Lower Legs

Ask a Question

Buttock Enlargement
Buttock Header

Buttock enlargement may serve several functions. In general, though, the goal of most patients is to make their buttock more proportional and youthful. This may be achieved through changing the size of the butt or by reducing the fullness on the surrounding areas such as the thighs and flanks by use of Liposuction.

While there are permanent scars on the butt, Dr. Freedland uses state-of the-art techniques to help hide the scars from view.

If You Are Considering Buttock Enlargement

Buttock enlargement, or augmentation is a surgical procedure to enhance the size and shape of a woman's buttock. Patients may also elect for this procedure to help elevate a sagging buttock. This can be done in one of two ways. By inserting an implant into each buttock, surgeons are able to increase a woman's buttock. A buttock implant is a solid silicone implant that has been approved by the Food & Drug Administration (FDA).

Fat injection is another alternative. In the medical world, the fat-injection procedure is known as autologous fat transplantation or microlipoinjection. It involves extracting fat cells from the patient's body, such as the abdomen or thighs and then re-injecting them within the muscles of the buttock. Fat does not require insertion of an artificial device.

If you're considering buttock augmentation, this will give you a basic understanding of the procedure - when it can help, how it's performed, and what results you can expect. It can't answer all of your questions, since a lot depends on your individual circumstances. Please ask Dr. Freedland if there is anything about the procedure you do not understand.

(Back to the top)

The Best Candidate For A Buttock Enlargement

Buttock augmentation can enhance your appearance and your self-confidence, but it won't necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with Dr. Freedland.

The best candidates for buttock augmentation are women who are looking for improvement, not perfection, in the way they look. If you're physically healthy and realistic in your expectations, you may be a good candidate.

(Back to the top)

All Surgery Carries Some Uncertainty And Risk

Thousands of these procedures are performed successfully each year. When done by a qualified plastic surgeon, the results are generally quite positive. Nevertheless, there are always risks associated with surgery and specific complications associated with this procedure.

Post-operative complications such as infection and blood clots are rare, but can occur. Infection can be treated with drainage and antibiotics, but will prolong your hospital stay. You can minimize the risk of blood clots by moving around as soon after the surgery as possible.

Poor healing, which results in conspicuous scars, may necessitate a second operation. Smokers should be advised to stop, as smoking may increase the risk of complications and delay healing. Often there is temporary loss of sensation, which may last up to a year after surgery.

The most common problem with an implant, capsular contracture, occurs if the scar or capsule around the implant begins to tighten. This squeezing of the soft implant can cause the buttock to feel hard. Capsular contracture can be treated in several ways, and sometimes requires either removal or "scoring" of the scar tissue, or perhaps removal or replacement of the implant. Fat injection, on the other hand has no risk of capsular contracture, which is why it far more favorable for most patients.

You can reduce your risk of complications by closely following Dr. Freedland's instructions before and after the surgery, especially with regard to when and how you should resume physical activity.

(Back to the top)

Planning Your Surgery

In your initial consultation, Dr. Freedland will evaluate your health and explain which surgical techniques are most appropriate for you, based on the condition of your buttocks and skin tone. If your buttock is sagging too much, Dr. Freedland may also recommend a buttock lift.

Be sure to discuss your expectations frankly with Dr. Freedland. He will be equally frank with you, describing your alternatives and the risks and limitations of each. He invites you to view Before and After photos of his patients.

If you do choose to use an implant, you may want to ask Dr. Freedland for a copy of the manufacturer's insert that comes with the implant that he will use - just so you are fully informed about it. And, be sure to tell him if you smoke, and if you're taking any medications, vitamins, or other drugs.

Dr. Freedland will explain the type of anesthesia to be used, the type of facility where the surgery will be performed, and the costs involved. Because most insurance companies do not consider buttock augmentation to be medically necessary, carriers generally do not cover the cost of this procedure.

(Back to the top)

Getting The Answers You Need

Individuals considering buttock enlargement often feel a bit overwhelmed by the number of options and techniques being promoted today. However, Dr. Freedland can help. To decide which treatment approach is right for you, Dr. Freedland will consider effectiveness, safety, cost and appropriateness for your needs. This is called surgical judgment, a skill that is developed through surgical training and experience. Dr. Freedland also uses this judgment to prevent complications; to handle unexpected occurrences during surgery; and to treat complications when they occur.

Dr. Freedland's education and training, which he received at the University of Michigan, has helped to form his surgical judgment. Patients are encouraged to do their homework and consider a doctor certified by the American Board of Plastic Surgery ("ABPS"). By choosing a plastic surgeon who is certified by the ABPS, a patient can be assured that the doctor has graduated from an accredited medical school and completed at least five years of additional residency - usually three years of general surgery (or its equivalent) and two years of plastic surgery. To be certified by the ABPS, a doctor must also practice surgery for two years and pass comprehensive written and oral exams.

(Back to the top)

Preparing For Your Surgery

Dr. Freedland will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding vitamins, iron tablets and certain medications. If you develop a cold or an infection of any kind, especially a skin infection, Dr. Freedland may have to postpone your surgery.

