The Brazilian Butt Lift involves a comprehensive removal of excess and undesirable fat from the entire body, including the arms, abdomen, flanks, thighs, and back, followed by the strategic transfer of the purified fat into the deflated buttocks. Our surgeons routinely remove 1.5 to 2 Liters of fat which, when purified, allows for 200 to 400 cc of fat grafting per buttocks cheek. They guide the injection of fat into preplanned buttocks zones to rejuvenate the buttock's aesthetics. Placement of fat over the upper and middle 1/3rd of the central buttock mound will improve the buttocks' fullness properly. Your surgeon utilizes several techniques to maximize fat graft survival. These include limiting the intensity of the negative pressure exposure on the fat cells during fat harvesting.
Limiting the suction strength of the liposuction to approximately 10mm Hg avoids pressure damage to these fragile fat cells. In addition, the transplant time, i.e., the interval during which the fat cells are out of the body, is minimized to avoid cellular compromise during the purification process. The fat cells are handled gently and expeditiously during this process to avoid mechanical injury and minimize ischemic time. Specifically, the purification process involves washing the fat cells with a gentamycin antibiotic solution to avoid infection and remove any unwanted residue and cell products, a liquid oily film, and unwanted aqueous plasma fluid. Following purification, these cells are compacted and injected into the buttocks mound using fine 1 to 3-mm cannulas. The distribution of fat cell injection is essential to achieving an aesthetically pleasing and natural result. Our Orange County Buttocks Enhancement Plastic Surgeons preserve the buttocks aesthetics by routinely injecting the central upper 2/3rds of the buttocks cheek and avoiding the naturally occurring lateral cheek dimple.
However, a comprehensive analysis of your buttocks will dictate the exact location of fat transfers. Another critical principle of fat grafting revolves around maximizing the grafted fat cell surface area to volume ratio to re-establish blood supply to the transplanted and ischemic cells. Two maneuvers are used to ensure optimum graft take. They include the transfer of fat grafts in individual 0.5 to 2.0cc fat packs and layering the fat packs in multiple planes, including the muscle, fascia, and deep and superficial fat. A wide distribution of fat cells in small packs optimizes graft take and subsequent results.
Patients can expect minimal downtime, improved buttocks contour, and minimal lifting of redundant and sagging buttocks skin. The buttock's skin is lifted by filling the laxity of the buttock's skin envelope. The lifting effect following fat grafting is best appreciated following the transfer of fat to the upper regions of the buttock's cheek. Patients who require more aggressive lifts may benefit from a lower body lift or belt lipectomy. (Please see Skin Reduction Surgery) which can be combined with the Brazilian Butt Lift. Please contact our office for a complimentary consultation to determine if you are a good candidate for the Brazilian butt lift or in combination with a lower body lift.