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    Gluteal Augmentation

    The correction of the gluteal contours

    The perfectly shaped female buttocks or the striking contours of the male buttocks were already a recurring motif in Greek sculptures in antiquity. This body region has a special attraction for both men and women. The oldest sculpture of a human being found to date (“Venus of the Hollow Rock”, about 40,000 years old) testifies to the fact that curves have always been a symbol of beauty in women.

    These body parts can change significantly after weight fluctuations, in the course of age or in the case of congenital tissue weakness. The shape and silhouette of the buttocks may then no longer be in harmony with the other body proportions. In order to restore beautiful contours, not only the buttocks but also the hips, thighs and loins should be considered. The ideal gluteal contours are characterized by various features.

    Depression on the outside of the buttocks

    The region between the large and middle gluteal muscle on the one hand and the outer broad thigh muscle on the other hand forms a hollow. Since men generally have a thinner layer of subcutaneous fat tissue, this depression is more pronounced in men than in women.

    Folded buttocks

    This horizontal fold is located below the ischial tuberosity and forms at the border between the large gluteal muscle and the posterior thigh muscles.

    Venus dimples (Fossula lumbalis)

    Here the skin with short connective tissue fibres is firmly attached to the bone projection at the rear end of the iliac crest. Below this is the large gluteal muscle, laterally the middle gluteal muscle, headward the very broad back muscle and towards the middle the back muscles.

    V-shaped fold

    This striking contour is created at the base of the large gluteal muscle on the sacrum. Since the subcutaneous fatty tissue is characteristically more pronounced at the buttocks than at the sacrum, the deepening becomes even more pronounced.

    Projection of the buttocks

    An emphasized Po silhouette results from the different thickness of the subcutaneous fatty tissue at the buttocks and the sacrum. A hollow back can reinforce this impression.

    Modern methods are available today to make various corrections.

    Techniques of gluteal contouring

    Po enlargement with own fat

    The Po enlargement with own fat, also called “Brazilian butt lift”, serves effectively the

    • Improvement of the projection of the buttock and
    • the correction of page differences and irregularities.

    Liposuction of loins and hips

    The liposuction of the loins and hips are very helpful to

    • to emphasize the projection of the buttocks.
    • Remove annoying fat deposits.

    Upper buttock lift

    The upper buttock lift in combination with an abdominoplasty is particularly effective for

    • Tightening of the Pos.
    • Improvement of the projection of the buttocks.

    Needling

    A needling treatment effectively leads to one:

    • Fading of the stretch marks at the bottom

    How can you prepare for buttock contouring?

    • The buttocks should be contoured when the desired weight has been reached.
    • All your questions about possible complications and alternative treatments should be answered before the operation.
    • Keep nicotine and alcohol consumption to a minimum.
    • The intake of hormone-containing drugs (e.g. the pill) is gfls. temporarily discontinue.
    • Blood thinning medications (for example Thomapyrin®, ASS) are min. 10 days before surgery (after consultation with your attending physician).
    • Vitamin preparations (A, E) as well as dietary supplements (St. John’s wort preparations, omega-3 fatty acids, etc.) are min. 4 weeks before the procedure.
    • On the day of surgery, shower with a disinfectant soap (e.g. HiBiScrub® Plus, Octenisan® Wash Lotion, Prontoderm® Shower Gel).
    • Surgeries limit your ability to travel by air. You should therefore not plan any air travel for the 6 weeks after the operation.
    • Before performing aesthetic procedures, you should take out follow-up insurance.

    How is buttock contouring performed?

    In preparation for each operation, it is routinely checked several times whether all necessary precautions have been taken to ensure maximum patient safety. The operation is not started until all the prerequisites have been fulfilled according to the checklist.

    Before the operation, the areas to be treated are marked in a standing position. You will then be given a sleeping pill via a cannula so that further events will pass you by. If the operation is performed in twilight sleep, the surgeon injects a sterile physiological water-adrenaline solution with anaesthetic (“tumescent local anaesthesia”). Within five to ten minutes, the surgical areas are numb. If you don’t sleep deeply anyway, you may feel something happening on the surface of your body. In the case of general anaesthesia, the centrally acting painkillers replace the local anaesthetic of the water-epinephrine solution.

    With the help of the so-called tumescence technique, surgery is performed more gently and the formation of bruises and contour irregularities is prevented. The previously marked areas are injected. The injection as well as the suction of the fat are carried out with fine microcannulas, which are inserted into the subcutaneous fat tissue of the marked areas through very small incisions in the skin of about 2 to 3 mm. After the tissue has been infiltrated and loosened, the excess fatty tissue is removed by negative pressure using an aspiration cannula. The cannulas are guided by the plastic-aesthetic surgeon through several openings in a fan-shaped manner in order to ensure the most even suction possible. During the treatment of the patient’s own fat, fat tissue cells are sucked out and then cleaned and filtered, in order to then be precisely introduced into the buttocks at a suitable location via 2 mm small punctures. With the help of transplanted fat cells from the body, volume is built up and the contour is improved. On average, about 400ml are introduced per session during autologous fat treatment.

    The procedure usually takes about 1.5 to three hours, depending on the findings. Immediately after surgery, you will be continuously monitored in the recovery room at CenterPlast. After full awakening, you may drink something and if you feel well, you may eat something. Check-up appointments will be made with you before you leave the practice. You will receive information regarding behavioural measures for aftercare and you will receive a comprehensive written report as well as an emergency telephone number. No., under which you can reach the surgeon in case of emergency 24 hours a day.

    What do you have to consider after buttock contouring?

    • This is followed by regular checks of your well-being and the results of the operation.
    • Sitting or lying on your back should be avoided during the first two weeks and then reduced to the minimum by the 6th week.
    • Showering is possible from the third postoperative day immediately before the wound check up.
    • The skin threads are removed between the tenth and fourteenth postoperative day.
    • Previously fitted compression garments should be worn continuously for six weeks.
    • From the 3rd postoperative week onwards, it is recommended to massage the scars several times a day. You should do this for a few minutes in circles, as well as lengthwise and crosswise to the course of the scar with greasing creams, as this will help to create inconspicuous scars. Suitable products include Bepanthen® ointment or Linola® fat.
    • Bending over, lifting heavy loads, taking a sauna, sexual intercourse and sporting activities (including swimming) should be avoided for four weeks. If swelling persists, prolong this recovery phase.
    • Excessive UV radiation (solarium/sunbathing) is not recommended for at least two weeks. 3 months.
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    The author

    Dr. med. Stéphane Stahl

    “We provide you with extensive expert knowledge so that we can work with you to select the best possible treatment path.”

    Dr. med. Stéphane steel is the former director of the Clinic for Plastic, Reconstructive and Aesthetic Surgery / Hand Surgery at the Lüdenscheid Clinic. Dr. Stahl studied medicine at the Universities of Freiburg and Berlin. In 2011 he passed the European and 2012 the German specialist examination for plastic and aesthetic surgery. Further specialist qualifications and additional qualifications followed (including quality management, medical didactics, physical therapy, emergency medicine, laser protection officers, hand surgery) as well as prizes and awards. In 2015 he completed his habilitation in plastic and aesthetic surgery in Tübingen. He is an experienced microsurgeon, a sought-after expert and a regular speaker at specialist congresses. After a multi-stage selection process, Stéphane Stahl became a member of the American Society for Aesthetic Plastic Surgery (ASAPS), one of the world’s largest and most influential specialist societies for aesthetic surgery. His authorship includes numerous articles in respected peer review journals and standard surgical textbooks.

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