Gluteoplasty (Greek gloutόs, rump + plassein, to shape) denotes the plastic surgery and the liposuction procedures for the correction of the congenital, traumatic, and acquired defects and deformities of the buttocks and the anatomy of the gluteal region; and for the aesthetic enhancement (by augmentation or by reduction) of the contour of the buttocks.
The corrective procedures for buttcock augmentation and buttcock repair include the surgical emplacement of a gluteal implant(buttock prosthesis); liposculpture (fat transfer and liposuction); and body contouring (surgery and liposculpture) to resolve the patient’s particular defect or deformity of the gluteal region. Moreover, in the praxis of sexual reassignment surgery, the prosthetic and liposculpture augmentation of the buttocks can be performed on transsexual and transgender women to enhance the anatomic curvature of the gluteal region in order to establish the markedly feminine buttocks and hips that project more (to the rear and to the side) than do masculine hips
Gluteal augmentation, more commonly referred to as a buttock augmentation, is a common procedure designed to improve the size and shape of the buttocks. The decision to have a buttock enhancement procedure is extremely personal. As moderately invasive techniques improve, buttock augmentations are becoming more popular, and for good reason. A firm, lifted, round bottom can dramatically accentuate a youthful, feminine figure. However, you have to decide if the benefits will achieve your overall aesthetic goals and whether or not the risks and potential complications of buttock augmentation or buttock lift surgery are acceptable.
Known as the “D.C. Butt Doctor,” Dr. Shlomo Widder is a board-certified Plastic Surgeon who has years of training and experience with performing butt augmentation with implants. This procedure can help patients achieve a more “attractive” appearance when exercise has not provided ideal results. During your initial consultation, D.C. Butt Augmentation with Implant Specialist, Dr. Widder will thoroughly examine the area to be treated, discuss the procedure details, and address any question or concerns you may have.
Butt augmentation surgery is a great treatment option for you if:
You have a flat or deflated buttocks
Wish to increase the fullness or roundness of your buttocks
Desire fuller or more dominant curves
Want to improve your body proportion/balance
Want to improve on butt dimples
A Brazilian butt lift is different from butt implants
There are two different techniques that are well known for enhancing the buttocks: surgically placed silicone buttock implants and the analogous fat transfer (Brazilian butt lift). Implants will provide a more rounded shape for your bottom. When considering a fat transfer, you should be aware that many patients who undergo the procedure reabsorb some or all of the fat that transfers into their bodies, therefore losing the full effects of their surgery. The disappearance of the fat can occur completely or almost completely after a few months, or possibly even sooner.
Why Butt Implants are superior to Brazilian Butt Lift
Butt implant surgery is typically performed through incisions that run down in low between the buttock cheeks in order to hide scarring after surgery. Semi-solid silicone implants are then strategically placed in the buttocks in order to provide a fuller, curvaceous contour.
Gluteal fat grafting, more commonly referred to as the popular Brazilian Butt Lift (BBL) procedure, has resulted in an alarming rate of mortality, estimated to be as high as 1 in 3,000; a rate of death far greater than any other cosmetic surgery.
In researching the risks of Brazilian Butt Lifts, the American Society of Plastic Surgeons had the following listed on their website: “In response to these unusually high figures, the American Society of Plastic Surgeons (ASPS), the American Society for Aesthetic Plastic Surgery, International Society of Aesthetic Plastic Surgery, International Society of Plastic Regenerative Surgeons and the International Federation for Adipose Therapeutics and Science, formed the Task Force for Safety in Gluteal Fat Grafting with the goal of conducting studies to develop specific safety guidelines. “Patient safety is the highest priority for board certified plastic surgeons and this multi-society task force is an important an unprecedented collaboration,” explains Dr. Jeffrey E. Janis, President of ASPS.
According to statistics from the ASPS, in 2017, approximately 20,300 buttock augmentation procedures using fat grafting were performed, and the number of procedures has more than doubled in the last five years. Complications from the surgery are likely a result of numerous factors, including the technically challenging nature of the surgery and that the rise in interest has caused more non-board-certified and non-plastic surgeons to perform the operation.”
A successful buttock augmentation will begin with a one-on-one consultation with Dr. Shlomo Widder. This is the time to find out more details about the procedure, get to know Dr. Widder, discuss your overall aesthetic goals and decide if you are comfortable with the surgery.
Choose your surgeon wisely
An experienced, trusted buttock implant surgeon is your secret weapon for a successful procedure and ideal results. Known as the “D.C. Butt Doctor,” Dr. Shlomo Widder is a board-certified Plastic Surgeon who has years of training and experience with performing butt augmentation. Dr. Widder is licensed to practice plastic surgery in the state of Virginia. He holds a number of certificates from several prestigious medical organizations, such as the American Society of Plastic Surgeons (ASPS), the American Society for Aesthetic Plastic Surgery (ASAPS), the American Association for the Accreditation of Ambulatory Surgery Facilities (AAAASF), and the Fairfax County Medical Society.
Should you consult with someone besides Dr. Widder, be sure to ask the following questions during your initial appointment:
Are you board certified?
What are your certifications?
How many butt lifts have you done?
How will my procedure be performed?
How long will my butt augmentation take?
What can I expect from my recovery?
What is the likelihood that I will need a revision procedure in the future?
Can you show me long term before and after photos?
The best butt augmentation results will be proportionate to your body
An experienced butt augmentation surgeon will help you decide the best size/shape/surgical procedure for your body type. While it is great to have an “ideal” bottom in mind before your consultation, understand that your particular procedure should be custom tailored for your physique. Normally, the goal of a buttock augmentation is more than just creating a big butt, the procedure should add to your overall figure.
