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Issue Date: August 2006 Issue


Ask the Plastic Surgeon

Question: I think that the “J.Lo” figure is very attractiveand I have a very flat bottom. I’ve heard that there are buttock implants that could give me a more rounded figure; are these an option that you would suggest?

Answer:
I must say that as a practicing plastic surgeon for the past 17 years, I have only seen problems with buttock implants. I personally do not perform the surgery. Placing a silicone gel implant under the buttock muscle (gluteus) seems simple enough, and the technique is relatively straightforward but there are a number of problems that can occur with this procedure. The incisions are generally placed in the crease between the buttock

cheeks. Although most of the time the incision remains within the crease, a significant scar deformity can result and show outside of this area. The implants are placed beneath the buttock muscles (gluteus). This muscle can cause the implant to move and the pocket to enlarge. This can result in excessive drainage (seroma) to develop within the pocket. Seroma prevention requires drains, and if the seroma were persistent, draining them multiple times in the surgeon’s office would be required. Infection would also become a concern. Another option to increase the shape of the bottom is a free fat transfer to the buttock region. Fat is harvested from one site of the body and injected into another part of the body for enhancement. Theoretically, it is a great idea but I have not seen lasting results and the multiple procedures required can be costly. My personal suggestion would be to visit a good personal trainer, and target building the gluteal muscles with weight training. This is certainly less risky, and you will be healthier in the long run. You will save a lot of money and possibly a significant amount of aggravation.

I think that the “J.Lo” figure is very attractiveand I have a very flat bottom. I’ve heard that there are buttock implants that could give me a more rounded figure; are these an option that you would suggest?

Answer: I must say that as a practicing plastic surgeon for the past 17 years, I have only seen problems with buttock implants. I personally do not perform the surgery. Placing a silicone gel implant under the buttock muscle (gluteus) seems simple enough, and the technique is relatively straightforward but there are a number of problems that can occur with this procedure. The incisions are generally placed in the crease between the buttock

cheeks. Although most of the time the incision remains within the crease, a significant scar deformity can result and show outside of this area. The implants are placed beneath the buttock muscles (gluteus). This muscle can cause the implant to move and the pocket to enlarge. This can result in excessive drainage (seroma) to develop within the pocket. Seroma prevention requires drains, and if the seroma were persistent, draining them multiple times in the surgeon’s office would be required. Infection would also become a concern. Another option to increase the shape of the bottom is a free fat transfer to the buttock region. Fat is harvested from one site of the body and injected into another part of the body for enhancement. Theoretically, it is a great idea but I have not seen lasting results and the multiple procedures required can be costly. My personal suggestion would be to visit a good personal trainer, and target building the gluteal muscles with weight training. This is certainly less risky, and you will be healthier in the long run. You will save a lot of money and possibly a significant amount of aggravation.
 
Submit your questions to “Ask the Plastic Surgeon” at allnewu@AOL.com. Questions may be condensed and reformatted for the column.
 
Questions are answered by Dr. Mark A. Foglietti, a nationally recognized board-certified plastic surgeon and author.

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