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Brazilian Butt Lift

What it is?
The Brazilian butt lift (BBL) is a surgical procedure that reshapes the buttocks using the patient's own fat taken from other areas of his or her body. An added benefit is that this procedure improves fat accumulation in those parts of the body that are harvest sites, allowing one to further sculpt and improve one's figure.
Brazilian Butt Lift
Why undergo this procedure?
A brazilian butt lift allows you to increase the volume of the buttocks and address several issues such as asymmetries, depressed areas, irregularities, or other imperfections. The approach used gives a more natural result than the insertion of buttock implants, however, in some cases the combination of the two techniques is necessary.
The specialist consultation
During the examination, the surgeon assesses the areas to be harvested and the areas to be lipostructured. They will also discuss with the patient his or her expectations, the results he or she can achieve with the procedure, and the possible associated risks.
What needs to be done before surgery?
Before surgery, it is important to assess with your surgeon whether it is possible to implement the procedure depending on the patient's body characteristics. The patient should have: a close to ideal weight and a sufficient amount of fat tissue for liposuction in the abdomen, hips, back, and thighs; good elasticity of the skin in the areas where fat tissue is to be harvested; a stable body weight over time; and be in a generally healthy condition.
How is the surgery performed?
The brazilian butt lift surgery involves three stages. First, fat tissue is extracted from the predetermined areas by liposuction. A second stage involves preparing the extracted fat tissue, then reshaping the buttocks with the harvested fat, giving the shape and volume previously established with the patient. The procedure may require general anesthesia or local anesthesia combined with sedation, depending on the duration of the procedure and the number of areas to be liposuctioned.
What happens after the operation?
Recovery time after a brazilian butt lift varies from patient to patient: the patient is encouraged to mobilize as soon as possible and after a week can resume simple daily activities and return to work after 10-14 days. After surgery, it is recommended to sleep lying on the stomach or side and avoid sitting directly on the buttocks for at least 10 days. It is preferable to start using special pillows that allow weight to be offloaded onto the thighs instead of the buttocks; however, it remains important to avoid sleeping supine for the first few weeks after surgery. This will avoid negative consequences related to blood circulation that could compromise the duration of the results. It is also good to avoid vigorous physical activity for a month. Your surgeon might authorize low-impact exercises, such as stretching or walking; to achieve the best possible results, you should strictly follow his instructions. In addition to these precautions, it is necessary to wear compression garments for up to 6 to 8 weeks. This way it is possible to reduce bruising and swelling and at the same time promote firming of the skin. Lymphatic drainage massages can also help reduce bruising and swelling. Before undergoing these treatments, however, it is necessary to wait a few weeks and, in any case, you should consult your surgeon to rule out any contraindications.
The pain associated with the procedure can be addressed by taking painkillers, but it may be necessary to take antibiotics. There is a possibility that the patient may be prescribed heparin treatment.
Following the liposuction procedure there will be small scars that in the first few months after the procedure will appear red and in some cases hard or raised. Cannula accesses are performed in well-hidden areas. However, as time goes on, these scars will mature becoming softer, paler and flatter, and therefore less noticeable. Some patients may be predisposed to the appearance of hypertrophic or keloid scars (abnormal protruding scar existae). In the first few days after surgery, leakage of fluid material (sometimes associated with some blood) from the sites where the incisions were made is also possible.
Immediately after the procedure, bruising and swelling may appear in the areas where liposuction was performed. Swelling tends to improve in 6 to 8 weeks, but inflammation associated with liposuction can last several months. The final result is typically achieved after 6 months. About 60 percent of the injected fat is expected to be retained; the remainder will instead be reabsorbed and eliminated naturally by the body. The injected fat cells will behave like all other fat cells in the body and will be susceptible to weight changes. Therefore, for lasting results, it is a good idea to try to keep your weight as stable as possible avoiding both weight gain and weight loss.
What are the possible risks?
Possible side effects of a brazilian butt lift include bruising, swelling, pain, irregularity of one’s silhouette, asymmetry, infection, difficulty healing wounds, changes in sensitivity to the operated area, and loss of fatty tissue due to poor adherence to the postoperative instructions received from the surgeon. Other more serious complications, such as muscle necrosis and fat emboli are associated with incorrectly performed surgery such as injecting fat cells deep into the muscles. It is also necessary to consider the risk of pulmonary embolism by assessing predisposition to thrombus formation in the blood vessels of the legs.
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Dr. Luca Piombino
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