Fat Transfer For Buttocks Augmentation

Harvest first, then the transfer

Fat transfer for buttocks augmentation starts with VASER liposuction and places the fat above the gluteus maximus. The harvest is ultrasound-assisted. VASER is the device used to free the fat. That harvest is more complete than traditional liposuction, and it is the fat that gets transferred.

VASER liposuction produces a 40% greater fat harvest than traditional liposuction. The fat cells from that harvest are also more viable than fat taken with traditional liposuction. Both points are why the removal step is done this way before any fat is put back. A larger, healthier harvest is what the transfer has to work with.

The photographs are a 48-year-old woman after high-definition liposuction of the back, the flanks, and the lateral thighs, with fat moved to the buttocks. The flanks sit at the waist. The lateral thighs sit at the hip. Those are harvest areas. They are not the place the fat is being added. The pictures show the waist, the hip, and the buttock after the fat has been moved.

Comprehensive removal is the practical advantage of the ultrasound-assisted harvest. Traditional liposuction leaves more fat behind. The VASER pass is meant to clear more of the harvest areas, which is the source of the 40% difference in volume. Viability matters for the same reason. Fat that survives the move is the fat that can take in the buttock. A larger volume of less viable fat would not solve the transfer. The device is chosen for both the amount and the condition of the fat.

The order is fixed. Fat is taken from the back, the flanks, and the lateral thighs before any of it is returned to the buttock. The waist and the hip narrow because those areas are emptied. The buttock is where the volume goes, and only in the space above the gluteus maximus. Removal comes first because that is what produces the fat. The transfer comes second because that is what turns the fat into projection, in the layer over the glute.

How fat transfer for buttocks augmentation is performed

Fat transfer for buttocks augmentation uses a closed-loop system so the fat is not left open to the air. The closed-loop transfer shortens the operation, keeps the fat from outside contaminants, and limits how long the fat stays out of the body. Those three limits are what improve fat graft take, and fat graft take is what the buttock result depends on. Shorter operating time is also why the cost of the transfer stays more reasonable.

Fat that stays out of the body longer than 30 minutes is treated as compromised. The comparison used for that limit is a fish out of water: the cells do poorly once they are kept out too long. Putting the fat back before that 30 minute mark is the reason the loop is closed and the reason the out-of-body time is watched. Viability is the point of the clock, not a second operation. The ultrasound check is a separate step, and it is about the plane of the injection, not about that clock.

The closed-loop system is the transfer technique used for this operation. Leaving fat open to the room is the exposure that system is built to avoid. Open exposure is treated as a contamination risk, and contamination is treated as a route to infection. Keeping the container closed, keeping the time short, and keeping the operation from dragging on are three versions of the same idea: the fat should be back in the body before it is harmed.

Ultrasound guidance is how fat transfer for buttocks augmentation stays above the muscle. A portable ultrasound shows the cannula while the fat is injected. Proprietary fat grafting cannulas make that view usable, so the surgeon can see the cannula that is delivering the fat. The fat is limited to the space above the gluteus maximus. That limit is what lowers the risk of fat embolism, which is the dangerous complication of a Brazilian butt lift when fat enters the muscle.

Operative time is what makes the fee more reasonable. A shorter operation keeps the cost more reasonable. The closed system that shortens the case also keeps the fat from sitting in the open, which is the contamination risk. Infection is the concern attached to that exposure. Closing the loop is how the exposure is removed. None of that changes the plane of the injection. The plane is still the space above the gluteus maximus, checked on the ultrasound while the fat grafting cannula is in view.

Projection comes from fat in the layer over the glute. The fat is not parked in one pole inside the muscle. Seeing the cannula, and keeping it above the gluteus maximus, is how the graft stays in that layer. The American Society of Plastic Surgeons describes buttock enhancement with a patient's own fat. This transfer is that operation, with the ultrasound check built into the injection.

What happens after the fat is placed

Compression garments are worn after the transfer. Strenuous activity is limited to two weeks. Pain medication is used in moderation, which is how recovery time is kept shorter. Body fat composition and weight should stay stable. A later swing in weight changes the contour the transfer just set. The garments, the two-week activity limit, and a stable weight are the postoperative plan. Two weeks is the limit placed on strenuous activity. The garment supports the tissues during early healing. Moderate use of pain medication is the instruction for that same stretch. If weight changes later, the contour can change with it, which is why body fat composition is kept steady.

Fat embolism is the reason that plane is watched on every injection. The ultrasound is portable so it can sit in the field while the fat is placed. The fat grafting cannula is watched so the fat stays in the layer over the glute and does not slip under the muscle. Above the gluteus maximus is the space that check confirms. Projection still comes from that layer. It does not come from filling a pole inside the muscle.

The transfer is one part of a Brazilian butt lift, and it is the part that puts volume in the buttock. Liposuction creates the fat. The closed loop protects it. The ultrasound places it above the gluteus maximus, over the glute, rather than in the muscle. Improving those three steps is how the buttock result is protected. A stable weight afterward keeps the new contour from being rewritten by a gain or a loss.

High-definition liposuction of the back, flanks, and lateral thighs is the harvest shown in the photographs. Patients are seen at the offices listed with the BBL locations. The same fat can be discussed as part of a Brazilian buttock lift, because the transfer is the step that builds the buttock in that operation. Optimizing the harvest, the closed loop, and the ultrasound view is how that step is done here.

The photographs show fat transfer for buttocks augmentation after liposuction of the back, the flanks, and the lateral thighs. They show the waist and the hip after the harvest, and the buttock after the fat has been placed above the muscle. The closed loop, the 30 minute limit, and the ultrasound view are the steps that keep that fat viable and above the muscle.