The results from your buttock augmentation will last for a very long time
A successful butt augmentation can bring pleasure for years to come. Conversely, if you are unhappy with the results or the final size as can occur with BBL, it can cost you in confidence, potential discomfort, and money for a revision. Keep this in mind when you are looking at potential surgical options and shapes/sizes. Under normal circumstances, the results of your buttock augmentation surgery with implants will be long-lasting. Silicone butt implants are safe and can look fabulous for many years.
Dr. Widder DOES NOT perform fat injection to the butt (BBL) because unlike implants, the fat disappears completely or almost completely after a few months, or possibly even sooner. Think about it this way: Breast implants are the number one cosmetic surgery procedure in the US. If fat injections were consistent and reliable, most women would have preferred it for breast implants.
Dr. Widder encourages you to schedule a consultation in his privately owned, fully accredited surgical suite and office located in Tyson’s Corner, Vienna, VA. His office is conveniently located for patients in Maryland, Washington DC, Arlington, Alexandria and Fairfax, VA. Call today to schedule your consultation at 703-506-0300.
What’s Involved in a Brazilian Butt Lift Procedure?
Brazilian butt lifts may be growing in popularity, but Dr. Widder of Widder Cosmetic & Plastic Surgery in Vienna, VA, wants you to understand the procedure, risks, and drawbacks. The rise in any procedure for increasing butt size has been linked to the Kardashian effect as well as other celebrities like Nicki Minaj and Jennifer, where they’re posting pictures of their backside on social media sites like Instagram. Now the rest of the world is motivated to follow suit where over the last couple of years, American women have developed a love affair with shapelier buttocks. No matter what celebrities may have helped this trend, if you’re looking at the different options available to you, we want you to be aware of the risks and complications of the Brazilian butt lift and why Dr. Widder ONLY performs Butt Implants and not BBL.
A Brazilian butt lift is portrayed as one of the best options for reshaping the derriere. Why is BBL gaining popularity? The procedure involves using your own fat to improve the size and shape of your buttocks. Brazilian butt lift surgery is performed on an outpatient basis under either general anesthesia or IV sedation with local anesthesia. The surgeon will begin by making small, inconspicuous incisions in the pre-selected area(s) from which fat is to be taken, often the abdomen, thighs, hips, or lower back. Reducing fat around your body and creating a more pleasing “framework” is what surgeons that perform BBL tout as a major positive to the procedure. Using a small specialized tube called a cannula, your surgeon will use liposuction techniques on areas where you have excess fat to remove. This is a particularly desirable procedure for many people because liposuction means that other parts of the body, such as the back, hips, or thighs, can be toned at the same time as the butt is enhanced. You have to have enough excess fat available as only a very small portion of the fat retrieved may survive the process, and this fat is what is used to add volume to your behind. If you’re a person with minimal excess fat, this procedure isn’t even viable for you.
How Long Does the Fat Transfer or BBL Last?
Even patients that do have excess fat available, and have transferred fat from other areas to the buttocks, WILL IT LAST? The short answer is; no it will not last. When considering a fat transfer, you should be aware that many patients who undergo the procedure can reabsorb some or all of the fat that transfers into their bodies, therefore losing the full effects of their surgery. The disappearance of the fat can occur completely or almost completely after a few months, or possibly even sooner. If this happens, you can do the procedure again. Do you really want to go through and pay for that again for the outcome to be similar?
How Risky is BBL Compared to Other Cosmetic Surgeries?
Not only can the results completely disappear, but there are serious problems that can occur. According to a recent report from the American Society of Plastic Surgeons, the Brazilian Butt Lift, (BBL) is one of the most dangerous cosmetic procedures out there.
“There are risks with any surgical procedure. But BBL patients have an alarming mortality rate: As many as 1 in 3,000 people who undergo the procedure die, or 0.033 percent, compared with 0.002 percent for all office-based cosmetic procedures. BBL is raising concerns because of how the deaths are occurring. Fat that’s injected too deep can enter your circulatory system, possibly leading to a pulmonary embolism.”
What are Your Options?
Known as the “D.C. Butt Doctor,” Dr. Shlomo Widderis a board-certified Plastic Surgeon who has years of training and experience with performing butt lifts and augmentation. At Widder Cosmetic and Plastic Surgery Center in Vienna, VA, we understand how frustrating it can be to achieve tighter, perkier buttocks through diet and exercise alone; no matter how vigorous the routine. Butt lifts and Butt Augmentations can help patients achieve a more “attractive” appearance when exercise has not provided ideal results.
Dr. Widder DOES NOT perform fat injection to the butt (BBL) because unlike implants, the fat disappears completely or almost completely after a few months, or possibly even sooner. Think about it this way: Breast implants are the number one cosmetic surgery procedure in the US. If fat injections were consistent and reliable, most women would have preferred it for breast implants.
Lift procedures are often performed for people who lose lots of weight and have excess skin that appears saggy. In the butt lift, excess skin is removed from the buttock area to tighten and tone the butt.
The results of a butt lift are permanent; however, the natural aging process will eventually cause some sagging to occur. Any change in weight may also alter the results of the procedure.
If you want to enhance your booty, Butt Implants are your only good option! The implants are placed underneath the gluteal muscle fascia and positioned to enhance the shape and size of your butt.
Dr. Widder encourages you to schedule a consultation in his privately owned, fully accredited surgical suite and office located in Vienna, VA. His office is conveniently located for patients in Washington DC, Arlington, Alexandria and Fairfax, VA. Call today to schedule your consultation at 703-506-0300.
Wishing all of our patients and their family a Safe and Fun Holiday season. We are so thankful that you entrusted us with your cosmetic plastic surgery in 2018. We also want to take a moment to thank all of our armed service men and women, police and firefighters that will not be able to celebrate with their families due to their commitment to protect and serve us. We thank you for your service and dedication.
We hope to see you again in 2019, even if it’s to stop in and say hi!
