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Professional Cosmetic Surgery and Healthy Ageing Clinic

Mr Jeya Prakash M.S. F.R.C.S.(Ed) 112 Harley Street London W1G 7JQ
020 7224 1622

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You are here: Home / Surgical / Body / Buttock Augmentation

Buttock Augmentation

1. What is Buttock Augmentation?

2. Indications and Contra-indications

3. Special Instructions

4. Surgery

5. Recovery and Combination procedures

6. Results – Longevity and Limitations
 

 

What is Buttock Augmentation?

Buttock Augmentation, is one of the cosmetic surgery procedures, that has recently become popular, with increased publicity and awareness lately.  While some individuals by nature have relatively small buttocks, some people notice a decrease in buttock size following pregnancy, weight loss and/or with advancing age. Often these individuals desire a fuller buttock appearance.

Buttocks that are in proportion to the rest of the body, enhances fitting of clothes. In most cases buttock augmentation surgery, performed on individuals with realistic expectations, is most rewarding, increasing their self image and confidence.

Buttock augmentation is a procedure to improve the size and shape of the buttocks, either by means of fat transfer or gluteal (buttock) implants. Augmentation by means of fat transfer can provide minimal enhancement, with comparatively quicker recovery. Buttock implants on the other hand provide maximum, longer lasting results, but with longer recovery.

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Indications and Contra-indications

Indications

  • Disproportionately small buttocks
  • Shapeless Bottom   

Contra-indications

  • People with high expectations
  • Bleeding disorders
  • Poor hygiene
  • Low tolerance to discomfort

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Special Instructions3

Special instructions

The chances of infection are quite high in this area, hence it is exceptionally essential to keep the site of surgery clean, to ensure good results.

The surgery immobilises the patient for the first day or two, with restricted mobility for 3 -4 weeks. It is imperative to have home help, for that period.

Buttock implants

Buttock implants come in various shapes and forms . They are essentially silicone shells containing silicone fillings. Each type of implant has advantages and disadvantages.  There is no one ideal implant for all individuals, under all circumstances.  Each type of implant will be discussed and explained during consultation with due regards to an individual’s age, buttock type and size, family history, past medical history, occupation and aesthetic expectations.

The usually available sizes of implants are small, medium and large. The available shapes are round and tear drop. It is now possible to have custom made implants, personalised size and more anatomically shaped.

The surgeon will choose the implant based on your desired results and the limitations of your anatomy.

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Surgery

Anaesthesia and hospital stay

It is usually performed under a combination of local and general anaesthetic. Sometimes a combination of local anaesthetic and sedation may be considered. One to two nights stay at the hospital is recommended.

Incision site and scar location

The incision is at the crease between the buttocks. Scarring is rarely visible even in swim wear, as the incision lies at the natural cleft.

Surgical procedure

The procedure usually takes 1 to 2 hours to perfom. An incision is made 5 – 6 cm along the midline (between the buttocks). Through this incision, the gluteus or buttock muscle on both sides are lifted to form pockets, into which the implants are placed. Before closing the incision with sutures the surgeon will ensure that the implants are placed comfortably such that they are symmetrical (without any fold) and appear natural, making any changes if necessary.

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Recovery and Combination procedures

Immediate post – op care

It is recommended that you have someone stay with you for the first 2 weeks as your movements will be restricted. It will be uncomfortable to sit or lie down (in positions that put pressure on the buttocks). Anti-biotic and painkillers are prescribed for a week. You will be discharged home with support garments on.  The dressing must be kept clean for 2 weeks.

It is recommended to lie on your stomach as much as possible, for 4 weeks following surgery, and sit only on a ring seat, that does not put pressure on the area, for at least 2 weeks.

There may be some initial pain which usually settles after 4-5 days.  The swelling usually takes up to 4 weeks to settle. The final shape and size of the buttocks can take up to three months.

Walking and sitting more comfortably in 4 weeks. Resume normal activities in 3 – 4 weeks time. Strenuous exercises end of 6 weeks. The implants may not fully feel a part of your body for 6 to 8 months. Depending on your occupation you will need 3-6 weeks off work.

Follow-up schedule

2 weeks, 6 weeks, 3 months, 6 months, every year for 3 years

Combination procedures

  • Liposuction in other areas
  • Fat-fill

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Results – Longevity and Limitations

Longevity of results

Depending on the durability of the implants, effects of aging and life style factors, the results of the surgery can last from 10 years to a life time. Recurrent infections affect the result of the surgery and in some cases, force the early removal of the implant.

Limitations of end results

  • High rate of infection. Infection can affect the quality of end results.
  • Because of the high wear and tear of the implants, may require change of implant earlier than expected.
  • Palpability and visibility of implants
  • Any pre existing asymmetry is amplified following surgery

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