If you smoke, plan to quit at least two weeks before your surgery and not to resume for at least two weeks after your surgery. Avoid overexposure to the sun before surgery and do not go on a stringent diet, as both can inhibit your ability to heal. Though it is rarely necessary, Dr. Freedland may recommend that you have blood drawn ahead of time in case it is needed during surgery.

Whether your surgery is done on an outpatient or inpatient basis, you should arrange for someone to drive you home after your surgery, and to help you out for a day or two after you leave the hospital, if needed.

(Back to the top)

Where Your Surgery Will Be Performed

While some surgeons may prefer to perform the operation in an office facility, Dr. Freedland feels a hospital provides the safest environment for your surgery and therefore performs almost all of his procedures at a JCAHO accredited hospital. The surgery is usually done on an outpatient basis; rarely does it require an inpatient stay.

(Back to the top)

Types Of Anesthesia

Some surgeons may use a local anesthesia, combined with a sedative to make you drowsy, so you'll be relaxed but awake, and may feel some discomfort. Most patients prefer to have this procedure performed with a general anesthesia, so you'll sleep through the entire operation.

(Back to the top)

The Surgery

If an implant is to be used an incision is made between the two buttocks to minimize the visibility. The method of inserting and positioning your implant will depend on your anatomy and Dr. Freedland's recommendation. Every effort will be made to assure that the incision is placed so resulting scars will be as inconspicuous as possible.

Working through the incision, Dr. Freedland will lift your buttock tissue and skin to create a pocket. The implant is then inserted within the muscle to help protect it and reduce post operative complications. Dr. Freedland recently developed a technique that helps accurately place the implant and allows for the placement of the implant without distortion. This technique reduces bleeding and therefore reduces the risk of contracture. Most impressive, though, this technique reduces pain so that most patients take little or no pain medications and are performing their normal activities within a few days after the procedure. Ask Dr. Freedland specifically about this technique.

After both the donor and recipient sites are cleansed and treated with a local anesthesia, the fat is withdrawn using a syringe with a large-bore needle or a cannula (the same instrument used in liposuction) attached to a suction device. The fat is then prepared and injected into the buttock muscle with a long needle. The incision sites are then closed and bandages are applied.

You'll want to discuss the pros and cons of these alternatives with Dr. Freedland before surgery to make sure you fully understand the implications of the procedure he recommends for you. The surgery usually takes less than one hour to complete. A gauze bandage may be applied over your buttocks to help with healing.

(Back to the top)

After Your Surgery

After surgery, you will likely experience some fluid drainage from the incisions. Older techniques called for a small drainage tube to be inserted beneath the skin for a couple of days to prevent fluid build-up. Newer techniques no longer use these antiquated methods. Instead, to control swelling and to help your skin better fit its new contours; you may be fitted with a snug elastic garment to wear over the treated area for a few weeks. Dr. Freedland typically prescribes antibiotics to prevent infection. There is usually some discomfort after surgery, which can be lessened with the pain medication prescribed by Dr. Freedland (severe or persistent pain or a sudden swelling should be reported to Dr. Freedland immediately. You will be given his pager number and his assistant's cell phone number).

Don't expect to look or feel great right after surgery. Even though the newer techniques are believed to reduce some post-operative discomforts, you may still experience some pain, burning, swelling, bleeding and temporary numbness. Pain can be controlled with medications prescribed by Dr. Freedland, though you may still feel stiff and sore for a few days.

It is normal to feel a bit anxious or depressed in the days or weeks following surgery. However, this feeling will subside as you begin to look and feel better.

(Back to the top)

Getting Back To Normal

Healing is a gradual process. Dr. Freedland will tell you to start walking around as soon as possible to reduce swelling and to help prevent blood clots from forming in your legs. You will begin to feel better after about a week or two and you should be back at work within a few days following your surgery. The stitches are removed or dissolve on their own within the first week to 10 days.

Activity that is more strenuous should be avoided for about a month as your body continues to heal. Although most of the bruising and swelling usually disappears within three weeks, some swelling may remain for six months or more.

Dr. Freedland will schedule follow-up visits to monitor your progress and to see if any additional procedures are needed.

If you have any unusual symptoms between visits -- for example, heavy bleeding or a sudden increase in pain -- or any questions about what you can and can't do, call Dr. Freedland. Dr. Freedland can instruct you on skin care products that can help make your scars less visible.

(Back to the top)

Your New Look

You will see a noticeable difference in the shape of your body quite soon after surgery. However, improvement will become even more apparent after about four to six weeks, when most of the swelling has subsided. After about three months, any persistent mild swelling usually disappears and the final contour will be visible.

If your expectations are realistic, you will probably be very pleased with the results of your surgery. You may find that you are more comfortable in a wide variety of clothes and more at ease with your body. And, by eating a healthy diet and getting regular exercise, you can help to maintain your new shape.

(Back to the top)

Privacy Statement | Home
Copyright © 2008 - 2011 Michael H. Freedland, M.D. All Rights Reserved.