Much emphasis has been placed on having a curvy backside. Since 2016 Buttock Augmentation is one of the fastest growing cosmetic surgical procedures performed by board-certified plastic surgeons. The spike in buttock enhancement procedures may be influenced by the growing popularity of the Kardashian family, Jennifer Lopez and other well-known celebrities with curvy figures.
Known as the “D.C. Butt Doctor,” Dr. Shlomo Widder is a board-certified Plastic Surgeon who has years of training and experience with performing butt lifts and augmentation. At Widder Cosmetic and Plastic Surgery Center in Vienna, VA, we understand how frustrating it can be to achieve tighter, perkier buttocks through diet and exercise alone; no matter how vigorous the routine. Butt lifts and Butt Augmentations can help patients achieve a more “attractive” appearance when exercise has not provided ideal results.
There are two separate procedures for buttock enhancement that Dr. Widder will perform: Lifts and Augmentations. Commonly patients use the term “lift” when what they are really thinking about is volume augmentation. So, that leads to the question, what is the difference between buttock lift and buttock augmentation?
Dr. Widder does NOT perform fat injection to the butt (BBL) because unlike implants, the fat disappears completely or almost completely after a few months, or possibly even sooner. Think about it this way: Breast implants are the number one cosmetic surgery procedure in the US. If fat injections were consistent and reliable, most women would have preferred it for breast implants.
Board-certified Plastic Surgeon, Dr. Shlomo Widder offers butt lift surgery to individuals who wish to improve tightening and raising the saggy skin. With butt lift surgery you can achieve the taut, toned backside you desire. Aging, sun damage, pregnancy, significant fluctuations in weight and genetic factors may contribute to poor tissue elasticity that can result in sagging of the buttocks.
In order to achieve a smoother and more pleasing contour, excess sagging skin and fat are removed. A traditional gluteal lift will not make a butt larger, but may improve a dimpled, irregular skin surface. Unlike a butt augmentation, butt lift surgery does not enhance the size of the buttocks. If you desire more volume, a butt lift can be combined with butt augmentation.
Buttock augmentation, or gluteal augmentation, is used to improve the contour, size and/or shape of the buttocks. This is done through the use of buttock implants. Buttock implants are semi-solid silicone devices that are surgically placed deep within the tissues of the buttock, under the muscle fascia to provide a fuller, curvaceous contour. Butt augmentation is typically performed through single incision that run down low in between the buttocks in order to hide scarring after surgery. During your initial consultation, Dr. Widder will thoroughly examine the area to be treated, discuss the procedure details, and address any question or concerns you may have.
At Widder Cosmetic and Plastic Surgery Center in Vienna, VA, our goal is to provide you with the best treatment plan and care possible so your aesthetic goals can become a reality. Call to schedule your consultation with Dr. Widder at 703-506-0300. Time is ticking to save 5% off your cosmetic surgical procedure, which ends on December 31, 2018.
Have you been thinking about a New You for the New Year? Wanting to have a little incentive to finally make that call to schedule your consultation? Dr. Widder’s Holiday Promotion is just the boost you need as this promotion is only for a short time.
Save 5% off ANY surgical cosmetic procedure(s) to include; Tummy Tucks, Breast Augmentations, Liposuction, Butt or Calf Implants, Facial Procedures, etc.
Call to schedule your consultation 703-506-0300. Procedures must be booked by December 31, 2018 to qualify for the 5% discount.
Widder Cosmetic & Plastic Surgery is conveniently located in Vienna for all patients in Northern Virginia, Washington DC and those traveling from other areas.
Kim Kardashian, Jennifer Lopez, and Beyoncé are celebrities who Dr. Shlomo Widder hears mentioned often during consultations. Patients of the “DC Butt Doctor” have sought buttock augmentation in record numbers this year, and daily inquiries are on the rise. Many are expressing interest in achieving a look similar to one of those stars with the famous posteriors.
While some patients even express interest in surgery to emulate the buttock size and shape of Nicki Minaj, Dr. Widder counsels patients that although her look is fine for her role as an entertainer, her buttock implants fall outside the range of normal body proportions. For the most long-lasting, positive results without later complication, Dr. Widder prefers to work within a more natural buttock implant size range.
The goal for each of Dr. Widder’s cosmetic procedures is to deliver a result that is natural-looking and in line with the patient’s personal aspirations. To that end, he focuses on listening intently to each patient’s needs and desires during the consultation. Because each person is unique and has specific goals, there is no churning out look-alikes at Widder Cosmetic and Plastic Surgery Center.
Dr. Widder reflects that most patients want their buttocks to appear full on top, then to have a projection in the middle, and to complete the look with lateral fullness. Others aren’t seeking fullness on the sides of the buttocks. These preferences help dictate whether he will place the implants closer to or farther away from the midline. For a tight, muscular look, they are placed closer to the midline, or the crack between the butt cheeks. When placed farther laterally from the midline, a curvier, more feminine look is achieved.
Dr. Widder’s goal is to help women and men make their butts the very best. Dr. Widder is the only plastic surgeon in the Washington, D.C./Northern Virginia area who offers buttock implants.
About Widder Cosmetic & Plastic Surgery:
For more than 25 years, Dr. Shlomo Widder has served Northern Virginia, the Washington D.C. metropolitan area, and beyond. He is a member of the American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgery, and his surgery center is accredited by the AAAASF. Prospective patients are invited to visit the beautiful 3,300 square foot facility for a free consultation. In addition to Buttock Implants, services include Breast Augmentation, Breast Reduction and Breast Lift, Liposuction, Rhinoplasty, Face Lift, Facial Implants, cheek, chin, and eyelids surgery, Otoplasty Ear Tuck, Pectoral Implants, Calf Implants, Gynecomastia Surgery, Facial Fillers, and Botox.
