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Gluteoplasty (Butt Augmentation or Butt Lift)

Loss of skin elasticity in the buttock and upper outer thigh is often seen with increasing age, collagen-elastic disease with abnormal skin laxity, after significant weight loss or following bariatric surgery. Deformities of the buttocks, and size and contour of the buttock can be corrected with Buttock Augmentation. This procedure is performed either by lifting and excising the sagging and redundant tissue, or placing an implant, or simply transferring fat to increase the size and the projection of the buttocks. The goal is to improve the contour and aesthetic appearance of the buttock and to decrease the skin laxity in the peri-gluteal area. In general, gluteal augmentation with an implant is a more reliable way of enlarging the buttock size. The disadvantages include rupture, infection, and need for repeat procedure sometime in the patient's lifetime.

Current trend is towards a firmer and rounder buttock. Just as we can enhance breasts with implants, we can achieve buttock augmentation with buttock implants. Gluteoplasty is performed either by lifting and excising the sagging and redundant tissue, or placing an implant, or simply transferring fat to increase the size and the projection of the buttocks.

Procedure Description

  • The surgery is usually performed under general anesthesia
  • Liposuction may be performed if excess fat is present
  • In case of Butt lift, the surgeon usually makes an incision in the inferior aspect of the hip
  • Hanging skin and fat in the buttock is undermined and elevated
  • Excess skin is removed and the incision is closed with sutures
  • Drains are often used to decrease the chance of fluid collection beneath the elevated tissue
  • In cases where additional volume is desired either an implant is used or the patients own fat (fat grafting) is transfered
  • Implants are placed through a small incision
  • An elastic compression garment is placed and worn for 4-6 weeks

Recovery 

  • Bruising and swelling are normal and may take several weeks to resolve
  • Patients are asked to lye on their stomach rather than on their back for the first several weeks
  • Areas of numbness on the outer buttock and thigh are normal and usually resolve months after surgery
  • External sutures and drains if used are removed within 7-10 days after surgery
  • The incisions can be treated with antibiotic ointments for the first week after suture removal and subsequently with scar creams
  • Any scars usually fade within 2 years

 

 

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