttocks that we call the J. And so this part needs to be around and in the ladies.
[00:27:49] And so there’s a lot of subtleties. So not only are you adding fat to that but often there’s areas where actually we’re removing a little fat to shape it. You think that’s open. Yes. Again it’s sculpting.
[00:28:05] It’s it’s just appreciating those nuances It’s what gives those superior results and where can people find these before and after photos and get more information about using HD Libo to achieve the ideal Bartok’s shape that they’re looking for.
[00:28:23] I always told my patients that they can go on Google and they can search and pretty pretty easily find the providers that provide I feel superior results using high definition liposuction with the Vaizey technology and all that other good stuff that we’ve talked about.
[00:28:41] They can also go to a high definition liposuction that carb great thank you very much for that. Well doctor in Malawi. Thank you so much for joining us again today.
[00:28:52] Thank you Frank for having me.
[00:28:54] Thanks again to Dr. Alabi and thank you for listening. We look forward to seeing you again on the HD Libo podcast.