Buttock Enhancement in Orange County

Buttock Enhancement surgery in Orange County can be performed using fat grafting (also called Brazilian Butt Lift) or using silicone implants (Buttocks Implant Augmentation). These two modalities can be combined in order to optimize both size and shape. In addition, improvement in buttocks appearance can also be achieved with lateral thigh, flank, lower back, and medial thigh contouring. These surrounding buttocks regions can be corrected with a lateral thigh lift (buttocks lift) and inner thigh lift (medial thigh tuck). Buttock Enhancement surgeries can increase the fullness, roundness and projection of your buttocks as well as correct asymmetry and any contour irregularities. Improving buttocks contour will balance your figure and enhance your self-image.

If you are unsatisfied with the shape of your buttocks and are looking to enhance the balance in your body, buttock enhancement surgery in Orange County may be the right option for you. Dr. Mowlavi is well recognized for his buttocks enhancement results. Orange County plastic surgeon Dr. Mowlavi takes several measures to optimize your outcomes including:

  1. Accurate evaluation of your buttocks aesthetic and body contour in order to determine if you will be best treated by fat grafting versus buttock implant.
  2. Accurate measurement of your buttocks cheek height, width, projection, lateral cheek dimple position, and intergluteal crease.
  3. Thorough preparation including:
    • Minimizing risk of infection
    • Optimizing nutrition
  4. Thorough Intraoperative measures
    • Minimizing risk of infection
    • Minimizing risk of fat embolus
    • Stable Intramuscular placement of your buttocks implant
    • Multi-layer feathering of fat cells using micro-pacule technique
  5. Thorough Postoperative measures
    • Thorough counselling regarding sleeping positioning
    • Tutorial regarding sitting techniques
    • Review of temporary physical activity limitations

Buttock Enhancement Cost in Orange County

The average cost of buttock Enhancement with an implant is $7900 and with fat grafting ranges between $5,800 to $9500. This cost covers:

  • Surgeon’s fee
  • Facility fee
  • Anesthesia fee
  • Garment fee
  • Postoperative visit fees

How do I know if I am a candidate for Buttock Enhancement surgery?

You are most likely a candidate for buttock Enhancement surgery if you feel your buttocks are sagging, deflated, asymmetric, not in balance with your body and breast; most patients express that their buttocks are too small and not filling their pants or are generally dissatisfied with the shape and roundness of your buttocks.

Buttocks Aesthetics

Although buttocks Enhancement has been popular in Europe and South America for over a decade, it has only recently gained favor in the states. Over the last few years we have become as appreciative of the buttocks aesthetics as we have been of our breasts. Undeniably, the desirable female silhouette is defined as much by perky and robust breasts as it is by a tight waistline and well balanced and prominent buttocks contour. A well-proportioned buttocks will make for an appealing torso and lower back; one which will fit nicely in a pair of jeans, skirt, or bathing suit. The ideal buttocks contour should appear round and firm and be the most prominent region of the torso framed by a narrower lower back and lateral thigh contour; this ideal female silhouette is characterized by the “hour glass” shape. When the lower back, i.e. flanks or love handles, and lateral thighs are more prominent than the lateral buttocks contour, then an undesirable “double bubble” appearance is observed. This consequence can become even more pronounced by an aging buttocks that has undergone undesirable changes including deflation from loss of fat and muscle volume and subsequent sagging resulting from redundant and lax buttocks skin. When considering Newport Beach buttocks Enhancement, there are two viable options including: buttock enhancement with silicone implant augmentation, or fat grafting, as popularized by the Brazilian butt lift. Implant Augmentation is intended for patients desiring generous enlargement and in patients with limited, excess fat donor site( please see buttock Implant augmentation). In contrast, the Brazilian butt lift is intended for patients desiring minimal to moderate buttocks enlargement and who possess adequate, excess fat donor sites (please see Brazilian Butt Lift). Many Butt Augmentation procedures are performed in combination with a lateral thigh lift(buttock lift) and/or inner thigh lift(medial thigh tuck) procedures. In order to determine which procedure is best for you, we encourage you to make a complimentary consultation with Newport Beach, Orange County Plastic Surgeon Dr. Mowlavi.

