Buttocks lipofilling is the latest technology that Dr. Mohamed Guessous recommends to increase the volume of the buttocks by injecting fat from the patient herself.
After a period of success a decade ago, the buttocks silicone implants now become obsolete. Most surgeons have abandoned it and patients have noticed risks and complications, as well as side effects generated by these implants. It has been successful in specific cases when it comes to a lack of volume in the upper pole of the buttock, which is not the most common case. An implant of 300 ml thick silicone is placed through the crease between the buttocks. It is positioned behind the skin or behind the gluteal but not exceeding half the height of the buttocks because of the presence of the sciatic nerve at the lower half.
Another method to increase the buttocks is to inject fat with Macrolane injection hyaluronic acid. Macrolane is in the form of a large syringe containing a transparent hyaluronic acid gel produced by QMed (Restylane, Perlane, Macrolane). This gel can be injected directly into the area that is missing volume. It is simple to perform as an outpatient.
Three major drawbacks of this technique include:
- The product is absorbable so it requires to repeat the procedure every year;
- The injected amount is very moderate (maximum not exceeding 200 ml) on each side;
- The high cost of the product.
So in Guess Clinic, Dr. Mohamed Guessous recommends the lipofilling technique. It implies using an autorgraft technique in order to fill and restructure the insufficient volume of the buttocks.
There is a huge demand of this surgery in Guess Clinic goal as it allows filling the buttocks and getting a harmonious figure.
This technique implies having a minimum amount of stored fat to be sucked up, filtered and ready to be reinjected.
Who is it addressed to ?
Buttocks lipofilling is a process that is aimed at both men and women who wish to have more rounded buttocks. It can be a localized increase when it comes to the upper pole of the buttocks for example, or an overall increase.
This procedure will restore the shape of underdeveloped buttocks by changing its volume so that it is proportionate to the silhouette.
Dr. Mohamed Guessous performs this surgery under local anesthesia associated with administration of intravenous tranquilizers. It lasts one hour; you also need time for the liposculpture.
It takes place in several steps:
First, we start by a liposculpture in order to suck maximum fat; it is usually taken from the stomach, hips or thighs. Liposuction is particularly soft and atraumatic to fat cells, which are preserved and remain alive.
Then the fat is collected directly into a sterile jar, it takes a minimum of 2 kg of fat to consider a significant increase to the buttocks. This fat is processed, filtered, purified and then it goes into a machine (centrifuge) to isolate the living fat cells from the rest of the fibrous elements. The rest of blood cells and also fat cells are broken being removed in the form of oil.
We obtain a hundred syringes filled with fat cells ready to be injected.
Next, we inject it using special cannulas through the same incision used for liposuction. The surgeon then distributes the fat between the two buttocks and between the three parts of each buttock in a harmonious way. These microinjections are carried out meticulously and especially evenly to allow a natural look and shaped buttocks.
The grafted fat cells increase the buttocks’ volume and projection. About 50-60% of these fat cells will remain alive definitely. This means that 40-50% of the injected cells will disappear but the transplanted cells that remain alive will ensure the desired volume as their content increases by 10% per month. The result will be lasting and final, it is visible after 6 months.
Buttocks lipofilling has very simple postoperative effects. It is not very painful, but painkillers may be prescribed if pain is felt.
The patient must wear a compression outfit or panty in order to allow the buttocks shape to form evenly.
Mild swelling and bruising will appear the day after surgery and will disappear after a few days.
Some discomfort may be felt in the seated position the first days.
The postoperative care is the same as those of a traditional liposuction. Which means swelling and hardness of the areas for a month. Getting back to social and professional activity is fast due to the simplicity of the surgery.
The result is immediately visible and is accentuated by the swelling for a month. You can feel a loss of volume after one month but it will quickly increase with the filling of living fat cells.
Length of stay
Buttocks lipofilling is an outpatient procedure or the patient may stay overnight upon request.