What is the “waist-to-hip ratio,” and what difference does it make?
Waist-to-hip ratio is the relationship between horizontal width or circumferential measurement of the female waist and the width or circumference of the hips. The idea of an “ideal ratio” is subjective, but in general, a waist to hip relationship of .65 to .75 has been judged in scientific studies and by modeling agencies to be most appealing. If the ration is higher than .75, it can be lowered by either narrowing the waist, by enlarging the buttocks, or by both shrinking to hips AND enlarging buttocks. This is the “Brazilian Butt Lift,” liposuction of waist and flank fat with transfer to the buttocks, and it is among the most popular and successful plastic surgical procedures. Although exercising to strengthen and enlarge gluteal muscles can lift and add curves to the buttocks, many women want more, and easier.
What is a Brazilian Butt Lift?
Brazilian Butt Lift (BBL) surgery, is a combination of liposuction (fat removal from waist and around the waist, also if desired the thighs and/or abdomen) and transfer of that harvested tissue to the buttocks as aesthetically distributed graft of fat cells. The fat cells live in their new location, grow, and last a lifetime. When properly performed, the results are natural-looking, reliable, and can be beautiful.
Also known as gluteoplasty, the Brazilian Butt Lift is a multi-step procedure that takes between two and four hours, depending on the volume of liposuction and fat transfer. At Feel Beautiful in San Diego, Dr. Laverson performs each step of the Brazilian Butt Lift with care, precision, and artistry. Here’s what you can expect:
Surgical marking – Dr. Laverson marks the specific areas on your buttocks where the fat-transfer will create the most beautiful shape and contours.
Anesthesia – General anesthesia is common, but local anesthesia with or without sedation is also an option.
Liposuction (fat harvesting) – Using a long, thin metal tube called a cannula, Dr. Laverson carefully removes unwanted fat from your hips, abdomen, thighs, or love handles and suctions it into a specialized container to keep it clean and healthy for reinjection into your buttocks.
Fat transfer – The fat in the container is purified and transferred to small syringes to allow for meticulous precision during injection. Once the fat has been injected into your bottom and the desired shape has been achieved, Dr. Laverson seals access sites and applies specialized 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.
Buttock Enhancement Procedure Steps & Techniques
In enhancing the female face and figure, plastic surgeons first visualize the result, then apply techniques to reduce excess, augment deficiencies, and reposition tissue to achieve the most satisfactory end result possible. Buttock augmentation and lift have become increasingly popular in the United States. The buttocks are a highly mobile area of the body, and are subject to pressure when sitting or laying on the back. Procedures to enhance buttock size and shape must be performed in the context of maintaining these functions. The selected technique should be as reliable, complication free, and predictable as possible.
Dr. Laverson incorporates five approaches, separately or together, in augmenting the derriere. Many factors influence the choice of procedure.
First, the gluteus maximus muscle of the buttocks is the largest single muscle in the body. If the patient has not made an effort to exercise and enlarge this muscle naturally but is willing to do so, this is a good first step that is both reliable, natural, inexpensive, and complication free.
Second, if the waist can be narrowed by removal of fat (liposuction), the adjacent buttocks will appear larger. This is also reliable, inexpensive, and complication free. Liposuction to reduce the waist and flank is a ninety minute procedure with a brief recovery.
Third, if the patient has excess skin over the buttocks from aging, weight fluctuation, poor skin elasticity, or a combination of these, dermolipectomy lifts soft tissue of the buttocks. The remaining skin and fat contours over the gluteus muscles well, enhancing buttock shape. Dermolipectomy results in a transverse scar in the panty line across the sides and back above 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.
Fourth, if buttocks are deficient in volume and projection and there is not enough fat of waist and flanks to remove by liposuction, insertion of soft silicone buttock implants is possible. This three hour procedure demands commitment from both surgeon and patient. Implant selection is based on buttock measurements and patient goals. Often, these devices must be adjusted during surgery to achieve the desired result and to fit each individual properly. They are placed through a single opening between the buttocks, and Dr. Laverson prefers placement beneath gluteal connective tissue, but above the muscles. Commitment from the patient involves an understanding that these mechanical devices are prone to 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 is uncomfortable following placement of buttock implants for a variable period of time. If the implants become bothersome, removal is recommended.
