After the liposuction, the fat cells are processed and purified through centrifugation (intensified spinning). The best and most pure fat cells are separated and used for reinjection into the buttocks. It is common for only ¼ of the fat cells to be utilized for reinjection. Most doctors like to perform liposuction on at least two or three major areas in order to collect enough fat. Our Brazilian Butt Lift doctors remove the fat cells, purify the tissues, and then re-inject only the best cells back into the buttocks.
During fat extraction, the buttock is first contoured in the areas around the buttocks to make them stand out more. Common areas liposuctioned include the back (directly above the buttocks), the stomach, and the flaks. The liposuction of the back, stomach and flanks are also known as Lipo 360. Note that even the liposuction alone will give your lower body a more attractive look.
After they are removed, the fat cells are purified using a centrifuge and only the best tissue is used for injection into the buttocks with tiny cannulas (tubes) at various depths for a natural look and feel. The number, depth, and amount of injections depend on your surgeon's particular techniques and your desired results, but generally, a greater number of smaller injections provides a more realistic look. This step of the surgery typically requires just local anesthesia, as well, but can be performed under general anesthesia or sedation if needed. The final result is a rounder, fuller behind that looks natural because, unlike butt implants or synthetic fillers, it uses your own tissues. This procedure can usually be completed in approximately two hours.
It may. I also believe that General Anesthesia may further increase the risk of PFE. My rationale is that General Anesthesia and it's associated ventilation create more dilation in the blood vessels. The dilation causes veins to become larger, making them an easier pathway for injected fat to traverse through. Fat could situate itself into these veins and arteries and result in a fat embolism. In addition, General Anesthesia creates a pressure gradient which attracts the flow of fat into the veins. For this reason I *exclusively* use IV sedation instead of General Anesthesia. IV sedation coupled with tumescent local anesthetic prevents the veins from dilating, reverses the pressure gradient, and thus reduces the risk of fat traveling through the veins and arteries.
“One of the most exciting procedures we perform is the fat transfer. We take fat from elsewhere on the body and we transfer it to another place in the body. The most common places where we transfer fat is to the face, and even more popular in South Florida is transferring it to the buttocks to create a fuller figure look. For the vast majority of patients, fat transfer is the best option. Not only does it provide a full body liposuction, which already helps contour the body, but it provides a secondary effect (double effect) because we’re taking off fat from one location and placing the fat in another location that the results are very, very dramatic."
A simple trick you can try that's remarkably effective at keeping you from putting too much pressure on your new butt while sitting is to use a towel. Roll the towel into a cylindrical shape, then put it under your thighs as you sit down, keeping your weight off your buttocks. Just be careful that you don't cut off the blood supply to your butt, which can also contribute to fat cell death.
Smoking has a negative impact on the way your blood moves essential oxygen and nutrients to the various parts of your body. During your BBL recovery, the fat moved into your buttocks forges connections with your blood stream. Smoking directly interferes with this, making it harder for your body to form new blood vessels, and significantly reduces the quality of the blood that does make it to the new fat cells.
Recently there has been much concern in the media over the safety of the procedure. The Gluteal Fat Grafting Safety Panel has concluded that a BBL can be performed safely when the surgeon performs all fat injections into the subcutaneous layer of the buttock. Fat should never be injected into the gluteal muscles or the fascia, which are structures below the subcutaneous layer. Injections into the muscle increases the risk of Pulmonary Fat Embolism (PFE), a very serious complication.
Tissue necrosis. Modifying your tissues can inadvertently limit their blood and nutritional supply, causing them to die. These destroyed cells can cause skin irregularities, stiffness, and discoloration. Your doctor may need to surgically remove tissue affected by necrosis. This condition is more common in patients who smoke, which is one reason why your plastic surgeon will advise you to quit smoking before and after your butt lift surgery.
Botox complications are rare and usually the result of a poor injection or incorrect dosage. If Botox is injected incorrectly, it could unintentionally diffuse into other areas, causing drooping eyelids, a crooked smile, or crooked eyebrows. If too much Botox is injected, you could be left with a frozen look until it wears off. The good news is Botox results are never permanent and will gradually disappear over three to four months.

The unforgettable cosmetic journey begins immediately after entering our Miami office location. You will quickly find out that placing your trust with our staff to help guide you throughout the process, is an easy and comfortable task. Our Miami Plastic Surgery Center is one of the newest and largest cosmetic surgery facilities within South Florida. Our new facilities offer only the most innovative technology and highly-trained staff. This ensures our patients feel at ease from the moment they begin their treatment until their post-treatment care.
Jolie’s specialized Brazilian Butt Lift surgeons understand that patients may be nervous or concerned about undergoing a cosmetic procedure. Therefore, they are always available to answer any questions a patient may have. They provide each patient with individualized instructions about what to expect before and after the butt augmentation procedure.
“Most people price liposuction based on the number of areas being treated, and in general the per-area cost will come down with additional areas,” says Dr. Mathew A. Plant, a Toronto plastic surgeon, in a RealSelf Q&A. “Usually, the first area is more expensive because this price includes the costs of the operating room, equipment, and anesthetic. Once you’re into additional areas, those costs have mostly been covered, and you’re simply adding time, which allows a price drop.”
It is also important that the patient be in good health standing and have realistic goals and expectations from the procedure. Patients will have to dedicate a few weeks for the recovery period after the procedure is complete. They must be willing to understand that not every patient will have the same butt augmentation result. Therefore, it is important to compare before and after photos of Buttock Lift procedures with fat transfer only if the patients has a similar body type.
After the procedure, patients are taken to the recovery room for a few hours and then released from the facility. Patients must come with a friend or family member in order to be driven home and cared for at all times during the first three days after surgery. If the patient does not have a friend or family in the area, for an additional cost, Jolie offers recovery houses for patients who have undergone a procedure.
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