BUTTOCKS AUGMENTATION

INTRODUCTION

The objective of the operation is to enhance the shape and volume of the buttocks. The aim is a natural curve and volume, with a smooth transition to the waist and the hips. There are two forms to achieve it:

-With silicone prosthesis which are oval and semisolids, not rigids.

-With fat (lipostructure)

ANESTHESIA

Epidural or general

TECHNIQUE

Implant

Through an incision on the zone of coxis (in the fold between the buttocks) a pocket is dissected under the greater gluteus muscle. The implant is placed in the upper half of the buttock, to avoid injury to the great sciatic nerve.

Lipostructure

Fat is obtained from liposuction of zones like hips, abdomen, back. This fat properly prepared is injected in multiple tunnels forming like an internal web. It is had to inject between 30-50% more volume of required, given some resorption is expected. The intervention takes longer than in the case of implants.

POSTOPERATIVE

Relative rest is recommended during 2-3 day. Restarting normal work depends on the technique. For implants usually it reccomended after 7-15 day. After lipostructure it can be sooner. In the case of the prosthesis it is necessary to avoid certain types of physical exercise during 4-6 weeks. Muscular injections are to be avoides if implants are chosen.

The potential problems of implants are:

-Hematoma

-Infection

-Extrusion of the prosthesis

-Capsular contracture (hardening around the prosthesis)

-Displacement.

In the case of fat infiltration:

-Hematoma

-Infection

-Reabsortion

-Asymmetries

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Dr. J. Benito Ruiz, 1998-2000