One of the most common Brazilian buttock lift risks involves having a poor shape and projection, which can be avoided by creating a strong foundation, as suggested by leading Beverly Hills plastic surgeon Dr. Tarick Smiley.
Dr. Smiley, who performs over a hundred Brazilian buttock lifts every year, has recently posted Snapchat videos to demonstrate how he achieves natural, long-lasting results from the procedure by following the most basic principle: Always respect the patient’s underlying anatomies.
The celebrity plastic surgeon says that a poorly done Brazilian buttock lift can lead to sagging and cellulites (dents and dimpling), citing the poor results (dimpling and sagging) of reality TV star Kim Kardashian.
To prevent the sagging appearance after surgery, he highlights the importance of creating a strong foundation and avoiding too much volume (or overdoing fat injection) because the additional weight makes the buttocks susceptible to the effects of gravity, aging, and weight fluctuations.
Dr. Smiley says the buttock skin is supported by vertical septae, which look like small threads attached to the muscle and bone. They also serve as a compartment for fat globules.
However, the vertical septae can lost their strength and elasticity, which can lead to cellulites and sagging, when too much fat has been injected into the buttock—particularly the lower half aspect. To prevent these complications, he avoids over-injection of fat near the gluteal fold (the crease between the butt cheek and the posterior thigh).
Too much volume and weight on the lower half of the butt cheek, just like in the case of Kim, is the most common cause of poor shape and dimpling, says Dr. Smiley.
The celebrity plastic surgeon has also surmised that Kim’s poor results might also stem from liposuction of the posterior thigh, which has further weakened the “foundation” of the buttocks and thus contributed to the sagging appearance.
Dr. Smiley says he generally avoids liposuction of the posterior thigh due to risk of saggy buttocks and surface irregularities.
Nevertheless, liposuction remains an integral part of Brazilian buttock lift because it allows surgeons to collect “unwanted” fats from two or more donor sites; the fats are later re-injected into the buttocks.
Dr. Smiley says he almost always treats the lower back and flanks as a viable donor site of fats because contouring these “adjacent” areas further improve the profile and shape of the buttocks, and so there is no need to perform over-aggressive fat injection in an attempt to achieve great projection.
He believes that having a deep understanding of the buttock anatomy can prevent most, if not all, Brazilian buttock lift risks.