Surgical buttock augmentation. Which is better: implants or fat?

Lipofilling of the buttocks

- a procedure for transplanting one's own adipose tissue obtained from other parts of the body in order to correct the shape and increase the volume.

The result is a symmetrical, convex, rounded butt that makes the figure feminine and sexy. Yes, yes, that same Brazilian butt.

What problems do our surgeons solve when resorting to lipofilling of the buttocks:

increasing the volume of the buttocks;
improving the shape of the buttocks (rounding);
hourglass figure modeling;
elimination of asymmetry, ptosis or sinking of the buttocks;
improvement or correction of gluteoplasty results;
elimination of atrophic scars.

Benefits of lipofilling

Own adipose tissue is not rejected, does not cause allergies, and does not lead to the formation of capsular contracture - a common complication after the installation of implants.
The buttocks are given a natural shape: if the fat is applied correctly, it is distributed evenly, does not show through the skin, and does not contour.
As a bonus, beautiful buttocks come with a thin waist, flat stomach and/or slimmer hips. It is from these areas that fat is taken for transplantation, and in large quantities.
To collect fat, punctures are made in the skin, leaving no scars.

Lipofilling

Lipofilling

– a method of correcting the contours and shape of the body or face using the patient’s own fat. Initially, the fat is removed, then purified and injected into the areas to restore the desired volume.

This operation is considered one of the safest - the patient’s own biomaterial in the form of fat cells does not cause allergies or rejection. The results of the procedure last for several years.

Types of lipofilling

Due to its versatility and low invasiveness, lipofilling is performed both as an independent operation and as an additional procedure to the main operation. For example, when enlarging the breast with implants using lipofilling, you can additionally add volume in the upper part of the breast to create a smooth transition from the upper pole of the breast to the lower one.

Depending on the area of application, lipofilling can be divided into two types: body lipofilling and facial lipofilling.

The first type includes:

lipofilling of the buttocks and thighs - performed both as an independent operation and in combination with endoprosthetics. One of the most popular complex procedures, which is often combined with buttock replacement (placement of implants). Allows you to adjust the shape of the buttocks and hips by increasing volume. The operation is also indicated for age-related skin defects. For a good result, a lot of the patient’s own fat is required – up to 2500 ml. For this reason, lipofilling of the thighs and buttocks is combined with liposuction, in which fat is taken from places where it is not needed: the lower back, thighs, lower abdomen and fat traps;
lipofilling of the legs - helps with curvature of the legs and makes it possible to rejuvenate the appearance of the legs. The lipofilling procedure is also auxiliary for cruroplasty;
Breast lipofilling is a way to enlarge the breasts by 1-1.5 sizes without the help of implants. Most often, breast lipofilling is performed in conjunction with mammoplasty, to achieve the best result or to correct already installed but contouring implants;
hand lipofilling – rejuvenation of the hands, which often reveal a woman’s true age.

The second type of lipofilling replenishes volume in the facial area:

lipofilling of cheekbones/cheeks – helps remove wrinkles, retracted scars, sunken cheeks and other bumps and irregularities;
lipofilling of the chin is an excellent way to increase the projection of the chin and give expressiveness to the face;
lipofilling of the eyelids - replenishes the missing volume, for example, in the area of the lower eyelids, smoothes out the asymmetry of the upper eyelids;
Lip lipofilling is an alternative to filler, it adds volume and naturally improves the shape of the lips.

Contraindications

Lipofilling is quite safe and suitable in many situations, but do not forget that this is a surgical intervention, albeit a minimally invasive one. For this reason, lipofilling has contraindications:

bleeding disorders;
diabetes;
acute infectious diseases;
hypertension;
skin injuries at the site of surgery;
malignant pathologies.

How is lipofilling performed?

Regardless of the area in which volume needs to be added (lips, eyelids, breasts, hips, buttocks), the procedure always consists of three stages:

1. Taking the patient’s fat tissue – depending on the amount of fat needed, the doctor takes it through small incisions or limits himself to thin punctures. Problem areas, such as fat traps and places that will not lose their attractiveness after taking fat, become a donor of biomaterial;

2. Purification and processing of biomaterial – necessary in order to remove impurities of lymph, anesthetic and blood; also, in some cases, the resulting fat is enriched with stem cells;

3. Introduction to the zones, according to the markings.

Each part of the body requires its own volume of biomaterial. For example, to correct the face, you need a little fat - about 5-15 ml; no additional incisions are required.

