• English
  • Português
  • Clínica Mariângela Santiago

    Gluteous Plastic

    Home »  Procedures »  Gluteous Plastic

    Although Brazil is a tropical country and famous by beautiful butts, not every Brazilian woman has the perfect derrière.

    The anatomy and the aesthetic shape of the gluteal region can vary accordingly to racial and genetic characteristics of each patient.

    In the black race, in general, the butt is bigger, globular and has a pear form. However, yellow race, in general, presents a smaller and poorly designed butt.

    For Caucasians (white) there is no set pattern.

    Obviously, “every rule has an exception, so the format will depend on many miscegenation factors.”

    In addition to the race, the format and bottom size are also linked to factors such as age, gravity, heredity or weight fluctuation. Thus, even those persons who already had a perfect butt (rigid, upright and globular) are also vulnerable to changes and may suffer from low self-esteem.

    About 25 years ago, nothing was possible to be done regarding plastic surgery to enhance gluteus. However, due to progress of cosmetic surgery and the help of modern techniques, it is possible to improve the contour of buttocks. Check out the most common procedures to model and to enhance your butt.

    Nevertheless, it’s important to remember that the results will depend on the anatomical structure of each patient, once this as an individual body characteristic.

    separator

    Big Butt and Globular

    SURGERY

    The indication of surgical procedure needs to be well evaluated, since the choice will greatly depend on the amount of sagging skin of the gluteal region. We must be very careful to indicate liposuction on gluteal region to avoid skin flaccidity and a fallen buttock. Small incisions are made to remove the excess fat. Local anesthesia combined to sedation or general anesthesia can be used. Usually the surgery takes 2 hours and the patient can return home at the same day.

    POST- SURGICAL CARE

    Objecting to reduce edema and hematomas, lymphatic drainage sections, as well as anti-inflammatory usage are recommended. The patient will also wear a support garment during 30 days after the procedure. It’s possible for patient to return to normal schedule after 10 days. Driving is allowed after 30 days. Exercises after 20 days.

    separator

    Big and Saggy Butt

    bumbum_grande_caido

    SURGERY

    I usually indicate liposuction associated to plastic surgery to remove excess skin (see diagram). An incision (gull wing format) is made on top of the gluteus muscles, which is usually hidden by bikini or underwear. The surgery is carried out under general anesthesia or epidural, combined with sedation. The average operating time is 2 to 3 hours.

    POST-SURGICAL CARE

    The scar is treated with adhesive tape. The patient is also provided with a support garment for three months at least. Measures such to avoid prolonged sitting, as well as to be encouraged to sleep face down or on its side are oriented to avoid pressure onto scar tissue.

    Lymphatic drainage is recommended after 8 days. It’s possible for the patient to return to normal schedule after 20 days. Driving is allowed after 30 days and exercises and sun exposure after 3 months.

    separator

    Small Butt with Little Rear Projection

    bumbum_pequeno_pouca_proje

    SURGERY

    It is indicated to enhance the butt using silicone implants. The gluteal silicon prosthesis (porous gel and impact-resistant) is inserted through an incision in the intergluteal crease and placed inside the large-gluteal muscle (see diagram). There are three alternatives for silicone prosthesis insertion:

    • Under big-gluteus

    • Between muscle and fascia (fibrous band of tissue that covers the muscles)

    • Subcutaneous tissue (above fascia).

    I do prefer silicone implants are made under the muscle because it allows a more natural result. Nevertheless, the anatomical condition knowledge by the surgeon is this case prevent from sciatic nerve trauma.

    The surgery is carried out under general anesthesia or epidural, combined with sedation. The average operating time is 2 hours. Patient hospital check-out is possible after 24 hours.

    POST-SURGICAL CARE

    • To sleep face down during 20 days;

    • To sleep on its side during 6 months;

    • Driving is allowed after 30 days;

    • Exercises and sun exposure only after 2 months.

    • Very important: the person can no longer apply injection on the butt.

    separator

    Small Butt with Little Side Projection

    SURGERY

    Fat grafting is the technique usually adopted to enhance this kind of butt. Typically, this grafting is associated to liposuction of other areas where the fat is removed and processed and then it is used as a graft. This surgical procedure is called lipo-sculpture. Thirty percent of the grafted fat is usually absorbed by the organism. Therefore, the surgeon must always inject more fat than necessary to balance the natural absorption. The surgery is carried out under general anesthesia or local, combined with sedation. The average operating time is 2 to 3 hours. Patient hospital check-out is possible after 24 hours.

    POST-SURGICAL CARE

    • Usage of supportive garment for three months;
    • To avoid prolonged sitting periods;
    • To sleep face down for 60 days to avoid pression onto treated region;
    • Lymphatic drainage is recommended after 8 days. It’s possible for the patient to return to normal schedule after 10 days.
    • Driving is allowed after 30 days.
    • Exercises and sun exposure allowed after 2 months.
    separator

    Small and Saggy Butt

    SURGERY

    The indication is the insertion of silicone implant, which will allow to enhance contour and lift the butt.

    However, accordingly to medical technology evolution it is known that fat cells correspond to stem cells. This way, to perform small and saggy butt surgery is possible only through large volumes of fat graft.

    The surgery is carried out under general anesthesia or epidural, combined with sedation. The average operating time is 2 hours. Patient hospital check-out is possible after 24 hours.

    POST-SURGICAL CARE

    • Usage of supportive garment for three months;
    • To avoid prolonged sitting periods;
    • To sleep face down for 60 days to avoid pression onto treated region;
    • Lymphatic drainage is recommended after 8 days. It’s possible for the patient to return to normal schedule after 10 days. Driving is allowed after 30 days. Exercises and sun exposure allowed after 2 months.
    separator

    All the above described procedures require clinical evaluation and laboratory exams to determine whether the patient is in good health to be submitted to surgical procedures. Following the physician instructions is key to the success of your surgery.

    Following the rules of the Federal Medical Council, to illustrate the results with photos made before and after procedures is not allowed.

     separator

    Contact us for more details…

     separator

    See too:

     separator

    Dr. Mariangela Santiago. – CRM 45138 states that this is a spontaneous and illustrative deposition procedure performed after medical consultation and indication of surgery and all medical and laboratory exams required as CFM’s recommendation.

    Even though this one was a successful case, no conclusion can be drawn based on this evidence, moreover, as in any case of plastic surgery, medical consultation with a Plastic Surgeon Specialist is required for making any decisions

    Following the rules of the Brazilian Federal Medical Council, to illustrate the results with photos made before and after procedures is not allowed.

    Dr. Mariângela Freitas Lima Santiago
    CRM-SP 45.138 (São Paulo Regional Medical Council)
    Plastic Surgery - RQE nº 11476 | General Surgery - RQE nº 7678

    Request for consultancy