Fifth, if the patient has sufficient fat and desires removal from the waist, flanks, and/or other areas, this fat may be grafted into the buttock muscles for augmentation. This approach is popularly known as a “Brazilian Butt Lift,” and although augmentation is a near certainty with fat transfer, the degree of augmentation can be unpredictable. 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. Recovery after fat grafting may be uncomfortable and prolonged. Sitting on the buttocks is avoided for six weeks following the procedure to facilitate engraftment and avoid compression and/or trauma to fat cells with a delicate new blood supply.
Brazilian Butt Lift Recovery and Results
A successful BBL recovery depends on several factors, including how well you prepare before your surgery. In the weeks leading up to your Brazilian Butt Lift, Dr. Laverson will provide you with a set of instructions designed to help facilitate a smooth and quick recovery. Every patient is treated according to their unique needs with a customized plan, but general routines apply to most patients. Some common pre-operative and post-operative instructions for BBL surgery:
Stop smoking for at least 4 weeks prior to surgery
Make arrangements for time off work and for child care
Avoid foods and supplements that can increase the risk of bleeding and bruising
Confirm instructions with your caregivers and family members
Set up a recovery area in your home
Purchase one or more “BBL pillows” to remove all pressure from your buttocks for several weeks after the procedure.
Post-operative Begin gentle movement immediately after surgery to facilitate healing
Sleep on your stomach for at least two weeks
Avoid sitting for at least two full weeks, or sit on the BBL pillow.
Take all medications as prescribed by Dr. Laverson and as needed.
Wear your compression garment as recommended (remove to shower only)
Drink 8-10 glasses of water per day
Avoid alcoholic beverages while on pain medications Shower OK, but no tub baths for two weeks (or until incisions have healed)
Resume your exercise routine slowly as able beginning two to three weeks after surgery
Avoid strenuous exercise until you’re able to do so without pain
Attend all follow-up appointments with Dr. Laverson
You will notice a difference in your shape and size immediately after your Brazilian Butt Lift, but you won’t see final results until six to twelve months later. Swelling resolves slowly, and your body absorbs some of the transferred fat. The shape and size of your new bottom typically finalizes around 90 days, though sometimes longer. Most patients retain 60 to 70 percent of the transferred fat, though this number could be higher or lower, depending on the individual.
The Brazilian Butt Lift results are semi-permanent. This means they can last for decades, but they can also change according to your body weight and your. Extreme weight gain or weight loss can change the results off your BBL, so a stable weight at the time of your surgery is recommended
Am I A Good Candidate for Brazilian Butt Lift Surgery?
The Brazilian Butt Lift is an effective procedure for curving your body contours, but the ideal candidate should:
Be in overall good health
Be within 15 pounds of ideal weight
Have good buttocks skin quality
Have sufficient fat (five pounds or more) for transfer
Have realistic expectations
Patients who do not have ample fat for transfer may be able to achieve more feminine curves by the injection of off the shelf poly-L-lactic acid (Sculptra®) or with silicone butt implants. Those with poor skin elasticity may opt for a dermolipectomy flank-thigh-buttock lift. A consultation with Dr. Laverson is the best way to determine which butt augmentation procedure is best for you.
The Brazilian Butt Lift in San Diego
For the best Brazilian Butt Lift results, it’s crucial to work with the best plastic surgeon. Dr. Laverson has a keen eye for aesthetics, a skilled surgical hand, and decades of experience in a wide range of body-contouring procedures. He also has a distinct passion for helping patients feel confident about their body, and he hopes to do the same for you. To find out more about the Brazilian Butt Lift or other body-contouring services, call Feel Beautiful at (858) 295-1592 and schedule your in-office consultation today.