My patients have many questions about butt implant sizes. In fact, it is one of the first and most common questions when someone is considering butt augmentation. In this interview, Dr. Widder discusses his butt implant technique and the process he uses for helping patients decide on a size that is right for them.
565cc is a good size, and so far that’s the biggest I have used. It is also the most popular size in my practice. The company I work with can make them bigger, but those are much more expensive because they’re custom made. Most of the plastic surgeons in America use smaller implants than the ones I use because many of them create the pocket under the muscle or inside the muscle – submuscular or intramuscular. They are limited as far as size. One of the advantages of my subfascial technique – placing the implant on top of the muscle and under the fascia – is that it allows for a much larger implant. I can go bigger than what I use, but the cost may be intimidating for some potential patients. The 565cc is “off the shelf” and the company has a lot of them. The price is reasonable. If you go with the custom made, the bigger the implant, the more expensive it becomes. It also takes 2 -4 weeks to deliver, whereas the other implants are readily available. In the future, if people request bigger size implants, it will also become an off-the-shelf item and the price will come down.
Another factor is that if you go with an implant that is too heavy, it can cause sagginess. Breasts, when they’re heavy, will droop. This can also happen with the butt. Some people don’t think about the long term and just want to have the immediate result and enjoy it. That’s fine. I adapt to the needs and desires of the person, but I do let each patient know about that possibility of sagging.
Q: Can you predict by a person’s body type or other factors how large of a butt implant is likely to cause eventual sagging? How do you advise them?
Certain tell-tale signs can help you assess the situation. For example, if a patient already has stretch marks, it’s a sign that the skin may not be resilient enough. If they already have sagginess, that is another indication. Contributing factors may include diet and less activity as we age. Mainly, sagginess is due to loss of muscle. The envelope – which is the skin – becomes too big. In this case, if you place the implant too low, you make the sagginess worse. So my approach is to discuss and choose the right implant size based on these factors. I also take care to keep the implant high enough so it lifts up the skin and doesn’t droop and worsen the sagginess. My goal is to create a long-lasting, very attractive butt that is proportionate with the rest of the body.
Q: Is there anything patients can do, for example with diet or exercise, that can help prevent sagging?
Not really. It’s basically genetic. There’s not much you can do about the elasticity of the skin. You can hydrate yourself well, but that is a minor thing that in the larger scheme doesn’t make a great deal of difference. What people can do is exercise and increase the size of the muscle, but that’s tough. Many people don’t have the time or energy. The main thing I do is to focus on the technical aspect of the procedure. I stay up high with the implant and don’t place it too close to the crease. I had one patient who was considering going with a bigger implant than I recommended to her. I told her that she could experience early sagginess or even wound dehiscence – separation of the wound causing problematic healing. Eventually, she agreed with me and had a smaller implant. We chose a good size that was not excessive.
So, that’s how I approach it. It’s similar to what happened recently with another patient – a woman who is 68 years old. We used a nicely sized implant and stayed up high. It gave her the projection and tightened the skin. Her skin in that area now looks like the skin of a 30-year-old woman. The extra skin by the crease was pulled up, and now, she has very little redundancy. A bigger implant might have pulled the skin up more, but then she might have had eventual sagginess. There has to be a certain balance.
Q: Are patients generally happy with the size of the implants they have chosen?
Whenever I have a consultation, we discuss sizes and the possibility of going larger than the standard, if they like. I also let them know the pros and cons of going larger and that it would be more expensive. It’s ultimately their decision. So far, no one has asked for bigger than the 565cc. They might have thought about it , but did not ask for it. A few felt after the fact that the buttock implants were too small , but they eventually accepted and like the size. Two of my patient who were unhappy with the size initially, took a vacation to South Beach and got so many compliments that they came back happy and the size issue did not come up again.
To find out more about butt implants visit the Widder Plastic Surgery website and also check out the before and after pictures. For a free consultation, call 703-506-0300 and let us know you read this article!
The decision to undergo cosmetic surgery is not a decision people make lightly. Deciding to have butt augmentation surgery is also challenging since there are drastically different approaches to achieve the desired result of a more round and shapely posterior. In this interview, Dr. Widder shares his preference for Butt implants and why the Brazilian Butt Lift, which uses natural fat injections, should be notbe considered as a viable long-term solution.
Q: Do you have any recent news or experiences with specializing in performing buttock implants?
I recently had a patient who came to me from a distant state. She actually works for a cosmetic surgeon who does fat injections to the butt yet she came to see me for butt implants. She has written to me more than once about how happy she is and how everything is going as wonderfully as she hoped. She is considering more surgeries with me in the future. To me, that is the ultimate affront to people who believe in fat injections. Here’s someone who works in an office with someone who does it and she sees those patients every day. That’s why she didn’t do it there.
Q: How did she find you?
On the internet.
Q: This patient made the decision to come to you based on the results of other patients that she saw on the internet. How do you think others make decisions about butt augmentation?
I had a discussion about this today with one of my patients whom I’ve done a lot of surgeries on. She’s undecided about butt implants vs. fat injection. She says, “I’m totally obsessed about it – I don’t know what to do.” She goes to websites that say how wonderful the Brazilian butt augmentation with the fat injection is. I told her from my own experience that the fat injection only lasts 6-12 months. She is still undecided. She’s vacillating and is really a tortured soul about it right now. She knows me – I’ve done a tummy tuck and breast augmentation on her. Both were redos. They had been done by somebody else and she looked terrible. Now she is so happy. I also did primary liposuction on her thighs.
So she trusts me and likes my work and the quality of my work. But at the same time, it sounds very attractive to her to do liposuction and put it in the butt. She reads all those anecdotes from other doctors about the results of fat injection. So she’s totally confused and doesn’t know what to do. I usually don’t have that issue; either my patients want to do it or not. In this case, we’ve been going back and forth for three months. Even today she called me. That’s ok with me – I told her, “It’s your decision. Use your knowledge and your common sense.”