The duration of the operation depends on the amount of work - rejuvenation of the hands will not take more than 1 hour, and to increase the volume of the buttocks it may take up to 3 hours. The doctor also decides what kind of anesthesia is needed in each specific case - local or general.

Rehabilitation

After the operation, the patient can go home on the same day, or stay in the clinic for a day, depending on the extent of the operation and general well-being.

During rehabilitation, you need to follow a few simple rules:

do not wet the surgical site and punctures, treat them with an antiseptic daily;
protect the operated areas from the sun, do not go to solariums and the beach;
do not play sports and limit physical activity;
exclude thermal procedures: hot bath, sauna and steam bath;
do not massage the operated areas;
wear compression garments (as prescribed).
Attend postoperative examinations and dressing changes in a timely manner.

By following all the recommendations during rehabilitation, you can forget about the operation after 1.5 weeks.

How to prepare for surgery?

Before any surgical intervention, including lipofilling, you will need to undergo several studies:

Blood alpha amylase
UAC
OAM
Blood for sugar
Group and Rh factor
Creatinine
Coagulogram
Bilirubin, liver tests
Blood for syphilis, ELISA and hepatitis
Fluorography
ECG
Examination by a gynecologist
Examination by a therapist (after tests and clinical examination)

The list of tests can be supplemented at the discretion of the doctor.

Two weeks before lipofilling, it is recommended to completely give up cigarettes or reduce smoking to a minimum. The fact is that nicotine slows down tissue restoration - as a result, scars tighten and heal much more slowly.

Along with smoking, you will need to forget about tanning, both on the beach and in the solarium - accelerating the chemical processes in the skin before plastic surgery is undesirable.

A week before surgery, you should not drink alcohol - it not only impairs blood clotting and thins it, but can also affect the effect of anesthesia. The same rule applies to anticoagulants, contraceptives and hormonal drugs.

Those who are undergoing facial surgery will have to give up cosmetics for a week - this is necessary to normalize metabolic processes.

3 days before lipofilling you need to have a good rest, both physically and emotionally. On the day of the operation, you need to get a good night's sleep - this will help you come to the clinic in a positive mood.

For out-of-town patients

In our clinic, we regularly receive patients from other cities - for the convenience of clients, we have a hotel, which is located 10 steps from the main building of the clinic.

In order not to linger in an unfamiliar city and not waste a lot of time, patients can come straight to lipofilling - before the operation I conduct online consultations, and you can undergo tests in advance in your city and send the results to me by email or WhatsApp.

Answers to the most common questions

How long does the operation take?

Minor facial surgeries take approximately 30 minutes, while lipofilling of the buttocks and thighs can last up to 3-4 hours.

When can the result be assessed?

The result will be noticeable immediately, but the final results of the operation can only be judged after 3-6 months, when the swelling has subsided.

Will there be swelling after lipofilling?

Swelling almost always appears, but in most cases it is hardly noticeable and goes away after 1-3 weeks.

Will there be a scar after the operation?

With liposuction and lipolifting, there are no scars left.

Can lipofilling be done under local anesthesia?

It is under local anesthesia that operations are performed on small areas of skin - for example, on the face. If you are having a major operation, such as on the buttocks or thighs, you will need general anesthesia.

What anesthesia?

There are two types of anesthesia, which are selected depending on the operation:

1) local anesthesia, with or without intravenous sedation;

2) general anesthesia with laryngeal mask.

Both types of anesthesia are tolerated comfortably by patients.

Do I need to wear compression garments?

Necessarily. This is necessary so that the adipose tissue is located exactly in the places where the plastic surgeon intended.

How long does the result of lipofilling last?

Several years, in some cases – a lifetime. If necessary, the lipofilling procedure can be repeated.

What is better fat grafting or implants?

It all depends on the patient’s wishes and the scope of correction. For example, lipofilling cannot enlarge the breasts or buttocks as much as is possible with the use of implants. Often both methods are combined - implants set the basic shape, and individual areas are corrected using lipofilling.

How long can you sit after lipofilling of the buttocks?

