Buttock Augmentation
Brazilian Butt Lift

Ocean Clinic Marbella

Gluteoplasty at Ocean Clinic is a procedure designed to fill out the missing volume and to lift flat or sagging buttocks by using implants, transplanted fat or a combination of both techniques. The shape of the buttocks alters with age and such changes are mostly defined by loss of overall volume, loss of skin elasticity and loss of projection.

Patients without a sufficient amount of body fat (in other body regions) may be good candidates for gluteal implants, whereas in most other cases, fat grafting is performed either alone or in combination with implants (Composite Gluteal Augmentation).

Buttock
augmentation

What You Need to Know Beforehand

Surgical techniques in gluteoplasty

Whether you require gluteal implants and/or a fat transfer will depend on how much of your own fat is available for harvesting, and what kind of changes you want to achieve. The fat can be taken from the abdomen, the love handles, the thighs and the back by body-jet® system. The amount of fat which we can harvest is determined by the patient’s anatomical features and varies individually. Additional liposuction is furthermore essential for the sculpting of surrounding areas, leading to a complete redefinition of waist and thigh outline and shape. In cases with no, or not enough, available fat, gluteal implants can be inserted, preferably in combination with some fat. These silicone implants are positioned within the large gluteal muscle to achieve maximum tissue coverage, reducing the risk for mid to long-term complications.

What kind of implants are used for gluteal augmentation?

All gluteal implants are made of highly cohesive silicone gel. The silicone molecules are three-dimensionally linked, which guarantees that the silicone remains within the silicon shell even in the extremely unlikely case of an implant rupture.

Where is the scare placed in buttock augmentation?

The scars for liposuction and fat transfer are normally just small 2-4mm incisions. They will be hidden inside your natural skin folds. If implants are chosen, one single scar or 2 smaller scars will be planned in your inter-gluteal crease (the middle fold of your buttocks in the sacral region). Once the color of the scar has faded, it will be barely visible. Depending on model and size of the implant, incisions are usually between 4-6cm long.

After Surgery and Beyond

Buttock augmentation aftercare

The Ocean Clinic is dedicated to avoiding any unnecessary pain. We routinely perform a temporary local nerve block of relevant sensory nerves, thus considerably reducing the pain in the early post-operative period. With an additional combination of one or two painkillers, you should be free of pain. Our suturing is absorbable so there is no need to remove stitches. Postoperative lymphatic drainage is advisable after this kind of procedure.

We will provide you with a special compression garment to be worn for about 4-6 weeks. Do not lift any objects above 8kg and avoid sports involving weights during this period.

You should avoid sleeping and directly sitting on your buttocks for at least 3 but preferably up to 6 weeks. This will help to maximize fat preservation, as external pressure stimulates re-absorption of transferred fat. You will be instructed how to sit on a special cushion without compromising the outcome of the procedure.

Related risks in buttock augmentation

There are non-specific risks that are connected to any kind of surgical procedures like hematoma, infection, seroma. Risks for Gluteoplasty with implants include capsule formation as a result of an implanted foreign body (gluteal implant, breast implant, pace maker, port etc). It is the formation of a surrounding connective tissue envelope, protecting the body from foreign objects. In rare cases, this capsule might begin to contract, eventually becoming smaller than the implant itself, resulting in a change of form and/or size of the buttocks and provoking pressure and pain. Exchange or removal of the implant may be necessary in such a case.

Delayed wound healing is reported in up to 20% of all implant based gluteoplasties. Seroma formation, i.e. the development of an enhanced amount of clear liquid may occur in the wound. If necessary, the seroma can be released by a painless puncture or by a small re-opening of the scar. Normally, no further treatment is necessary.

Wound infection rates are higher than in other procedures due to the location of the wound and possible contamination. Risks for Gluteoplasty with fat transfer includes the risk of fat embolism, causing severe cardio-pulmonar complications that can lead to heart-lung failure. Our doctors follow the most recent task force guidelines on gluteal augmentation, using only cannulas with calibers larger than 4 mm for re-injection and respecting the anatomy, avoiding the infiltration into vascular danger zones.

Overall, buttock augmentation procedures are increasingly gaining in popularity worldwide and with growing experience, safety is gradually increasing. In experienced hands, complication rates should be low and aesthetic results highly rewarding.

Alternative treatments to Gluteoplasty

Gluteal lift through skin resection is an option, but this technique implicates a more visible scar either above buttocks or below in the gluteal folds. If sufficient amount of fat transfer is available, it represents a great alternative to implants, avoiding the complications related to implants.

Ocean Clinic’s experience in buttock augmentation

Being strong supporters of autologous fat transfer, our experience is predominantly based upon the BBL (Brazilian Butt Lift) by fat grafting. If silicone implants are used, we usually try to combine them with autologous fat transfer for better coverage. We believe that the liposculpture of neighboring body areas is essential for the optimal aesthetic outcome and we accept zero compromise on our patients’ safety.