It will be a shame if she has to pay $10-13,000 dollars to be disappointed. I told her that one of my patients spent $26,000 on multiple fat injections and it almost all disappeared. Then, she came to me for the butt implant and it cost her even more because she had to pay for my procedure.
Q: What do you think draws the undecided patient to the idea of fat injection?
Well, it’s so popular. It’s in a lot of magazines , the internet, and everyone is talking about it. It sounds like a great idea. It would have been a great idea if it was viable, but it’s not and that’s the problem. I would have done it if I felt it was a good procedure. I don’t do it because I couldn’t face the patient who would come to me after having the procedure and the fat had all or almost all disappeared. What could I say? What could I do? I couldn’t face them. To me, it’s unethical. I know one thing, the implant will stay. It won’t go anywhere. Sometimes because of the popularity of fat injection, I feel like one voice in the wilderness.
So, I think about that patient from out of state. She came all that way to me after having seen the results of fat injection first-hand. I’ve mentioned her to a few of my other patients. I don’t know which way they’re going to go. But for me, it is common sense and due diligence. I tell people to use their own judgment and don’t believe everything that’s written down. My undecided patient was already burned by surgeons with bad surgery and now she’s found someone who really makes her happy with the outcome. I hope she’ll follow her good experience with me because I want my patients to be happy.
Q: Any more thoughts on making this big decision?
Some people have trouble making up their minds on certain issues, which is ok. There was a study that says the average time it takes a person to make a decision about cosmetic surgery is a year. Now, that’s an average, a median. So, some people take just a few days and some take years to make a decision. I told my patient who’s undecided, “You have just been thinking about it for 3 months. Give it a few more months and think about it. Just don’t make a decision that you’ll regret.”
It’s not only the time and money that they’re losing if surgery doesn’t work out. It’s the disappointment that they didn’t achieve their goal. That’s what I tell them. Money and time are both important, but more important are the fact that they had a dream, they had an expectation, and it wasn’t fulfilled. I think the disappointment can be dramatic.
I know other people are struggling with this decision, and I hope this encourages them to think about the option of butt implants. So many doctors are doing fat injections because it’s a moneymaker and they don’t want to give it up. It’s on all the media – TV, cable, printed media, Internet, chat rooms, but the balloon will explode. It’s like what happened with the economy– eventually, the bubble will burst if there’s no good basis for it. It requires such a large amount of fat in order to increase the butt. They have to inject 800-1,000 sometimes even 1,500 cc depending on how big they want to be. How can it survive? It’s irrational physiologically. There’s just no good scientific basis for fat injections in the buttocks.
Dr. Shlomo Widder is affectionately known as the “D.C. Butt Doctor.” Widder Cosmetic and Plastic Surgery Center offer premium services to fit every cosmetic surgery need in the greater D.C. area. To find out more about our center, stop by during office hours: 9 – 5pm, Mon – Fri, or visit our website at: www.widderplasticsurgery.com.
In this interview, Dr. Widder answers some of the common questions people have about butt implants including the prevalence of implants among men, the number of operations he has performed, types of implants and techniques.
Q: About how many butt augmentations do you do a year for women?
It’s becoming more and more popular. I’ve done hundreds of buttock augmentation procedures in over ten years. I’d say that since January I’ve done an average of 1 or 2 a week, about 6 to 8 in a month, so that’s anywhere from 70 to a hundred annually.
Q: How many butt implants have you done for men?
I haven’t done many for men. A handful. Most of the patients are obviously women. Through the years, I’ve probably done butt augmentation on between 5 and 10 men, but in that same time, there were hundreds for women.
Q: Does the kind of implant you use differ for men and for women?
No, I use the same shape implant for men and women. So far I have had positive feedback from the men. They all liked the results. You’d think there would be a difference in the buttock implant needs for men and for women, but there’s really not much of a difference.
The difference between men and women is the muscularity. There is the muscular component and the pelvis tends to be a little wider in women than in men, but as far as the actual buttocks, they look almost the same. In my experience, I didn’t have any objection from either men or women for using this type of implant.
Q: What kind of implants do you favor for buttock augmentation?
There are two types of implants – one is the oval round and it has a kind of gradual spread of the silicone from top to bottom. Then you have the oval bubble, where most of the silicone is concentrated at the bottom of the implant. It gives the person a kind of bump or protrusion at the lower buttock and flatness at the upper buttock. I don’t like that shape.
The shape I like is the oval round shape because it’s the most anatomical. There are doctors who are also using the round shape, but I don’t think the round shape is natural. If you look at the shape of the butt, male or female, it’s oblong. It goes all the way from the posterior iliac crest down to the crease. It’s not round; it’s more elongated. If you want to create a funny-looking butt then you can use around one. If someone wants the round type I just say I don’t feel comfortable doing it. Moreover, the round implant isn’t really right anatomically and you can feel it. I used round implants many, many years ago when I was just starting out and I used the method of placing implants under the muscle. The problem with that is that the implant can’t be very big and it can’t go all the way down towards the crease because it will hurt the sciatic nerve. The implants have to stay high up and it doesn’t look natural – it looks like a bubble on top of the butt.
The biggest compliment I get today from my patients is that my work looks natural. People can’t see that anything was done. People tell me, “They think I was born like this.” Whether it’s a butt or facelift or the breasts, to me that’s the biggest compliment I can get professionally. You can see that some buttock surgery creates butts that are too round and big and unnatural. If a patient wants that, they can go to somebody else. I want to feel good about what I’m doing. I want to help people to have fun in life, to look acceptable to both men and women, and to not be looked at as strange human beings. If someone wants to have a very natural, beautiful butt – the nice shape I call the “Arabian horse butt” – then I’m their doctor.
