Gluteoplasty 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 of the contour of the buttocks.
Mirando las partes posteriores mejoradas de muchas celebridades y estrellas de reality, puede parecer que un levantamiento de glúteos brasileño es un procedimiento seguro y de bajo riesgo.
Sin embargo, éste no es el caso.
Además de ser una de las formas más populares de aumento de glúteos, BBL también es la más peligrosa.
Continúe leyendo para conocer todo sobre los riesgos y complicaciones de BBL, así como otras opciones para el aumento de glúteos en Virginia.
¿Qué es el aumento de glúteos?
El aumento de glúteos es un procedimiento cosmético que agrega volumen, mejora los contornos de los glúteos, levanta los glúteos y crea una silueta más sombreada.
Se puede realizar utilizando diferentes técnicas, incluidos los implantes de glúteos y el levantamiento de glúteos brasileño.
¿Qué es un BBL?
BBL por sus siglas en inglés, también es conocido como levantamiento de glúteos brasileño, utiliza la liposucción para extraer el exceso de grasa de una parte del cuerpo, a menudo los flancos, muslos, abdomen o espalda, e inyectarlo en las nalgas.
¿Por qué es BBL peligroso e impredecible?
Cuando se trata de aumento de glúteos en Virginia, muchos cirujanos plásticos líderes advierten que BBL es la opción más peligrosa y mortal. He aquí el por qué:
Las nalgas tienen muchos pequeños vasos sanguíneos que convergen en otros más grandes y eventualmente están conectados a la vena cava, que es la vena principal que devuelve la sangre al corazón. En el caso de que la grasa se inyecte en las venas grandes que entran en la vena cava, puede viajar al corazón y los pulmones y resultar fatal.
Durante una BBL, se inyecta grasa sin saber exactamente dónde se está depositando. Esto puede provocar que se inyecte grasa en la vena cava, con resultados desastrosos.
¿Cuál es el mejor procedimiento de aumento de glúteos?
Los implantes de glúteos ofrecen una opción más segura y predecible para cualquiera que esté considerando el aumento de glúteos en Virginia.
Los implantes también producen resultados de aspecto extremadamente natural que son permanentes, mientras que los resultados de BBL dependen de la supervivencia de las células grasas, lo cual es imposible sin una buena circulación, y muy a menudo los cirujanos repiten la cirugía, a un costo adicional, pero desafortunadamente con resultados similares.
¡Solicite una consulta para el aumento de glúteos hoy!
Si está considerando el aumento de glúteos en Virginia, llame a nuestra oficina hoy para programar una consulta integral con el cirujano plástico certificado por la junta, el Dr. Shlomo Widder.
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.
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!
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.
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.
The Widder Cosmetic & Plastic Surgery Team is pleased to present the first in a series of personal interviews with Dr. Widder himself. Our goal is to share the deep knowledge and personal insights of one of the East Coast’s leading plastic surgeons. These interviews are unscripted and only lightly edited in order to share Dr. Widder’s ideas in his own voice and style.
These interviews feature Dr. Widder’s experience and insights directly with men and women who are considering plastic surgery for the first time or are looking to explore a higher level of care and quality results. Subscribe to our blog for weekly insights and feel free to suggest topics or questions you would like answered!
Q: What are some of the most popular cosmetic surgery procedures done today?
Well, I can give you the generic procedures – the most common in the U.S. It is a little different with my practice nowadays because I developed this niche surgery which is the buttock augmentation as a specialty which is becoming more and more of my practice.The most common procedures in America nowadays are liposuction, breast augmentation, and tummy tuck – abdominoplasty. In my practice, because of my emphasis on buttock augmentation, butt implants, I’m doing more and more. Tomorrow, I’m doing one or two. I’m also doing a tummy tuck tomorrow, which is a long case. I limit my surgery to eight hours.
As I said, liposuction and breast augmentation are the most common. Then you have the whole gamut of other procedures like tummy tuck, rhinoplasty, and eyelid surgery – very, very common.
Q: Who comes to you for these procedures?
All ages, all economic positions or income levels, all races – I have Vietnamese, I have Korean, I have Chinese, I have American, obviously, I have Hispanics – a lot of people from South America, I have African Americans, so it’s kind of a mix.
Q: What got you interested in the butt augmentation operation?
Well you know, buttock augmentation, like breast augmentation is a sex symbol. The butt and the breasts are the most sexual symbols that we have. So breast augmentation is very common. Now butt augmentation is coming into vogue because of women like Kim Kardashian and Jennifer Lopez. I noticed that trend ten years ago. But it wasn’t as popular as nowadays.
What became popular first wasn’t the butt implant, but the fat injection – the Brazilian butt lift. The problem with it is it doesn’t last. It lasts for maybe six months or about year, and it disappears. I mean, think about it – it’s illogical. If you put in such a large amount of fat without circulation, without blood supply, how can it survive? So life proves it. It disappears after about six to twelve months. Tomorrow I’m doing one where she had the fat injection and it disappeared, and now she’s coming to do the implants. Last week I did one who had the same situation. In the last year, I had eleven or twelve patients who came in for butt implants who’d had fat injections. So obviously if they came to see me, it didn’t work. I don’t believe in the fat injection in that quantity. There is a place for fat injection, but not in the butt. You can have fat injections to the face in small amounts. It can survive. But, not with 500 or 600cc of fat. There’s no way in the world. When I did the operations, I could see it was almost completely gone. There were just a few pockets of fat that survived.
So to answer the question, I understood that in society there is a need for such a procedure and not too many surgeons did it. One of the reasons it wasn’t a very common procedure is that the technique wasn’t a good one. In the old days when I started doing butt implants, I used to put them under the muscle. When you put them under the muscle, you can’t go all the way down. You had to put them only on the upper part of the buttock because if you go under the lower muscle, you have the sciatic nerve. It could cause severe damage to the patient. So the implant was very small, it was just on the upper buttock, so it gave you a kind of bubble butt, you know? And it was very painful because it was under the muscle. Then one day about five or six years ago, I went to the international conference of the American Society for Aesthetic Plastic Surgery (ASAPS). Here comes Doctor Jose Abel Peña from Mexico City and he showed the nicest butt that I’ve seen. So I went to see him – I went to visit him for about a week and learned his technique. After that, it’s all history. That’s why it is becoming more common because the results are better.
Q: Do you think more people will find out about the fat injections not working and go with butt implants?
That is my hope, because fat injection is impractical. In my experience it is not going to survive. They are claiming that 50-70% of the fat remains. I don’t know if it’s true for every case, but I’ve seen twelve patients in the last year alone where it almost completely disappeared. One of the patients paid $26,000 to do it. Then she came to me and had the butt implants. She’s very happy now.
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*Individual results are not guaranteed and may vary from person to person. Images may contain models.