Brazilian Butt Lift

The Brazilian Butt Lift involves a comprehensive removal of excess and undesirable fat from the entire body including the arms, abdomen, flanks, thighs, and back followed by strategic transfer of the purified fat into the deflated buttocks. Newport Beach, Orange County Plastic Surgeon Dr. Mowlavi, routinely removes 1.5 to 2 Liters of fat which when purified allows for 200 to 400 cc of fat grafting per buttocks cheek. Dr. Mowlavi guides injection of fat into preplanned buttocks zones in order to rejuvenate the buttocks aesthetics. Placement of fat over the upper and middle 1/3rd of the central buttock mound will result in improved fullness of the buttocks proper. Dr. Mowlavi utilizes several techniques to maximize fat graft survival. These include limiting the intensity of the negative pressure exposure on the fat cells during fat harvesting. Limiting the suction strength of the liposuction to approximately 10mm Hg avoids pressure damage to these fragile fat cells. In addition, the transplant time, i.e. interval during which the fat cells are out of the body, is minimized in order to avoid cellular compromise during the purification process. The fat cells are handled gently and expeditiously during this process in order to avoid mechanical injury as well as to minimize ischemic time. Specifically, the purification process involves washing of the fat cells with a gentamycin antibiotic solution not only to avoid an infection but also to remove any unwanted residue and cell products, a liquid oily film, and unwanted aqueous plasma fluid. Following purification, these cells are compacted and injected into the buttocks mound using fine 1 to 3 mm cannulas. The distribution of fat cell injection is essential to achieving an aesthetically pleasing and natural result. Orange County Buttocks Enhancement Plastic Surgeon Dr. Mowlavi preserves the buttocks aesthetics by routinely injecting the central upper 2/3rds of the buttocks cheek and avoiding the naturally occurring lateral cheek dimple. However, a comprehensive analysis of your buttocks will dictate exact location of fat transfers. Another critical principle of fat grafting revolves around maximizing the grafted fat cell surface area to volume ratio in an attempt to re-establish blood supply to the transplanted and ischemic cells. Two maneuvers are used to ensure optimum graft take and they include transfer of fat grafts in individual 0.5 to 2.0cc fat packs as well as layering the fat packs in multiple planes including the muscle, fascia, deep and superficial fat. Wide distribution of fat cells in small packs optimizes graft take and subsequent results.

Patients can expect minimal downtime, improvement in buttocks contour, and minimal to moderate lift of redundant and sagging buttocks skin. The lifting of the buttocks skin is achieved from filling the laxity of the buttocks skin envelope. The lift effect following fat grafting is best appreciated following transfer of fat to the upper regions of the buttocks cheek. Patients who require more aggressive lifts may benefit from a lower body lift or belt lipectomy. (Please see Skin Reduction Surgery) which can be combined with the Brazilian Butt Lift. In order to determine if you are a good candidate for the Brazilian butt lift or in combination with a lower body lift, please contact our office for a complimentary consultation.

Buttock Enhancement with Implant Augmentation

Patients who present desiring significant enlargement of their buttocks following moderate to severe deflation of their bottoms and/or whom do not possess adequate fat reserves, are ideal candidates for buttock implants. Buttock implants are made of semi-solid silicone and possess a textured surface. This semi-solid design of the implants makes them resilient to daily mechanical stresses induced on our bottoms. The textured surface ensures adherence of the implant to the soft tissues and stable positioning of the implant that prohibits migration and displacement of the implant.

Buttock implants are inserted using well hidden and limited length inter-gulteal incisions placed in a gentle arc to follow the natural curve of the buttocks cheek. Newport Beach, Orange County Plastic Surgeon Dr. Mowlavi carefully dissects identical and symmetric intramuscular pockets where the silicone implants are to be positioned and then inserts them using minimal touch technique. Placement of the implant in an intramuscular(gluteus maximus) pocket provides several advantages including an implant that is well cushioned so that its edges are not visible and not easily palpable as well as to minimize the risk of infection or implant rejection. Minimizing risk of infection is ensured by meticulous attention to sterile technique, non-traumatic surgical dissection, and multi-layered closure of the incision lines.

Buttocks Enhancement

Procedure: Improvement of buttocks size, shape, and any asymmetry
Length: Ranges between 1 to 2 hours based on whether a buttocks implant augmentation or fat grafting (Brazilian Buttocks Lift) is planned for your buttocks procedure.
Anesthesia: General anesthesia and/or intravenous sedation is recommended for both a buttocks implant augmentation or fat grafting (Brazilian Buttock Lift).
Place of Treatment: Outpatient surgical suite or in-office operating room.
Side Effects: 1) Prolonged swelling up to 2 to 3 weeks is not uncommon due to over filling of fat that is performed to compensate for an expected 30 to 40 % of fat graft loss that is observed over the first year following fat transfer. Buttocks implant augmentation patients will expect swelling for two weeks as well due to more extensive pocket dissection. Most patients will notice aesthetically pleasing results at 2 weeks following surgery and stable volumes of correction and filling at one month following surgery.

