Brazilian Butt Lift
Who Is a Good Candidate?
Not all Brazilian Butt Lifts are created equal, and this is a
very broad term used to describe a single procedure that
can be used to reach different aesthetic goals. The term
"Brazilian Butt Lift" in its most generalized form means
transfer of fat from other parts of the body to the buttocks.
The connotation has usually come to mean trying to make the buttocks as large as possible, but this is not the goal of a lot of the patients who we see for this procedure. In addition to the patients who come in wanting to highlight their buttocks shape and size maximally, some patients come in with the goal of having a more athletic appearing buttock area, or having an improved side buttock contour because of hollowing due to their underlying muscle and bone structure. In other words, an ideal candidate for a Brazilian Butt Lift is anyone who wants to remove fat from undesired areas and use this fat to make their backside area more shapely.
What is Fat Grafting?
Fat grafting is the term used to describe removal of fat from one part of the body and transplantation of this fat into another part of the body. Fat from one patient can only be used on that same patient, and cannot be "donated" to another patient for fat grafting. The procedure itself consists of transfer of very small "packets" or aliquots of fat into the recipient tissue. The principle is similar to that of a skin graft, as the small "packets" of fat receive their initial nutrition for staying alive from the surrounding tissues, and eventually survive by your body actually establishing and growing blood vessels to the new fat. In general, 50-75% of the fat transferred will stay, so if 100 ml of fat is transferred to a certain part of the body, a patient can expect to retain 50-75 ml at most after they are completely healed.
Brazilian Butt Lift surgery is almost always done under general anesthesia at an outpatient surgery center. Surgery takes anywhere between 2-3 hours, depending on how many areas are being liposuctioned and how much fat is being transferred. Multiple 3-4 mm incisions are made in a similar fashion to liposuction alone, and a solution consisting of local anesthetic and epinephrine is infused into the fatty tissues to help with pain and bruising. A long metal rod called a cannula is used remove and sculpt fatty deposits. The fat is collected in a large sterile container, then the fat is separated and rinsed of blood and fibrous material. It is loaded into smaller syringes and injected via 1-2 mm incisions into the target areas in the buttocks. Usually 2-3 different incisions are needed for each buttock cheek in order to target the fat injections optimally. The liposuction and fat injection sites are closed with dissolvable sutures, and external compression garments are placed on all areas.
Recovery is pretty similar to that of liposuction alone, except for the restriction of no direct sitting on or laying on the fat grafted areas for 6-8 weeks. Patients usually work around this restriction by buying a special post Brazilian Butt Lift pillow which is available for purchase on multiple web sites, sleeping on their stomaches or sitting on their thigh areas rather than on their buttocks directly. Dr. Kayan or her staff would be happy to do a demonstration of how to get around sitting directly on your fat grafted areas. Patients will generally have a lot of swelling and bruising for the first 1-2 weeks, and most of the acute swelling will dissipate in 4-6 weeks, and your fat grafted and liposuctioned areas will be at their eventual size 3 months after surgery. Sometimes some hardened areas of scar tissue can persist for up to one year, but these often soften and go away. Compression garments are worn for 4-6 weeks after surgery.