WANT THE CONFIDENCE THAT COMES WITH KNOWING YOU LOOK YOUR BEST? GET YOUR FREE CONSULTATION Buttocks Enhancement with Brazilian Butt Lift (BBL) CASE STUDIES SEE MORE PHOTOS SEE MORE PHOTOS SEE MORE PHOTOS SEE MORE PHOTOS SEE MORE PHOTOS SEE MORE PHOTOS SEE MORE PHOTOS SEE MORE PHOTOS SEE MORE PHOTOS SEE MORE PHOTOS SEE MORE PHOTOS SEE MORE PHOTOS SEE MORE PHOTOS SEE MORE PHOTOS SEE MORE PHOTOS SEE MORE PHOTOS SEE MORE PHOTOS SEE MORE PHOTOS SEE MORE PHOTOS SEE MORE PHOTOS Buttocks Enhancement with Brazilian Butt Lift (BBL) The Brazilian Butt Lift (BBL) involves a comprehensive removal of excess and undesirable fat from the entire body including the arms, abdomen, flanks, pubic region, medial and lateral 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 up to 5 Liters of fat which when purified allows for 500 to 1200 cc of fat grafting per buttocks cheek. Dr. Mowlavi guides injection of fat into preplanned buttocks zones in order to improve buttocks aesthetics. Placement of fat over the central buttocks to improve buttock projection and into the lateral buttocks and hip region to improve the roundedness and exaggerate the hourglass appearance. Dr. Mowlavi utilizes several techniques to maximize fat graft survival and these include: a) use of Vaser liposuction to harvest fat cells b) limiting the intensity of the negative pressure exposure on the fat cells during fat harvesting. Limiting the suction strength of the liposuction to approximately 15mm Hg avoids pressure damage to these fragile fat cells. c) minimizing transplant time to less than 20 minutes; this is the time fat cells are out of. d) minimizing fat cell contamination and injury by using a closed loop system such that fat cells are not exposed to the external environment. Finally, Dr. Mowlavi employs accurate fat cell transplantation using strategic fat cell injection during your BBL to ensure both fat cell survivability as well as buttocks aesthetics based on your feedback using the buttocks assessment tool. If you are interested in a BBL, please contact the Cosmetic Plastic Surgery Institute to take obtain your buttocks assessment tool. FREQUENTLY ASKED QUESTIONS Am I a good candidate for buttock enhancement 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 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 the 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 enhancement 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 a 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 of days following surgery. How do I prepare for buttock enhancement 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 buttocks enhancement 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 the aesthetically balanced lower back to buttocks silhouette. A thorough preoperative assessment, safe intraoperative 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 HD Liposuction be performed? Your HD liposuction will be performed at one of our accredited surgery centers. Since the fat is removed comprehensively it requires a scraping of the fat off of the muscles which can be painful if awake. As such, patients are provided general anesthesia to alleviate any pain in an accredited state of the art surgical center. What type of anesthesia will be used for my buttocks enhancement 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 buttocks enhancement 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. PATIENT-SPECIFIC QUESTIONS 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 the 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 Enhanecment 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. What is buttocks implant augmentation surgery? Buttock augmentation surgery involves correction of moderate sagging and deflated buttocks prominence and shape by insertion of a solid silicone implant. This surgery can significantly improve the balance of your back to buttocks silhouette. This improvement in the buttock to back silhouette is most appreciated in the profile view. Additionally, the buttocks to lateral thigh proportions are also improved especially when buttock augmentation is combined with liposuction of the thighs; this improvement is most appreciated in the direct view of the buttocks (posterior to anterior view). 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 like 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. What if I don’t want to use silicone for my buttocks enhancement surgery? For patients with minimal to moderate buttock deflation, fat graft transfer may be used as an alternative to silicone implant augmentation. The fat that is carefully harvested by a modified liposuction technique is processed and transferred back into the buttocks region (Please refer to fat graft chapter for more information). HOW OUR PATIENTS FEEL ABOUT US: Sonia B. Mission Viejo, CA He made me feel very comfortable... I am so pleased with the work I had done with Doctor Mowlavi. He made me feel very comfortable with my decision to have a breast reduction. Its only been two weeks and I am feeling really good. I would recommend him to anyone looking for a plastic surgeon. Kayla S. Laguna Niguel, CA I am so happy with my results... I had my procedure with Dr. Mowlavi in March of this year. I am so happy with my results. He was kind and caring from the beginning to the end. His coordinator Claudia is the sweetest. I felt very welcome each time. The staff was always friendly. The office is beautiful and very high end. I would definitely recommend this surgeon. He is very skilled and knowledgeable. I would recommend him to all my friends! Kathy B. Laguna Beach, CA I think I looked 10 years younger almost immediately... I had a great experience at the Cosmetic Plastic Surgery Institute. I wanted to look a little younger and fresher for my daughters wedding day, so I booked an appointment not quite sure what I needed. Dr. Mowlavi was wonderful he suggested a couple of procedures that I had not even thought of and were amazing. He plumped up my cheekbones and took away some of my crows feet. I think I looked 10 years younger almost immediately.