Three weeks. It is not recommended to lie on your back or sit with your buttocks in direct contact with the surface - you will need an inflatable pillow.

How does the procedure work?

Retrieval of fat cells

The liposuction method is used: cannulas are inserted into thin punctures, through which fat is pumped out. The volume ranges from 500-3000 ml of adipose tissue. In most cases, the anterior abdominal wall is used as a donor area, since fat is deposited here in sufficient volume and practically free of impurities.

Cleansing adipose tissue

The goal is to completely eliminate all impurities (blood, anesthetic, lymph) and non-viable fat cells. The finished material for transplantation is drawn into syringes.

Fat cell transplantation

Fat cells are injected under the skin using thin cannulas. And here the professionalism of the surgeon is of great importance: any inaccuracy can lead to fat clumping, asymmetry, inflammation and other complications. As a rule, the “fan” technique is used to introduce and distribute fat.

The duration of the entire procedure is 2-4 hours. For pain relief, drug-induced sleep or general anesthesia is used.

Lipofilling of the buttocks – what is it?

At any age, women want their figure to look attractive and appetizing. The buttocks are the area that is one of the first to lose shape and sag soft tissues.

Of course, you can sign up for a gym, start training, use special creams and body wraps. However, these methods take a lot of effort and time, and the result will be noticeable after months of work on yourself, or even years.

For those patients who cannot exercise for health reasons or want quick and lasting results, but do not want to insert implants into this area, there is lipofilling of the buttocks. Reviews from cosmetologists and their clients repeatedly confirm the effectiveness of this method.

Lipofilling is a surgical procedure to enlarge or correct the gluteal region by transplanting one’s own fat.

In practice, 2-3 operations are required because fat has the ability to migrate, and only 30 percent of the fat tissue survives.

This phenomenon is due to the fact that when material (adipose tissue) is taken, lipid cells are destroyed (due to broken intercellular connections) and the fat “spreads” and is naturally excreted by the body.

Rehabilitation after lipofilling

The first day after the procedure is considered the most dangerous in terms of complications. Therefore, the patient (patient) is in the hospital during this period. At the discretion of the surgeon, inpatient observation can last up to 2-3 days.

Recovery takes about 4 weeks. The first few days bring some inconvenience: pain, numbness, bruises appear, general malaise and weakness are felt. These phenomena occur in most cases because an intervention has occurred, albeit a minimally invasive one.

Surgeons say this: the more extensive the liposuction was, the longer the rehabilitation will last. In addition, there are two points that significantly facilitate the recovery period:

try not to sit or lie on your back; the best poses are standing and lying on your side;
Be sure to wear compression underwear, which creates a massage effect and reduces swelling.

All “events” that affect swelling and the survival of transplanted fat cells are prohibited for a month. In particular: playing sports, visiting the sauna and swimming pool, taking a bath, solarium.

Rehabilitation period

An equally important stage is rehabilitation. Lipofilling of the buttocks is considered a minimally invasive operation, but the full recovery period lasts from three weeks.

The surgeon will always provide detailed advice depending on the patient’s lifestyle, place of residence and health, but there are also universal rules:

wearing compression garments for at least two weeks;
refusal of physical activity, bed rest in the first days;
prohibition on taking a bath, visiting a solarium, baths, saunas and other overheating of the operated area;
The operated area should be protected from mechanical impact.

After lipofilling, the surgeon may prescribe lymphatic drainage massage to consolidate the result, as well as rehabilitation procedures: phototherapy, phonophoresis, microcurrent therapy. A course of such procedures will significantly speed up recovery, reduce possible discomfort, and speed up the removal of swelling.

Many surgeons give additional recommendations for rehabilitation after lipofilling of the buttocks and urge you to give up bad habits, get enough sleep and eat healthy food.

What will the result be and how long will it last?

In this case, it is not possible to predict the result 100%. The fact is that the surgeon cannot know how many fat cells will take root in a particular case.

In our clinic, the collection and purification of donor material is carried out using the most modern equipment: only viable fat cells are transplanted. But the patient’s body itself still remains: as a rule, some of the cells (a fifth or sixth of the total volume) do not take root. Therefore, sometimes additional correction is required to achieve the desired effect.

Figure changes are assessed 4-6 months after the procedure. By this time, only completely engrafted fat cells will remain. Diets and fasting will affect the size of your butt; it is important to maintain your weight within normal limits.