Q: How many techniques are there for buttock augmentation and which do you currently use?
There are different anatomical areas where the implant can be placed. You can put it under the fascia, in the muscle, or under the muscle. I use the subfascial method. In my opinion, that is the best way of doing it because it is a natural plane. If you go under the muscle, you are limited to a very small implant. If you go intramuscular, you can place a bigger implant, but not as big as what I’m doing. The biggest I’ve done 565 cc. The implants manufacturer offers larger implants as custom made, but the cost is much higher. You wouldn’t be able to put in such a big implant with the intramuscular technique. The intramuscular is also more painful. Recovery is more difficult and there are more complications because you have ha igher risk of bleeding. With my method, there are very little bleeding problems that can occur. So, I think the subfascial method is the best.
Q: Are more men becoming interested in buttock augmentation surgery?
The Internet is the great equalizer. Everyone can see it and they can decide if they want to do it or not. I had a man call me the other day from Ohio who wants to do it. Then on the other hand, for every one call from a man I get 10 or 15 from women. So interested men are still a minority, but they’re out there. If a man wants the surgery, the information is out there and they can definitely approach me.
Many women are interested in achieving the sexy s-curve figure like celebrity beauties Beyoncé and Jennifer Lopez. In this interview, Dr. Widder talks about accentuating natural beauty with buttock augmentation surgery.
Q: In the spring, many women start to think about getting ready for bikini season. How can you help them look bikini-ready?
Buttock augmentation surgery is a great option. Recovery time is quick. Everyone wants to look good on the beach, and this is one way to look your best in the summertime. Women don’t want to feel like they have to cover up while so many people are stripping down to their bathing suits. While other buttock enhancement procedures give variable or ineffective results, my butt augmentation surgery produces almost immediate, natural-looking results.
Q: Buttock augmentation can change appearance, but how do you think it changes outlook or attitude?
Butt augmentation is very much about precise body sculpting to achieve a certain look, but I think it potentially does a lot more than that. Sometimes women have the surgery to regain a sense of their attractiveness. It makes them feel sexier and so it can enhance that aspect of life. Patients also often report a greater sense of overall confidence.
Q: What other methods are people using for enhancing rear assets?
Whenever summer is just around the corner, you’ll find many women trying skin firming creams to get their butts in shape. That kind of method, realistically, requires months. Sometimes results are only slight, and sometimes it really doesn’t work at all. The good thing about my surgery technique is that a patient will see the results immediately. It is also a very individual process – I tailor the surgery to match the wishes of each individual.
Q: If someone is not quite ready to undergo surgery, what can they do to look good during the summer season?
If someone is not ready for buttock augmentation, she can still seek out the best bathing suit for her shape. I suggest string bikinis, ruffled bottoms, graphic prints, and side tie bottoms. All these styles help create the illusion of a full, round bottom. They add a curvy look by creating a sense of volume and drawing attention to the hips.
The implications for fashion following a buttock augmentation is a welcome consideration for new patients having undergone butt lift surgery. Doctor Widder shares his thoughts on what buttock augmentation surgery – and the right dress – can do for your holiday look.
Q: Through your work, you have learned a lot about shaping the ideal form. What can women do with fashion to accentuate the figure during the holidays?
Yes, body sculpting is my business, so I have a sense of what many women are looking for. I do have a few tips on choosing clothes for the holiday season. I suggest holiday dresses that give the look of fuller curves. With my surgery, I have helped hundreds of women to achieve the ideal posterior. Everyone’s specific desire for a nice shape is a little different, but many women want to have a butt similar to a shapely celebrity like rapper Nicki Minaj. Over my ten years of specializing in buttock augmentation, I’ve really gotten a sense of the female perspective on beauty.
Q: What are some of the specifics women should look for when dressing up to accentuate their curves?
One of the best things women can do is to actively look for dresses that flatter the hourglass figure. A dress that is too loose can make the body look bigger or bulkier and will often fail to show off the shapeliness. Instead, choose a dress that provides some subtle shaping.
Accessorizing with a belt will give the look of a smaller waist and a rounder bottom. A dress that falls just before or under the kneecap is of an ideal length. That makes the legs look a little longer and sexier. Two-tone dresses with the darker color on top aren’t ideal; they will only emphasize the lower half. Side pockets aren’t a great idea, either. They add extra bulk where it’s not necessary. I know looking great at holiday parties is important to lots of women, so these are just a few of my pointers.
Q: Clothes can do so much, but what are some of the general things you’d like to say about buttock augmentation surgery?
Buttock augmentation surgery has been my specialty for over ten years. Recently, it has become more popular. I have a lot of experience and a proven technique. The surgery gives the patient the rounder and fuller backside including filling of the under the hips depression. That also makes the waist look smaller, so it is very effective for overall body shape goals. I have a state-of-the-art surgical center that houses surgery and recovery in one safe, caring place.
Fashion tips are always helpful, too, but the buttock augmentation surgery gives lasting results. My patients wind up feeling fantastic and confident about their bodies. Achieving the body you want might be the perfect thing to put on a holiday wish list.
About Dr. Widder:
Dr. Shlomo Widder, the “Butt Doctor” of D.C., is the only Northern Virginia plastic surgeon who offers buttock implants. He is a member of both the American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgery. Services also include breast augmentation, breast reduction, breast lift, liposuction, Botox, face lift and facial fillers, eyelid, cheek, and chin surgery, pectoral implants, gynecomastia surgery (reduction of “man boobs”), otoplasty (ear tuck), calf implants, and rhinoplasty (nose job). Widder Cosmetic & Plastic Surgery offers free consultations in its 3300 square foot facility and has served the Northern Virginia/Washington DC metropolitan for over 25 years. He has made it his mission to help women and men achieve their ideal posterior.