2)Temporary bruising is often associated with fat grafting surgery due to the extent of tissue trauma that is created by fat harvesting and injection protocol. Bruising is minimized by compression dressings and ensuring that patients do not have any blood clotting disorders or taking any blood thinning medications or supplements. Most bruising subsides within 1 to 2 weeks. Buttocks implant augmentation utilizes drains in order to minimize swelling.

3) Temporary numbness is not uncommon and secondary to inadvertent injury to small sensory nerves which are traumatize by the mechanical action of fat harvesting or due to the undermining involved for creation of the implant pocket. Fortunately, patients should expect a full return of sensation as these nerves even when traumatized will regenerate and re-establish sensation.

4)Under correction of desired contour is not uncommon for Brazilian buttocks lift patients as they need to remember that 20 to 30% of volume loss is expected over the first year following surgery. Despite this expected volume loss, most patients are ecstatic with their postoperative observed volume improvements.

Risks: 1)Deep vein thrombosis (DVT) may occur in the legs immediately following surgery requiring general anesthesia. DVT refers to the clotting off of leg veins which may result in compromised blood flow return from the legs; a more critical consequence may develop from this clot if it is dislodged and travels to the lungs causing a pulmonary emboli. Although rare, pulmonary emboli are the leading cause of death following surgery. Measures are taken intraoperatively to avoid such a complication.

2)Local skin or fat infection is uncommon and associated with individual patients with poor healing tendencies secondary to medical illnesses. Diabetes, nutritional deficiencies, and smoking are to blame for local infections. Well controlled sugar levels in diabetic patients, optimizing nutrition, and cessation of smoking are critical to avoiding infections.

3) Skin tissue compromise leading to skin loss is rare following fat grafting surgery and is associated with filling of scarred tissues due to increased degree of undermining and tunneling required to transfer fat cells. Smokers are urged to stop smoking for 4 weeks prior to and for 6 weeks following surgery in order to minimize skin tissue compromise.

4)Fat emboli syndrome is a rare risk factor that can be life threatening if not detected in the early postoperatively. This condition is caused by transferred fat cells entering major blood vessels and being dispursed and getting clogged in life sustaining organs. Patients may present with a multitude of symptoms ranging from uncontrolled hypertension, to chest pain, lightheadedness, confusion, and difficulty breathing. Patients require immediate admission to a hospital for supportive therapy with intravenous fluids and possible respiratory support until these fat cells self dissolve.

5) Implant infection following Buttocks implant augmentation has been undeniably high with some early studies showing double digit risk of infection (up to 20%). However, Dr. Mowlavi’s modification of this procedure have led to not a single buttock implant infection that required implant removal to date.

Recovery: The recovery period for fat grafting surgery of the body with a return to most daily activities ranges from several days to 1 week. In contrast, buttocks implant augmentation requires several precautions over the first two weeks including avoiding sitting on your buttocks proper as well as not sleeping on your back as well. Patients are asked to forego physical activities and exercise for approximately 2 weeks following fat grafting transfer and for 1 month following buttocks implant surgery. Finally, patients are asked to forego important social engagements for approximately 1 month until volumes of contour correction are stabilized or until your implants have settled into their pocket.
Duration of Results: Patients who have undergone fat grafting surgery can expect aesthetically pleasing results for life. Patients will observe 30 to 40% of volume loss over the first year following surgery. Volume corrections one year following surgery should be considered stable. In contrast, your enlarged buttocks contour following buttocks implant augmentation is not prone to volume loss.

Am I a good candidate buttock implant augmentation surgery?

You may be a good candidate for buttock augmentation surgery if you have a flat bottom in jeans/clothes or if you have lost your back/buttocks or lateral buttock silhouette. When observed from the side, patients may notice replacement of the back buttock natural silhouette involving the gentle back curve of your back onto the buttocks with a more flattened silhouette. On front view, the patient may notice replacement of the lateral buttocks curve with a less desirable double hump appearance. Increasing flank and lateral thigh prominence following excess weight gain and concurrent loss of buttocks projection creates the undesirable changes and increasing buttocks droop. Individuals who have drooping of the buttocks region and flattening of the buttock cheeks due to aging can benefit from implant augmentation surgery Patients must be in good general health, both physically and emotionally, in order to pursue buttock augmentation surgery.

What does buttock implant augmentation surgery involve?

