Gluteoplasty, or gluteal augmentation, indicates all surgeries made to remodel the buttocks and improve their shape and volume. There are two possible approaches: self-implant via Brazilian butt lift (BBL) or by inserting fixed implants via implant gluteoplasty. It may be possible to have a combination of the two techniques.
Why undergo this surgery?
Gluteoplasty with implants is the solution for flat, empty, asymmetric or disproportionate buttocks compared to the rest of the body, issues that cannot be solved just with some physical activity. It is a particularly suitable choice for those cases in which the patient does not have enough fat tissue for a Brazilian Butt Lift (BBL). In severe cases of skin relaxation in which lipofilling or the use of an implant are not enough to extend the excessive cutis, the surgery includes also a surgical lift of the buttocks – with a muscle-fascial anchorage – and excision of the relaxed skin – in order to redesign one’s body profile.
During the specialist examination, the surgeon will assess the shape and dimension of the buttocks, suggest the most suitable type of surgery for the patient as well as explain the risks and benefits associated with the surgery. In particular, the surgeon will verify whether there is enough fat tissue for a Brazilian butt lift. If the selected option is gluteoplasty with implants, we will then select the implants of the most suitable shape and size.
How is the surgery performed?
Gluteoplasty with implants foresees inserting silicone implants close to the intergluteal cleft after having made a 5-6 cm incision in order not to have any visible scar. The implants are positioned in the upper side of the buttocks at submuscular level. Gluteoplasty with implants is made under general anaesthesia. The surgery lasts between 2 and 3 hours.
What happens after the operation?
No drains are required in the first 24-48 hours after gluteoplasty with implants, although a compressive dressing is required for the first 7 days. In this phase, it is important not to put too much weight on the buttocks, thus it is advisable to sleep in a prone position or on one side and to use a soft cushion when sitting. Return to daily activities is after 1-2 weeks, whilst return to physical activity is allowed only after one month from surgery, though intense workouts should be avoided.
Issues related to gluteoplasty with implants can be kept under control using anti-inflammatory drugs. Antibiotics may also be required.
The incisions made to insert the implants are in strategic positions in order to have scars as least evident as possible. Thus, the best areas are the intergluteal cleft or the area below the buttocks.
After a gluteoplasty with implants, it is possible to have light swelling and pain. However, the results are immediately visible and long lasting.
What are the possible risks?
The current techniques foresee the use of safe implants in order to have a natural effect. Although rare, gluteoplasty with implants may be associated with the risk of asymmetries, seromas, capsular contraction and implant rupture. The use of aspirin should be suspended and the patient should stop smoking at least 2 weeks before surgery.