Buttocks Lift

Overview of the surgery:

A buttock lift is also known as “gluteoplasty” – a cosmetic surgical procedure to improve the appearance of the buttocks. It may be done as part of a tummy tuck (belt lipectomy) or lower body

lift to contour the buttocks, groin, thighs and abdomen.

A buttock lift alone won’t add any volume to the buttocks. But sometimes, a buttock lift is combined with an augmentation procedure to alter the shape or size of the buttocks with implants or fat grafts.

During a buttock lift, excess skin and fat are removed from the buttocks. The remaining skin is then

repositioned to create a more toned look.

Buttock lift with autologous dermal flap augmentation is a cosmetic technique to address both buttocks ptosis and volume deficit.

Surgical Technique of Buttock lift with autologous dermal flap augmentation:

The marked wedge of supragluteal skin was resected down to the fascia, and the gluteal flap was deepithelialized. The flap was dissected down to the fascia at a perpendicular angle superiorly, medially, and laterally. The inferior border of the flap was dissected inferiorly in an oblique angle to the level of the fascia. A pocket was created for insertion of the flap by undermining the buttock in the plane above the fascia and extending it a sufficient length to approach the inferior gluteal crease. The fascia in the superior border of the dermal fat flap was divided and undermined inferiorly, until the flap could be rotated caudally 180 degrees. The inferior superficial tip of the flap was cut to assess for adequate blood flow. The flap was rotated caudally 180 degrees into the pocket and anchored to the fascia with suture. Securing the deepithelialized surface upside down gave the flap a more rounded and implant-like shape. The remaining buttock skin was pulled in the reverse direction to cover the flap and two drains were placed. The superficial fascial system was repaired, and the tissues were closed in a layered fashion.

Before the procedure:

A buttock lift is done in a hospital or an outpatient surgical facility. During a buttock lift, you’ll be

made comfortable with the aid of a general anesthetic — which renders you unconscious.

A tube (catheter) will be placed into your bladder to collect urine. Your legs will be placed in devices

called sequential compression boots, which are used to prevent blood clotting during and after

surgery.

During the procedure:

Your plastic surgeon will make an incision along the lower back, from hip to hip. The excess skin below the incision is pulled up, lifting the buttocks. The extra skin and fat is then removed.

During the procedure you’ll be given an antibiotic to reduce the risk of infection.

 Preparation Prior To Surgery:

• Medical history assessment (any allergies, serious medical condition and all medications

taken both prescribed and non-prescribed), physical examination, and laboratory tests will be

performed during consultation.

• Avoid smoking for about 3-4 weeks prior to surgery, as nicotine interferes with circulation

and will greatly affect healing process.

• Stop drinking alcohol, a week before the surgery and throughout your recovery period.

• Taking any medications should be avoided such as hormones, anticoagulants, anabolic

steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to

surgery, and also avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can

increase bleeding.

Operation Time:

The surgery takes 2-5 hours

Type of Anesthesia use:

Under general anesthesia

Hospital/clinic stay:

1-2 nights

Days to stay in Thailand:

7-14 days

Risks and Complications:

A buttock lift poses various risks, including:

Fluid accumulation beneath the skin (seroma). Drainage tubes left in place after surgery can help reduce the risk of seroma. Your doctor might also remove fluid after surgery using a needle and syringe.

Poor wound healing. Sometimes areas along the incision line heal poorly or begin to separate. You might be given antibiotics if there is a wound healing problem.

Scarring. Incision scars from a buttock lift are permanent, but they’areas that

Aren’t easily visible.

Changes in skin sensation. During a buttock lift, the repositioning of your tissues can affect superficial sensory nerves. You’ll likely feel some reduced sensation or numbness. This numbness usually diminishes in the months to year after the procedure.

Like any other type of major surgery, a buttock lift poses a risk of bleeding, infection and an adverse reaction to anesthesia.

Additionally, if you’re having a buttock augmentation procedure when having a buttock lift, discuss the potentially serious side effects that can occur when you’re using your own fat (autologous fat grafts), such as infection complications and even death.

Recovery Period:

After a buttock lift, your incision will likely be covered with surgical dressing. One or more drains are typically placed under the wound and close to the incision line to drain any excess blood or fluid.

Your health care team will help you walk as early as the first day after a buttock lift to help prevent the formation of blood clots.

You’l likely feel moderate pain, which will initially be controlled by intravenous pain medication.

Drains might be left in place for several weeks after surgery. You’l be shown how to empty and care for your drains.

You might need to continue taking an antibiotic and a medication to prevent blood clots

(anticoagulant) after your buttock lift.

After a few days, you’ll begin wearing a supportive garment for the next few weeks. This will help

prevent fluid buildup and provide support while you heal.

Scar management might include use of silicone sheeting, scar cream and massage. The appearance

of your scar will improve over time.

For the first months after a buttock lift, you’ll need to take care when moving — increasing your activity level slowly — and avoid positions that strain your incision line to prevent the reopening of

the wound. Your doctor will provide instructions. In addition, follow-up visits with your doctor will

be needed.

Results:

By removing excess skin and fat from your buttocks, a buttock lift can give you a more toned appearance. Buttock lift results are usually long lasting. Keep in mind that maintaining a stable weight is crucial

for retaining your results.