To perform buttock augmentation surgery, parallel incisions are made along the intergluteal crease (otherwise known as buttocks crack) and which extended superiorly and laterally following the natural curve of the buttocks mound. This incision is dissected down to the gluteus muscle, which is released over its superficial fibers to allow for creation of symmetric pockets within the muscle. A semi-solid silicone implant is then inserted into each pocket. The silicone implant is fit tightly in order to prevent implant migration. The dissected incision is then repaired in layers and includes the superficial fibers of muscle previously released as well as the soft tissue and the buttocks skin. Prior to closure, a large drain is placed and secured in order to remove any postoperative fluid accumulation. Finally, an expanded buttocks tape is applied to the incision lines and maintained for two weeks in order to minimize shear stresses on the implant and surgical incision lines.

How do I plan my buttock implant augmentation surgery?

On your initial visit, your surgeon will evaluate your health status by obtaining blood work and requesting a preoperative clearance from your primary care physician. Patients with underlying medical conditions will have to optimize their health status prior to proceeding. Patients with difficulty breathing or underlying pulmonary conditions, may not be found suitable for this surgery as it requires prolonged duration of lying on your stomach. In addition, smokers will be asked to quit smoking for 4 weeks prior and 6 weeks following surgery. Finally, you will need to arrange for a friend or a spouse to care for any small children who may need to be lifted since you will be sore for the first couple days following surgery.

How do I prepare for buttock implant augmentation surgery?

Since your surgery will require general anesthesia, you must take several precautions prior to surgery. First, you will have to avoid eating and drinking after midnight on the day before surgery. This precaution ensures that your stomach is clear of digested foods that could potentially be aspirated into your lungs during induction of anesthesia. Since, you will have anesthetic medications administered throughout the case, you will remain groggy for several hours and will require a ride to and from the surgery center. You should choose a caretaker who is conscientious and who can spend the first night with you. As you will have to avoid sitting upright for the first two weeks, you should also ensure that your ride has a generous back seat that you can lay on your stomach for the ride home.

What results can I expect after buttock implant augmentation surgery?

Buttocks augmentation surgery will lead to enhancement of the buttocks shape and improved projection of the buttocks contour. Patients are usually extremely satisfied with their immediate results and enjoy a lifetime of aesthetically balanced lower back to buttocks silhouette. A thorough preoperative assessment, safe intra operative course, and explicit postoperative instructions and monitoring with frequent visits ensure that patients experience a speedy recovery and a return to a more productive and rewarding life. Patients are extremely pleased with buttocks augmentation surgery and radiate increased physical and mental confidence.

Where will my buttock implant augmentaiton surgery be performed?

Buttocks augmentation surgery can be performed at an office-based surgical facility, outpatient surgical facility, or at a hospital operating room. If your operation is performed at an office-based surgical facility, it is of utmost importance for patients to make sure that a surgical accreditation body such as AAAASF accredits the office-based facility.

What type of anesthesia will be used for my buttock implant augmentation surgery?

Since your surgery will require intra-muscular dissection and placement on your stomach for a prolonged period, general anesthesia will be required.

What should I expect after buttock implant augmentation surgery?

Patients can usually resume light activity several days following surgery. Patients may experience numbness of the buttocks skin overlying the implant that disappears over the first few days after surgery. Pain medication and antibiotics will be prescribed by your surgeon. Patients will wear both a specialized tape and garment over their buttocks region to secure the placement of the silicone implant during the swelling phase immediately following surgery. Patients may find most constraining the inability to sit upright for the first two weeks following surgery. In addition, patients are encouraged to sleep on their stomach for the first two weeks following surgery. Patients are allowed full physical activity and wearing of routine undergarment four weeks following surgery.

How do I know if I need a Brazilian buttock Lift (fat grafting) or butt implant augmentation?

Several factors can help you decide which procedure is the best option for your Buttocks Augmentation and these include:

  • Fat Grafting (Brazilian buttocks lift)
    • possessing asymmetric buttocks size/shape
    • maintaining generous body fat reserves
    • desiring moderate buttocks augmentation
    • demonstrating contour irregularity
  • Buttock Implant
    • possessing symmetric buttocks size/shape
    • maintaining a thin body habitus with minimal fat reserves
    • desiring moderate to significant buttocks augmentation
    • demonstrating no contour irregularities

The factors above will help you determine which buttocks augmentation procedure is the best option for you. You may benefit from a combination of both procedures depending on your desired improvement. A consultation with Dr. Mowlavi will allow you to select the ideal buttock augmentation procedure. We encourage you to call for your complimentary consultation today.

How quickly will I see my Buttock Enhancement Results?

Buttock augmentation surgery is unique in that your results are immediately visible. Post-surgical swelling will resolve within weeks and your incision line will fade with time. We take great pride in optimizing your incision line healing by use of operative tapes (steri-strips), followed by topical scar reduction creams (Biocorneum), and Intense Pulse Light therapy as needed.

