Plastic Sugery - Buttock augmentation



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Plastic Surgery

Buttock augmentation

The ideals of beauty changes with every person. There are persons wanting big, powerful buttocks and others small and tense ones. Different indexes over ideal relationships between body measurements and their correlation to beauty do exist, nothing known about buttocks, but these are all theoretical values and the result of such calculations can never define beauty. Possibly give means to define categories.

If somebody finds his or her buttocks small, especially flat, it can be corrected by augmentation of the buttocks by means of implants like augmenting breasts or by fat injections. Referring clinic does not have good experience with fat transplantation, that is why this technique will not be described. The good results reported by other well-known clinics have not been verified in our hands.

Principle: The upper part of the buttocks can be augmented with an implant on each side. The lower part can not be augmented with implants as it would be difficult to sit down. The lower part could possibly be enlarged with permanent injectables, which does not exist on the market today. The implants used are made of cohesive, soft silicone.

Procedure: A 4 - 5 cm long incision is made in the crease between the buttocks over the sacrum. The scar will be totally hidden in the crease. To the sides a pocket will be dissected to the major gluteus muscle. The muscle is split and a pocket between the major and minor gluteus muscles is created. On each side these pockets are created and an implant is inserted on each side. The sizes of the implants vary, but normally implants around 200 cc are used.

A firm fixating bandage terminates the operation and the bandage stays the first week.

Bed rest in prone position at the clinic for 24 hours.

Operating time: 1 - 2 hours.

Anaesthesia: Mostly general anaesthesia. Conscious sedation and tumescent infiltration is also possible.

What happens afterwards?

	Surprisingly only light pains but strong feeling of tension in the buttock area. Painkillers solve the problem.
	Sleep in the prone position during the first week.
	Antibiotic treatment due to the wound close to the after.
	You can and may be on the feet.
	No physical activities for 4 - 5 weeks.
	Time off 1 - 3 weeks depending on activities.
	Stitches are removed around the 10th day.

COMPLICATIONS
Referred unwanted biologic events can occur with a certain low frequency and must be regarded as calculated risks. Other risks not mentioned can also occur. For patients this must be considered before a decision for plastic surgery is set.

Bleeding: All operations can cause postoperative bleeding. These risks increase by the intake of analgesics and Vitamin E. These should be avoided 2 weeks prior to the planned operation.

Infection: All operations can cause infections. An implant has to be removed temporarily and can be reinserted after a few months in case of infection.

Capsular contracture: Every foreign body causes a formation of surrounding connective tissue, a capsule. If this capsule contracts, the implant can be deformed or feel hard.

Dislocation: The implant can be dislocated or change position. This is often due to direct injury to the muscle.

Scarring: All scars are red for a couple of months and they fade away during the fist year. Direct sun or solarium against the scars should be avoided to prevent them for permanently become red or pigmented. The scars are normally very discreet.

Smoking: Smoking does compromise blood circulation and healing. Smoking should be abandoned prior to a planned operation

This text is edited and controlled by Dr. Per Gunnar Opitz, Opitz plastikkirurgiska klinik i Malmö Sweden

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