Book NowWhat is a BBL (Brazilian Butt Lift)?
Brazilian Butt Lift (BBL) surgery in San Diego is the process of removing fat by liposuction from areas where reduction is desired (fat removal to narrow and shrink waist size, also sometimes other areas of the back, thighs and/or abdomen) and fat transfer of that harvested fat into the buttocks for augmentation. The fat cells live in their new location, grow, and last a lifetime. When properly performed, the results of a brazilian butt lift surgery procedure are natural-looking, reliable, and may dramatically feminize body shape.
Also known as gluteoplasty, brazilian butt lift surgery (BBL) is a multi-step procedure lasting two to four hours, depending on the number of areas harvested and the volume of fat transfer. At Feel Beautiful San Diego Cosmetic Clinic, Dr. Laverson plans BBL Brazilian Butt Lift according to your wishes, and with surgical precision and artistry. Here’s what you can expect at your brazilian butt lift procedure:
- Surgical Planning and Marking on Your Body – A discussion at consultation in our San Diego plastic surgery center about the size and shape changes you want, how much fat you have available for transfer, how the procedure will be performed, the garments and positioning required after butt lift (BBL), and what result you may anticipate. The day of surgery, Dr. Laverson marks specific areas on your buttocks with your agreement in the mirror indicating areas where fat-transfer will create your beautiful shape and contours in preparation for a brazilian butt lift surgery.
- Anesthesia – General anesthesia is our preference for your safety and comfort for the brazilian butt lift procedure.
- Liposuction (fat harvesting) – Using the powered Acquicell fat harvesting system, Dr. Laverson carefully and steadily removes unwanted fat from “donor areas:” your waist, flanks, abdomen, thighs, or love handles and suctions it into a specialized sterile container for preservation, purification, and for reinjection into your buttocks. Donor areas are then closed and sealed with sutures and tape.
- Fat transfer – When sufficient fat has been harvested to reduce your donor sites to a nice shape and to augment your buttocks, fat in the container is pumped through sterile Lipo-Loop tubing at a steady rate into desired areas over and around your buttocks. Once the fat has been injected and the desired size and shape is achieved, Dr. Laverson seals access sites and applies specialized brazilian butt lift surgery procedure (BBL) shapewear for your recovery. Access sites for liposuction are small and leave little or no visible scar. Fat transfer scars are also well concealed, and rarely detectable.
San Diego Butt Augmentation Procedure Choices
Plastic surgeons first visualize the result, then apply techniques to reduce excesses, augment deficiencies, and reposition tissue to achieve the most satisfactory end result possible. Because of its success, Brazilian butt lift (BBL) is growing in popularity. Buttocks are soft, supportive, mobile, and subject to pressure when sitting or laying on your back. Brazilian butt lift procedures to enhance buttock size and shape must be performed in the context of maintaining mobility, support, and protective functions. The selected technique should be as reliable, complication free, and predictable as possible.
Currently there are five techniques, separately or together, for visual buttock augmentation. Many factors influence the preferred approach.
Strength Training
First, the gluteus maximus muscle of the buttocks is the largest muscle of the body. Strength training is an alternative to Brazilian butt lift surgery, but takes time and energy. Enlarging this muscle by a strength training program is a good first step that is natural, effective, and complication free.
Fat Removal (Liposuction)
Second, if the waist can be narrowed by weight loss and/or removal of fat (liposuction), waist to hip ratio diminishes so that adjacent buttocks appear larger. This is also healthy and complication free. Liposuction to reduce the waist and flanks is a ninety minute procedure with a brief recovery.
Dermolipectomy
Third, if the patient has excess buttock skin from aging, weight fluctuation, poor skin elasticity, or a combination of these, dermolipectomy (surgical removal of skin and fat) lifts soft tissue of the buttocks. Remaining skin and fat contours over the gluteus muscles to improve buttock shape. Dermolipectomy results in a transverse scar in the panty line across the sides and back above the buttocks or a scar in the crease below the buttocks, a distinct disadvantage of the procedure. Mobility and sitting are delayed after dermolipectomy to promote healing. Recovery to an active lifestyle is two to three months.
Injectable Fillers
Fourth, for very thin and/or lean individuals, there may not be sufficient fat of waist and flanks to augment the buttocks. An off the shelf injectable filler or implant may be the only source of significant volume for buttock enlargement. Commercially available soft silicone buttock implants or Poly-L-Lactic Acid (Sculptra®) injections are used for buttock augmentation. Implant selection is based on buttock measurements and patient goals. They are placed through a single opening between the buttocks and positioned either superficial to the gluteus maximus muscle (beneath buttock skin and fat) or within the muscle. These mechanical devices may re-position themselves over the highly mobile buttocks, and are subject to other complications such as infection, positional discomfort, implant visibility, and dissatisfaction with the result. Sitting may be uncomfortable following placement of buttock implants for a variable period of time. If the implants become bothersome, removal is recommended. Although implants may be the preferred method of buttock augmentation for very thin patients, Dr. Laverson far prefers Brazilian butt lift (BBL) because of the much larger volume of augmentation that is possible and because donor fat is natural. Poly L Lactic Acid (Scuptra®) is an inefficient and costly choice because several treatment sessions are required, the product is expensive for the large volume that buttock augmentation demands, and duration of Sculptra® augmentation is indeterminate.
Brazilian Butt Lift (BBL)
Fifth and most effective and dramatic, if there is sufficient fat for aesthetic reduction of waist, flanks, thighs, abdomen and/or other areas, this fat may be grafted to the buttocks for augmentation. This approach is the very popular BBL (Brazilian Butt Lift), and although buttock augmentation is relatively certain with fat transfer, the degree of augmentation cannot be precisely guaranteed. Some grafted fat is always absorbed. Overgrafting is commonly practiced, but if most of the fat successfully incorporates, buttocks may be larger than anticipated. If excessive absorption of grafted fat occurs, buttocks may be smaller than anticipated, and secondary grafting or implants may be desired. This is rare. Recovery after fat grafting is tolerable for most patients. Prolonged sitting on the buttocks is avoided for six weeks following the procedure to promote fat cell survival and to avoid compression and/or trauma of fat cells with a delicate new blood supply.
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