Buttock lipofilling

Lipofilling is an intervention that aims at augmenting in a final natural and permanent way the volume of the buttock by using the patient’s own fat rather than implants.

Before the procedure

Two consultations with your plastic surgeon with at least 15 days between each are mandatory before the operation. Medical photographies are always taken during these consultations. Stop smoking 2 months before the surgery to improve fat graft take with a better vascularization. No aspirin-based, anti-inflammatory medication or oral anticoagulants should be taken during the 15 days preceding the operation to reduce the risks of bleeding. No oral contraception 1 month before the operation to reduce the thrombo-embolic risks.

The procedure

The operation is carried out under general anaesthesia.

Fat tissues are extracted with a thin suction cannula. A micro-incision is made in the natural folds of a discrete area with some fat tissues or with an excess of tissues.

The extracted fat is centrifuged a few minutes before being injected. This way, intact fat cells that will be transplanted are separated from other elements.

Fat is injected in different layers at one time in subcutaneous fat and under the gluteus maximus for a more permanent result. The muscle being very rich in blood vessels, fat grafts are well supplied and the resorption of injected fat is reduced.

In some cases, lipofilling can be associated with liposuction in order to reshape the buttock contours.

After the procedure

Hospital stay is short, the patient leaves on the same day in an ambulatory facility or on the next day.
Pain is moderated and is more important in the treated areas but it is well balanced by the usual pain-killers. Bruising is frequent after surgery, especially in the areas of extraction. Bruises remain visible during 20 days.

The result can be truly seen from 4 to 6 months after surgery, once the fat that did not integrate has resorbed.

If resorption is important (it varies from one patient to another) or if the patient expects more volume, a second operation can be carried out about 6 months after the first one.

The result is final after 6 months. Usually it is very satisfying, with the volume increased and the shape of the breasts enhanced.