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Find out which is the best
technique to make your butt bigger and more sensuous
Text sent by the author
No one doubts that the butt is one of Brazilians’ preferred
physical attribute. What really raises doubts is when women
decide to go for plastic surgery to increase or reshape that
part of the body. There are two choices available: fat grafting
or liposculpture, and gluteal implant. When a woman is faced
with those two choices, these questions are unavoidable: “If
I go for a liposculpture, will I get a perky butt?, “Will
the implant look natural?”, “Will a liposculpture
and a gluteal implant produce the same results?” To
this last question, plastic surgeon Raul Gonzalez, specialist
in the matter, is emphatic: “Absolutely not. Each surgery
has its own indication and this should be made very clear
to the patient. Many women still are disappointed when they
go for the wrong technique. For example, a patient who opts
for liposculpture must not think she is going to get a perky
butt. Likewise, for one whose only wish is a slight increase
in size, an implant may not be the best choice. Therefore,
it is very important to give patients the right information.
It prevents them to make the wrong choice and regret it late”,
he affirms. Read the interview with Dr. Raul Gonzalez, and
clear all your questions about butt augmentation.
When is a fat graft and when is
a gluteal implant the best option?
The indication depends on the desired
projection. If a patient wants a perkier butt, she should
go for a gluteal implant. If the idea is to have some filling
on the lateral part, with a slight projection of the butt,
a fat graft may be enough. But we must not forget that in
order to change a flat and charmless butt into a round and
perky one, the surgery will always have to be a gluteal implant.
Could you give a hint to our readers so that they
will know if they should go for an implant or a fat graft?
The right thing to do is always ask a surgeon, experienced
in both surgeries (fat graft and gluteal implant), but I always
advise any woman who wishes a projection of more than 1 or
1.5 cm to go for a gluteal implant.
Is implant rejection a problem and what is the durability
of an implant?
There are no cases of implant rejection. Capsular contraction,
which occurs in about 5% of breast implants, does not occur
with gluteal implants, because the constant muscle movement
prevents this from happening. As for durability, a gluteal
implant is more resistant than a breast implant, and therefore
we believe it should only be replaced after more than 20 years.
What are the post-op differences between a liposculpture
and a gluteal implant?
One must understand that a gluteal implant is a bigger surgery.
Therefore, it could be a little more painful and the patient
should avoid going back to her activities for at least one
week, which is the time the body needs to get used to the
implant. After fifteen days, the patient can drive and go
back to her normal activities.
Recovery from liposculpture, however, is much faster. After
4 or 5 days resting at home, the patient can go back to work.
However, on the long term – around 2 or 3 months –
a liposculpture patient must avoid the sun, while after a
gluteal the patient is ready to sun bathe 20 days after surgery.
Is age a concern when opting for one or the other
surgery?
Absolutely not. Once a person stops growing, usually around
15 years of age, both a liposculpture and a gluteal implant
may be done, because the body contour is already well defined.
Interestingly, in a younger patient, who leads a less sedentary
lifestyle, the butt muscles, even if not too developed, are
naturally tenser. The same is not true of women around 40
who, due to more sedentary lifestyle, are somehow flaccid
at the gluteal area. In this case an implant, in addition
to projecting the butt, gives it a younger appearance.
How about liposuction alone, with no fat graft, can
it help shape that area?
Yes. Oftentimes a simple liposuction can unveil a nice butt
that was hidden amid fat deposits. Of course, if we take the
opportunity to shape the waist and remove the extra fat above
the buttocks, the contour will look even nicer.
Which of the techniques produces a more natural result:
gluteal implant or liposculpture?
Both produce very natural results. Many people in the show
biz have a gluteal implant but say that it was liposculpture.
Many married women who had a gluteal implant don’t even
tell their husbands about the surgery and they’ll never
know because the scar doesn’t show and the implant,
most of the times, is imperceptible to the touch. When the
scar heals completely, the site of the incision is hardly
seen even to someone very close.
Which of the two techniques may have more complications?
Both liposculpture and gluteal implant are surgeries that
have a very low complication rate. Of course, when a patient
decides to have plastic surgery she must always bear in mind
that any surgery is subject to varied complications but, in
this case, both have nearly negligible complication rates.
Therefore, when it comes to make a decision the patient should
not think less about complications and more about having the
correct indication.
Which came first: liposculpture or gluteal implant?
Gluteal implant surgery exists since the 70s, much earlier
than liposuction but back then the implants were placed in
the fat which used to cause frequent complications. In 1984,
an Argentinian surgery created an intra-muscular technique
and, in 1986 I, together with Dr. Robbles, the deviser of
the technique, performed the first gluteal implant surgery
in Brazil. Many years have gone by, the technique was improved
and results today are significantly safer and better. Liposculpture
dates back to that date as well. So, both the implants and
liposculpture are procedures that have been around for about
20 years.
Are there contraindications for a gluteal implant
or liposculpture?
Yes. For very thin patients who wish to
have their buttocks projected or even reshaped, we are often
left with the single choice of placing an implant. In patients
who certain health problems, both surgeries may be contraindicated.
Consultant:
Dr. Raul Gonzalez
Plastic Surgeon
CRM: 49.416
Member of the Brazilian Society of Plastic Surgery
Ribeirão Preto
R. Amadeu Amaral, 661
Ribeirão Preto – SP
Tel.: (16) 3610-0396
rg@raulgonzalez.br
São Paulo
R. Itápolis, 1248
Pacaembu – São Paulo, SP
Tel.: (11) 3661-9977 |
