Age, gravity, genetics, and childbearing are among the primary forces that lead to a sagging and shapeless rear-end, which no amount of exercise seems to fix. Located in Manhattan, New York, Dr. Hooman Khorasani offers several options for buttock enhancement, from a Brazilian butt lift to non-invasive and non-surgical procedures, to help you achieve a rounded and toned butt you’ll be proud of.
A Brazilian butt lift, or BBL -- so-named by Ivo Pitanguy, a Brazilian doctor who invented the technique, is a popular procedure that reduces fat cells from your body and places them into your buttocks. The surgeon generally targets fat from your abdomen, thighs, or back through a liposuction procedure. It is then processed and re-injected into your backside, producing a rounder, fuller buttock profile.
Many consider the BBL a significant improvement over implants because the risk of complications is much lower than those associated with implants. Implants can move, causing nerve damage, or they could rupture and cause infection.
The results of a BBL are immediate, but they are not final. As your body processes the newly-introduced fat cells, you will likely lose some volume as fat is absorbed. Generally, 60-80% of the fat will remain. After 2 to 3 months, your body will have adjusted and settled, giving you the final results.
Recovery time after a BBL procedure is typically a few hours, and then you can go home. You will be provided with a compression garment and instructions to avoid putting pressure on the fat grafts for 2 or more weeks. Typically, you can resume exercise after 4 to 6 weeks. If you have any questions or concerns about the procedure, request a consultation with Dr. Khorasani to go over the procedure and what you can expect.
If the thought of surgery makes you uncomfortable, there are non-surgical options for buttock enhancement. This topic is one of Dr. Khorasani’s main focus of research. He has given lectures at multiple international meetings and performed live patient demonstrations to educate physicians from all around the world (see video demonstration below).
Dr. Khorasani has had great success using Sculptra with the combination of Thermage®, a radio-frequency skin tightening therapy which promotes the production of new collagen.
To explore your options, make an appointment with Dr. Khorasani to see how you can enhance your buttocks.
Sculptra® or Poly-L-Lactic acid (PLLA) is a dermal filler used for skin and soft tissue augmentation. PLLA stimulates the body’s own collagen production and can be used for volume restoration and skin rejuvenation. Most studies thus far have focused on its use for fat loss in the face (currently the only FDA approved indication for use in the face). In recent years, a novel application for use in the gluteal region has been explored with good results.
First, topical lidocaine is applied to the area to be injected. Once the skin is numbed (usually after 30min) Sculptra® is injected into the upper buttock with very small needles. Depending on the desired level of augmentation most patients require about three treatments, six weeks apart. Although results can be noticed as early as six weeks after the treatments the optimal outcome is not noticed until about six months after the procedure.
Patients who desire a natural appearing change in their buttocks with minimal side effects. Ideal patients are between 25-45 years of age near their ideal body weight who wish to improve volume and texture of the buttocks. Typical patients are athletic young women who have lost fat in the upper pole of the buttocks due to vigorous exercise and caloric restrictions. They often feel that they have developed a more masculine contour of the buttocks and wish to restore the feminine curvatures in a fast, non-invasive manner with minimal downtime. Other patients complain of cellulite and stretch marks after pregnancy and simply wish to improve the skin texture and irregularity.
There is minimal downtime with possible bruise marks at the injection site that may last 7-10 days. Other rare complications include the formation of small nodules under the skin which may have to be treated by a doctor for resolution. Patients are encouraged to massage the area throughout the day for the first 5 days after the procedure.
Maximum results may last 1.5-2 years after the injection. However, a small degree of correction can be appreciated by some patients for much longer.
*Individual results may vary