Which procedure would you recommend; Butt Implants or Brazilian Butt Lift? (photo)
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Butt Implants vs. Brazilian Butt Lift
My favorite option for buttock enhancement is transfer of your own fat to your butt. However, I agree, you are thin and probably don't have enough fat to create the dramatic projection you are seeking. Your options are gaining 10-15 lbs prior to the Brazilian Butt Lift (fat transfer to the butt) or combining an implant with fat transfer. I like fat transfer because it looks and feels natural and because it offer a lot of flexibility - I can inject the fat in different places to create different looks. If gaining weight is difficult for you, please consider combing the two procedures.
Based on the pictures posted, I do not believe you have enough fat for Brazilian butt Lift.
The only other method available is a buttock implant.
Butt implants must be put under the muscle.The difference between Brazilian Butt Lift and implants, is that implants may require surgery in the future.
Buttocks Augmentation Options
Off hand I completey agree that you are a much better candidate for buttock implants.
Having said that, allow me to share with you some information that you may not hear elsewhere. There are only two proven safe and relatively effective methods for Buttock Augmentation and Hip Augmentation: 1) Autologous Fat Transfer (using your own fat, transferring from one area of the body to the other) and 2) Buttock/Hip Implants (semi-solid silicone rubber implants that cannot rupture &/or leak). Both are very good options so what it comes down to, like any surgery, is proper patient selection. Indeed because at least 50+ % of the fat transferred will melt away within a year, most patients are not good candidates because they lack an adequate amount of fat to harvest. Although using your own fat is relatively safe, the one serious complication that can rarely (< 1%) happen is "fat embolism" in which some of the fat gets into the blood stream and travels up into the lungs, heart, and/or brain causing serious problems. This complication is more likely to happen with the larger amount of fat being transferred. This can also happen when using fillers like PMMA and hyaluronic acids. Also fillers, when injected in large quantities, have a relatively high tendency to migrate away from the original area they were placed and tend to stimulate a lot of inflammation and subsequent scar tissue/hardening.
Thus buttock/hip implants become a very good, safe, and long term reliable option for most patients seeking buttock augmentation (at least in my practice). I prefer to insert the buttock implants through a single 2 ½ inch long incision over the tailbone (concealed within the crevice between the buttock cheeks) and the hip implants through a ~ 1 inch incision just below the beltline above the hip region. The buttock implant should always be placed under or within the gluteus maximus muscle. In this position, the implant is less palpable, less visible, and does not sag or shift/migrate over time unlike implants placed on top of the muscle. Therefore it is extremely important to seek consultation with a board certified plastic surgeon who specializes in this procedure. And in this case too, at least in my surgical practice, the infection rate is minimized to ~5%. Hope this helps…RAS
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Butt Implants or Brazilian Butt Lift?
Kenneth Hughes, MD
Los Angeles, CA
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.