To find out more about the Widder Cosmetic & Plastic Surgery Center stop by during office hours: 9 – 5pm, Mon – Fri, or contact us today!
Q: What are some of the ways you’ve noticed a growth in interest in buttock enhancement?
I’ve definitely had increased requests for buttock enhancement. Not long ago, the New York Daily News ran a story about the trend. A lot of women want to achieve a look similar to famous women like Jennifer Lopez, Kim Kardashian, and Jennifer Biel. The “S-Curve” surgery has recently become popular to enhance the butt. In this procedure, fat is used from other parts of the body like the abdomen or thighs. But from my observations in my practice of patients who had fat injections by other plastic surgeons, the results of this type of operation do not last.
In addition to the increased number of buttock implants I’ve been doing, I’ve also been asked more frequently to repair butt surgeries gone wrong. I find that it takes about a year for fat placed in the buttocks from other areas of the body to disappear. Implants are the permanent solution to achieve the desired butt shape. I’ve been specializing in this procedure for over ten years, and have definitely noticed that there’s more interest today.
Q: Are buttock implants as popular as breast implants today?
Buttock enhancement surgery is getting the kind of interest that breast enhancement surgery did in the 1990s. Many of the people getting it are inspired by the shapely look of celebrities, and I am always so happy when I am able to give someone the result they really want. It is true that this surgery is becoming more popular, but that doesn’t mean that breast enhancement has been forgotten. I still receive a large number of requests for breast surgery.
Q: Are the overall cultural aesthetics changing to embrace the fuller bottom look?
Well, it is definitely a trend. Curves are being celebrated. As a matter of fact, the Kardashian sisters have launched a clothing line, and this line is made for women with well-rounded buttocks. It is called the Kardashian Kollection for Dorothy Perkins, and there was a big celebration for the kick-off of the fashion line in London. The way these clothes are cut definitely show off a nicely shaped butt and really are good for the figure a woman will have after implants. I think these kinds of changes in the fashion industry show that this kind of body is becoming more desirable.
To find out more about the Widder Cosmetic & Plastic Surgery Center stop by during office hours: 9 – 5 pm, Mon – Fri, or contact us today!
This interview is a discussion of Dr. Widder’s experience and approach and to buttock enhancement, also known as butt augmentation or even more specifically, butt implants. Dr. Widder is affectionately known as the D.C. Butt Doctor and this interview shows why! Subscribe to our blog for weekly insights and feel free to suggest topics or questions you would like answered!
Q: What are the common shapes women want to achieve with butt implant surgery?
If you read about the subject, you’ll see that different doctors are trying to define the buttocks before surgery – A shape, H shape, V shape, reverse V shape – I don’t believe in all those definitions. When a patient comes to the office, I look at them and I see what’s missing or what’s in excess. It’s a very simple way of looking at things.
For example, if the butt is flat, they may want addition. If the hips are bulging or protruding, they can be shaped. If the area above the buttocks is too full and doesn’t give a nice definition to the butt, it can be reduced. If the area of the thighs – the so-called “riding breeches” – are in excess, then we can reduce that. You can also have the situation where there’s a little shortage – if the lateral thigh area is a little depressed, for example. In that case, I don’t usually do much, but I do the best I can to give the patient a nice, attractive shape. The goal is to give volume to the butt and a nice silhouette for the hips and lateral thighs.
So in summary, the butt can be enlarged with an implant. An implant can also give greater definition. I also sometimes do some liposuction and shape up the butt so it will be attractive and in harmony with our concept of aesthetics.
I’m not a strong believer in fat injection – Some people recommend it. My experience is that fat in such large amount doesn’t survive. In a small amount, it’s OK. I talked about this in greater detail in a previous interview about fat injection warnings.
Q: How do you decide what’s enough butt enhancement and what’s too much?
The ultimate decision is with the patient. I am just a vehicle, just a means to give them what they want. I can’t impose my own aesthetic opinion on them. We have a discussion of what size they would like to be. I usually try to reference the size to people in Hollywood who everybody knows – Do you want to be like her or do you want to be like her? Do you want to be something in the middle? Bigger? – and it’s kind of a negotiation. Eventually, the patient comes to a decision. Now is it always correct? No. I have had patients who were a little shy about the size and decided a certain size and then regretted it. Interestingly enough, I’ve never had a patient complain about the butt being too big. If they complain, it’s about it being too small after they decided on the size.
Q: In that case, can you augment it again?
Yes. It’s not really doing it again completely. The pocket is already made. I may need to enlarge the pocket a little bit, usually on the upper side, but sometimes also laterally. I usually leave the bottom the way it is. And then I put in an implant one or two sizes bigger than what they had before. The second time around they’re usually quite happy.
Q: How often do men get butt implants and what kind of image do you think they’re generally going for?
With men, the structure of the body is a little different and the fat distribution is different. A man will mainly want to increase the size of the buttocks and give it a muscular, athletic look. Men aren’t getting it very commonly. Out of the hundreds of patients I’ve done, I would say maybe 3 or 4 were men. It probably will increase with time because butt augmentation is relatively new in terms of being in the limelight. I’ve been doing it for over 10 years, but it didn’t used to get the attention it’s getting nowadays. Now I’m doing butt augmentation with implants almost weekly. Before, it was once a month or even once every two months.
Cosmetic surgery on a whole is a domain of women, but more and more men are getting into it for different reasons. Buttock implants are mainly done on gay men. I’ve never had a straight man get buttock implants. Also, how common this surgery will be for men probably depends on which part of the country you’re in. If you’re in Washington or New York or San Francisco, you’ll probably see more and more of that population asking for the procedure.
Q:Please talk a bit about the implants you use. Do they come in various sizes? Do you sculpt them to individual specifications?