INDICATIONS

pronounced, noticeable asymmetry of the buttocks;
acquisition of an unattractive shape by the buttocks as a result of age-related changes, sudden weight loss (or weight gain), as well as after injuries and operations;
ptosis of soft tissues, retraction in the middle part;
the presence of congenital or acquired retracted scars, scars that do not look aesthetically pleasing;
as a complex supplement after plastic surgery to pump out fat - liposuction;
to form a balanced, attractive figure.

Lipofilling can be used as an independent procedure or in combination with other correction methods (for example, gluteoplasty).

Why lipofilling of the buttocks should be done at the El. En."

The most predictable result.

Thorough implementation of all stages of the procedure makes it possible to achieve a very high percentage of fat cell survival.

Aesthetics.

An experienced surgeon will model symmetrical buttocks with a round shape and take care of a uniform reduction in volume in the donor area.

Individual approach.

We sincerely want you to achieve your goal. You will appreciate the attentiveness of the surgeon, who will take into account all your wishes and offer the best correction option.

#3 obvious advantages of buttock fat grafting

Lipofilling is considered a safer procedure than buttock augmentation using special implants. It has many advantages that have made it a popular operation around the world.

Among its main advantages are:

Minimal risk of biological implant rejection by the body. Unlike artificial fillers and special endoprostheses, the risk of necrosis and allergies is minimal. In addition, the possibility of the formation of capsular contracture – fibrous tissue around the implant – is excluded.
Giving the most natural appearance to the hips and buttocks area. When implanting artificial implants, the transition boundary between soft tissues can be very noticeable to the naked eye. With lipofilling, the increase in size and tightening look natural because the fat is evenly distributed over these areas. The figure after correction looks proportional and attractive.
Reduced level of trauma and pain of the operation. It will take less time for the body to “accept” its own biological material than a silicone implant. Therefore, the duration of the rehabilitation period also decreases proportionally.

You can make an appointment with a plastic surgeon by phone or on the website

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Rehabilitation

After the operation, the Patient must spend at least 48 hours in the hospital under the supervision of doctors.

In order for the body to recover and the wounds at the puncture sites to heal after the operation, it will take about a month, it depends on the scale of the operation.

Before the procedure begins, doctors warn that the buttocks may be very sore for several days after the operation. In this case, you need to consult a doctor who will prescribe special painkillers for the recovery period.

One of the important stages of the operation is preparation.

First of all, the patient should contact a specialist for consultation. At this consultation, the doctor will examine the problem area, collect all the important information, prescribe all the necessary tests, and also indicate that there are indications for the use of this procedure.

After this, the specialist begins to determine the required amount of adipose tissue that will be needed for transplantation. The donor area is selected, in order to prevent any consequences, and it is also necessary to identify contraindications, it is necessary to undergo a whole diagnostic series:

A general urine blood test is given.
Antibodies are detected.
An ECG is prescribed.
A coagulogram is performed.
An overview image of the lungs is taken.
A biochemical blood test is also carried out.

If deviations from the norms were found during this examination, then additional examination by specialists such as an endocrinologist, cardiologist and others may be required. Additional examinations, ultrasound, FGDS, and so on, are also prescribed. If during the transplant it is necessary to undergo general anesthesia, then a consultation with an anesthesiologist is necessary.

The specialist recommends stopping drinking alcohol and smoking 2 or even 3 weeks before the scheduled surgery, which will help reduce the risks after surgical complications. It will also improve the survival rate of transported fat cells.

Disadvantages of the procedure

Although lipofilling of the buttocks is considered a safer procedure than the implantation of artificial implants, it still has its disadvantages and disadvantages:

It will not be possible to achieve a significant increase, especially if the patient suffers from a deficiency of adipose tissue on the body.
In order for the result to become noticeable, you need to transplant from 0.5 liters to 2.5 liters of your own fat. And to obtain this amount of material, you will have to extract at least 2 times more adipose tissue.
The final result after surgery is difficult to predict and predict.

Artificial implants have a clearly defined shape, while lipid tissue is distributed randomly over the buttock area.

Therefore, in some cases, it will be necessary to additionally perform surgical correction of the gluteal area, which will require a lot of time for rehabilitation, as well as additional material costs.