How much does Buttocks Augmentation cost in Orange County?

The average cost of buttock augmentation with an implant starts at $7900 and with fat grafting ranges between $6,300 to $9500. This cost covers:

  • Surgeon’s fee
  • Facility fee
  • Anesthesia fee
  • Garment fee
  • Postoperative visit fees

Surgical fees may be modified if you require contouring of the areas surrounding the buttocks which include lateral thigh/flanks/love handles/medial thigh. These areas may need liposuction contouring and/or a lateral thigh lift(buttocks lift) or inner thigh lift (medial thigh tuck).

How do I know if I am a candidate for Buttock Enhancement surgery?

You are most likely a candidate for buttock enhancement surgery if you feel your buttocks are sagging, deflated, asymmetric, not in balance with your body and breast; most patients express that their buttocks are too small and not filling their pants or are generally dissatisfied with the shape and roundness of your buttocks.

How are buttocks implants placed?

Are silicone buttocks implants safe?

Silicone buttocks implants have proven to be safe, predictable, and maintain a low-risk of complications. There have not been reported cases of allergic reactions involving silicone buttock implants. Additionally, buttock implants are made of solid silicone material and thus do not risk rupture and leak as observed in breast silicone implants.

Do buttock implants look and feel normal?

Silicone buttock implants are made from solid silicone material customized to fit the size and shape of your buttock deficiency. Since the implants are placed intramuscularly and deep to the skin, patients do not feel the firmness of the implants as being unnatural. There may be transient buttock numbness following surgery but this will subside over several months. Since buttock implants are customized for each individual, the surgeon is able to improve the look of your buttock region by correcting buttock deficiencies specific to you.

What if I have a sagging buttock with lots of redundant skin?

Buttocks augmentation is recommended in patients with moderate to significant buttock deflation. For patients with minimal to moderate redundant buttock skin, the buttock augmentation alone will suffice. In patients with significant redundant buttock skin, a lateral thigh lift (buttock lift/tuck as well as buttocks augmentation may be suitable; the buttock lift can be combined with a tummy tuck and presented as lower body lift (Please refer to post bariatric surgery chapter for more information).

Where are the incisions placed for the buttocks implant augmentation surgery?

Buttocks augmentation surgery should utilize two separate incisions, which are located over the upper part of the intergluteal crease (crease that separates the buttock cheeks) and shaped as a gentle arch curving around the buttock prominence. Using two separate incisions rather than a single one has been shown to decrease the incidence of implant infection and extrusion.

How our patients feel about us:

Dr Mowlavi is an intelligent, kind, personable professional.... Dr Mowlavi and his staff are exceptional. From the 1st phone call to the post op visits, everyone was extremely friendly and eager to answer any and all of my questions. I knew at my consultations that Dr Mowlavi would be my choice, he made me very comfortable and spent a lot of time explaining the options to me. Dr Mowlavi is an intelligent , kind , personable professional, with a great bed side manner.I am so pleased with the results. Many thanks and much appreciation for doing such a wonderful job (and paying such attention to detail) on both of my surgeries. Thank you to you and your staff for showing kindness and making me feel comfortable at all times. The quality of care and professionalism and concern demonstrated by you and your staff were outstanding.

M.T. Laguna Niguel, CA

Very pleased with my reconstructed breasts... In February 2014 I underwent a bilateral mastectomy with reconstruction after being diagnosed with an invasive ductal carcinoma in my left breast. I prayed about my decision to have both breasts removed even though I did not really have to, but for me it was the best thing to do. I am very pleased with my reconstructed breasts. I have to say it was definitely an emotional experience deciding to have both breasts removed, but I am thankful for the results. They have healed well and the scars are fading nicely. What can I say, they look pretty good! I am African American and I was concerned with how my nipples and areolas would look and they are very natural. Dr. Mowlavi has always been very kind and friendly. His office has had a change in staff since I first started seeing him and it is for the better.

La Ronda M. Long Beach, CA

Dr. Mowlavi has a great bedside manner... I was lucky enough to have been referred to Dr. Mowlavi by my insurance. I was able to schedule an appointment and subsequent surgery quickly and easily. Dr. Mowlavi has a great bedside manner and Claudia and James have been amazing to work with. I had a "mommy makeover" and am extremely satisfied with the results. It has now been four months since the surgery and other than waiting for the scars to fade, I am very happy. I would definitely recommend Dr. Mowlavi to anyone interested in having plastic surgery.

Roxanne M. Downy, CA

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