Butt implant are the best and only solution, in my opinion for people who are desiring to enlarge their butt. Besides the fact that BBL – Brazilian Butt Lift, or fat injection to the butt is temporary and the fat disappears completely or almost completely, within a few months or even sooner, too many people died from that procedure, even as recent as a few weeks ago – a 28 years old female, mother of 3, died in Miami area after undergoing BBL surgery.
In a recent study published by the ASPS (American Society of Plastic Surgeons, it was revealed that BBL has the highest mortality rate of all cosmetic surgery. The most common cause of death is fat embolism to the lung.
Butt implants are safe surgery and to the best of my knowledge, no one died from that surgery. Obviously, there is always a risk of complications, but that is true with any cosmetic surgery. As long as the patient follows strictly the surgeon’s instruction, the likelihood of complications is very low.
Butt implants are permanent and do not disappear. When the procedure is done by an experienced board certified plastic surgeon who performed lots of butt implants surgery, the result is very attractive and natural looking.
Implants come in different shapes and sizes. They come as either round or oval. Then the oval type can be either round or what they call “bubble butt,” with a small amount of silicone at the top while most of it is concentrated at the bottom. The one I use most commonly, and what I recommend if I am asked is oval and round. The silicone is distributed gradually and evenly on the anterior side of this implant, or the side of the implant that goes toward the fascia. I put the implant on top of the muscle, under the fascia. The sizes vary. It depends on the company; the company that I use is AART. Their sizes go from 190 all the way up to 700 cc of silicone. The silicone itself is soft. It’s a solid, not a gel, and very, very soft.
Today I had a patient in my office who had an implant done in Japan with silicone gel, which didn’t look good at all. The size of the butt wasn’t attractive and in my opinion, the implant probably ruptured. The silicone moved very easily upward and sideward. It didn’t seem to have a frame. So I don’t use gel, and it is very uncommon in the U.S. to use the gel. Most of the implants are soft silicone.
The most common sizes in my practice are 375 to 565. On the Asian population who often have small bodies, I will use down to 290. So for that population, I usually go from 290 up to about 430. In the Hispanic population, most if the implants go up to 565, same as for the African American population.
Attractiveness is very personal. Sometimes it’s what the patient is interested in, sometimes what a partner is interested in. There are very different aesthetic views. No one person really looks like the other, and everyone has their own ideas about how much they want to increase, so I have to be very attentive. I have to be very careful not to do anything that will either cause friction in a relationship or make the patient unhappy. So, I talk very extensively about the issue of the size.
In my office, I have a large collection of implants. Someone might even change their mind on the day of surgery, which is ok with me. They might come in and say, “You know, I thought about it,” “I dreamt about it,” or “I discussed it with my friends or my partner,” and they’ve decided on a different size. That’s OK. Another thing that determines the size is the dimensions of the patient. The implants have length, width, and thickness. The most important are the width and the length. If the patient wants a large size and I try it and it looks like it’s too long, I can shape it – carve it. That’s very rare. I take the measurements of the patient to make sure the size will fit in, so most of the time I don’t have to carve it. It will usually be just what we selected before surgery.
To find out more about the Widder Cosmetic & Plastic Surgery Center stop by during office hours: 9 – 5pm, Mon – Fri, or contact us today!
Size and shape are the key attributes in buttock beauty. When it comes to producing ideal curves and roundness, perfecting the visual proportions of your body, you won’t want to rely on hindsight: get it right the first time with Dr. Shlomo Widder.
More and more, people are becoming aware of the impact the buttocks have on the overall figure. Such celebrities as Lady Gaga and Nicki Minaj dominate the red carpet, their clothes hanging perfectly from their ideal curvature. Some are graced with such shapes from their genes on up, but the odds are against us: this is where Dr. Widder’s work becomes so valuable.
“My main objective is to make sure that each patient walks away more than satisfied,” says Dr. Widder from his Vienna, VA practice. At Widder Cosmetic & Plastic Surgery Center, the priorities are simple – safety first, results second. That being said, the only acceptable result is a beautiful behind!
Many women have found that there are a variety of ways in which they can accentuate their buttocks by choosing the right clothing. For greatest effect, and the sexiest butt, specialized underwear such as butt enhancing panties and the booty pad can be put to use. Pants also have a role to play. Low waistlines and form-fitting jeans can help emphasize the right shape and fullness; lighter shades of denim are always to be preferred. Even the added touch of large back pockets is useful in achieving the desired effect. Velvet, corduroy, suede and faux leather are good alternatives, too, while pinstripes tend to diminish the perceived size of the buttocks.
The measures listed above are not always enough, however. While some might be tempted to turn to such trendy techniques as the Brazilian lift or fat injections, Dr. Widder strongly cautions against anything other than the tried and true use of buttock implants. Implants are known to provide a more predictably consistent shape and longer-lasting results than competing procedures.
“Undergoing cosmetic surgery is an extremely personal decision. No two procedures are exactly the same,” says the good doctor. “It is important to tailor each procedure to the client’s needs and offer lasting results.”
Dr. Shlomo Widder is relentless in his pursuit of the perfect posterior, and feels it is his privilege to help others find it for themselves. The “Butt Doctor” of D.C. is the only plastic surgeon in the Northern Virginia area offering buttock augmentation through the use of implants, and is extremely proud of the service he offers. From consultation to recovery, all the resources necessary are available onsite, providing peace of mind and inspiring confidence in every prospective client.
Besides buttock augmentation, Widder Cosmetic & Plastic Surgery Center offers an array of services, from face lifts and implants to liposuction and breast augmentation. Dr. Widder is also noted for his calf implants. With more than 25 years of industry experience, you can be certain that you’re in the right hands, whatever your needs. Contact us for more details.
*Individual results are not guaranteed and may vary from person to person. Images may contain models.