A few years ago, buttock augmentation and shaping with hyaluronic acid was at the peak of popularity. However, over time, many cosmetologists abandoned this practice, since the result after the procedure did not last long, but at the same time it had an impressive cost and a large list of complications.

Another effective procedure for tightening is correction using mesothreads. This practice alone cannot replace classical lipofilling, but if you use them comprehensively and step by step, you can achieve lasting and long-term results in a short time.

The price for lipofilling of the buttocks starts from 100 thousand rubles (without including liposuction). But you can always save money if you look for promotions and special offers on clinic websites.

Question answer

When can you admire the result?

To see the final result, you should be patient, as you need to wait about 4 months. During this time, some of the transplanted material will be excreted from the body, and some will take root.

Can lipofilling be performed on men?

In rare cases, such manipulation is performed on male representatives, but it is not prohibited. But it is worth knowing that the rehabilitation itself is more difficult for men, and their results are also worse.

When can you start playing sports after lipofilling?

Sports activities are allowed after complete healing. This often takes about 2 months.

Preparation for the procedure

First of all, before the procedure, you need to undergo a comprehensive examination in the hospital, which will help identify existing problems in the body, as well as identify possible risk factors and complications that have arisen.

Additionally, it is recommended to consult with an anesthesiologist who will help you choose the right type of anesthesia.

How long does the result last after lipolifting of the buttocks? The effectiveness of this tightening method can be observed for several years after surgery.

Diagnosis of the body’s condition, list of tests:

study of the biochemical composition of the patient’s blood and urine;
detection of viral antibodies to hepatitis in the body;
coagulogram - study of natural blood clotting;
ECG and fluorography.

In some cases, you will have to undergo an additional series of examinations, as well as visit a cardiologist and endocrinologist.

It is recommended to refrain from drinking alcoholic beverages and smoking a couple of weeks before the planned date of surgery. If this is not done on time, then the risk of complications after lipofilling increases several times.

In addition, the recovery period will be much longer and more painful. It is also recommended to temporarily stop taking vasoconstrictor and vasodilator drugs, as well as anticoagulants.

Liposuction.

This procedure is performed in order to collect adipose tissue; a cannula is used for this purpose. The main problem areas in this procedure are the abdomen and thighs.

Thanks to scientific research, it has become known that this particular subcutaneous fat is the purest and does not contain any foreign substances. The liposuction process itself occurs in this way. Using special instruments, small cannulas are inserted under the patient's epidermis. With the help of this device, excess fat is pumped out. The procedure itself is painless and is therefore performed under general anesthesia.

The next procedure is preparation of adipose tissue. If necessary, the fat is cleaned so that during transplantation it will take root in the new place and not cause any complications. Sometimes fat cells contain blood elements or ichor; they need to be removed; this is done using a centrifuge.

The procedure itself for injecting fat into the gluteal region takes no more than 4 hours. An important factor in the time spent is the amount of pumping, as well as the amount of work.

The result of this procedure will be noticed immediately after the operation. In order to achieve the maximum beautiful effect, you will have to wait a little, it will take approximately 4 months.

CONTRAINDICATIONS

diseases and pathologies of the patient’s cardiovascular system;
there is a violation of natural metabolism in the body;
the period of bearing a child, as well as breastfeeding;
patients who take vasoconstrictor and vasodilator drugs;
people who suffer from infectious diseases, as well as chronic deterioration of the immune system;
oncological diseases at any stage (including after a course of chemotherapy);
diabetes;
patients who suffer from hepatitis, as well as HIV/AIDS;
people with mental disorders.

The procedure is not recommended for persons under 25 years of age. At this time, the figure is just completing the stage of its formation, so it will be difficult to predict the further result after the operation.

Lipofilling of the buttocks is a real alternative to long-term visits to the gym, as well as the implantation of artificial implants.

If you believe reviews on the Internet, as well as messages on thematic forums, then some of the best specialists in lipofilling of the buttocks were graduates of the N. N. Burdenko Institute.

Contraindications to the procedure, possible complications

Lipolifting is a complex plastic surgery that occurs in many stages. Of course, the possibility of complications with this method of correcting shape and size is less than with implantation.

To minimize possible side effects, you should study the list of contraindications before going to the surgeon.