At our surgical centers, we provide every patient the opportunity to choose their ideal buttocks shape and size in order to convey their goals to their surgeons prior to surgery. Technical advances in fat graft transfer to the buttocks have become possible with VASER technology.
Using the VASER liposuction technology, we can harvest 30-40% more fat than when using traditional liposuction techniques. We can now optimally transfer fat to the buttocks, coined the Brazilian Buttocks Lift (BBL). The ability to improve harvest volumes and fat transfer viability has opened up the door to numerous patients who previously were not considered good candidates for a Brazilian Buttocks Lift. VASER technology not only allows for fat transfer to the buttocks but also allows for optimal narrowing of the tissues around the buttocks. We treat the buttocks like it is the focal point of painting and reinforce the importance of the frame appearance surrounding that painting. We frame the butt by eliminating the bulk of the love handles (i.e. flanks), the central lower back, coined the central diamond, as well as tucking in the lateral thighs and narrowing the medial thighs.
This contrast in surgical objectives regarding tidying up the framework is just as critical as adding to and reshaping the buttocks itself. If buttocks fat transfer does not alleviate any lateral thigh skin redundancy and/or buttocks sagging, then Renuvion subdermal coagulation which tightens the skin without the need of a surgical incision line is utilized. In patients with severe buttocks sagging, a more invasive tucking procedure such as a lateral thigh and buttocks tuck may be necessary.
Superior results are only achieved through true artistry in sculpting. Not only are you going to add fat to the buttocks to create shape, but you might actually remove a little fat to contour the butt for the best look. Furthermore, you must debulk the frame, i.e. the lower back, flanks, and thighs, around the buttocks. Finally, you may have to tighten the skin if needed using minimally invasive Renuvion subdermal coagulation or even an invasive lateral thigh tucking procedure. Buttocks shaping and augmenting has become so precise that patients are asked to choose their perfect buttocks size and shape using a Buttocks assessment tool: