Butt lift surgery (should not to be confused with Brazilian butt lift, which in essence is buttock augmentation via fat transfer) is typically performed in massive weight loss patients who often complain about the redundant skin.
Most buttock lift risks can be avoided or at least reduced with proper patient selection. The goal is to reserve this elective surgery only to people who have achieved their optimal health and weight.
Lab screening and lengthy consultation between the surgeon and his patient will help determine if the latter is healthy enough to handle surgery, according to the California Surgical Institute website.
Patient cooperation is another key factor to minimize butt lift risks. For instance, infection, increased bleeding, and poor healing are closely linked to smoking, aspirin and other drugs and supplements with blood thinning properties, and obesity—risk factors that can be eliminated by the patients’ themselves.
A good rule of thumb is to discontinue smoking and aspirin products at least three weeks before and after surgery.
Wound healing problem is one of the main issues during recovery. It is important to note that the incisions—whether made within the junction of the butt cheek and posterior thigh, or near the waistline if the surgery is combined with a lower body lift—are under a great deal of stress due to movement while walking, sitting, etc.
To reduce risk of wound healing problems, great surgeons know the importance of proper suturing techniques in which there is no or very little tension on the skin. For this reason, layers of sutures in which the deep tissue receives most of the tension are critical to promote good healing and scarring.
Nonetheless, patients should also do their part in reducing healing problems by avoiding over-exertion for a minimum of three weeks postop. For this reason, individuals whose work requires heavy lifting or any type of rigorous activity are advised to take a longer time off than people with desk job.
Unacceptable scarring (i.e., keloids or thick scars) is another risk, although this can be avoided with meticulous wound closure, wound care, and proactive scar treatments like silicone tapes and gel and sunscreen. Nonetheless, genetics remains one of the strongest predictors of how well a person will scar.
Rhinoplasty dissatisfaction usually stems from poor aesthetic results, breathing problems, unexpected changes during the initial healing stage, and unrealistic expectations of the patient that even a seemingly successful result (from the cosmetic point of view) fails to make him happy.
Rhinoplasty, or more commonly referred to as nose job, is a surgery by millimeters as it entails high levels of precision. According to medical literature, its revision rate is 5-15 percent, which is higher compared to other plastic surgery procedures.
Nonetheless, there are several ways to avoid or at least minimize the chances of being dissatisfied with the results. Leading Beverly Hills plastic surgeon Dr. Tarick Smiley says it all starts with careful patient selection and thus lengthy consultation and good rapport are always a prerequisite.
According to a study published by Plastic and Reconstructive Surgery journal, about a third of patients seeking rhinoplasty had symptoms of body dysmorphic disorder (BDD) that impede with their daily functions or make it difficult to maintain social relationships due to their minor or imaginary flaws.
The study involved 266 patients seeking rhinoplasty, with about 80 percent of them had not had a previous nose surgery.
Dr. Smiley says that BDD patients are less likely to be happy with the results of rhinoplasty despite acceptable levels of improvements, and should they be happy with the outcome, there is an increased chance that they will move on to another minor or imaginary flaw.
For this reason, the celebrity plastic surgeon only reserves the procedure in patients who have realistic goals and expectations and do no exhibit any psychological or behavioral issue.
To further minimize risk of rhinoplasty dissatisfaction, the patient should reach his optimal health prior to surgery. It is important to note that healing will play a critical part in the final appearance; hence, it is important to avoid smoking, herbal supplements whose effects are still widely unknown, and aspirin and other products with blood thinning properties well in advance of the surgery.
Medical condition that interferes with healing must also be controlled through lifestyle change and/or medications.
Good patient-doctor communication is also a key to achieve satisfying results from rhinoplasty. The patient must be able to explain in details his cosmetic goals, which the surgery can realistically accomplish. Simply put, both parties should be on the same page.
Despite factors influencing the success rate of rhinoplasty, studies have suggested that the surgeon’s skills and experience will have the most effect. For this reason, a prudent patient should only consult with a board-certified plastic surgeon who performs nose surgeries (cosmetic and reconstructive in nature) on a regular basis.
Controlling the amount of plastic surgery bleeding is one of the most critical steps to reduce risk of complications. Aside from the surgeon’s skills and techniques, patient cooperation will also play a crucial role in preventing increased bleeding.
Reducing plastic surgery bleeding is particularly critical in mommy makeover surgeries, body lift after weight loss, and other combo procedures that typically take more than four hours to complete.
Most patients are instructed to avoid or at least cut down on blood thinners for 2-3 weeks prior to surgery. Products with blood thinning properties include aspirin, ibuprofen (and other non-steroidal anti-inflammatory drugs), and anticoagulants (Warfarin). Certain herbal supplements and vitamins such as ginkgo biloba, ginseng, green tea, kava kava, garlic, and vitamin E (in high dose) also have similar effects.
Because the effects of many herbal supplements and remedies are still unknown, discontinuing them at least two weeks before surgery and about a week afterward remains the best course of action.
Smoking can also result in poor healing and increased risk of infection and skin necrosis; hence, all tobacco products are discontinued for a minimum of three weeks prior to surgery.
When doing tummy tuck and mommy makeover surgery, Orange County plastic surgery expert Dr. Tarick Smiley injects epinephrine drug into the surgical site before making incisions. This constricts the blood vessels and so the amount of bleeding is drastically reduced.
To further control the amount of plastic surgery bleeding, the celebrity surgeon uses electrocautery device, which cuts and seals off small blood vessels. This technique not only reduces the amount of bleeding, but also ensures that postop bruising is minimal.
The “before and after” surgery instructions are almost the same: The patient must avoid products with blood thinning properties for 1-2 weeks postop or at least until most of the bruising and swelling have subsided.
Furthermore, the patient must avoid heavy lifting, too much stress (that’s why working part time or telecommuting is preferable in the meantime), and rigorous activities for three to six weeks, depending on the type and extent of surgery.
It is important to note that rushing one’s recovery not just increases the risk of bleeding, but also leads to persistent swelling and bruising, which of course will result in protracted healing.
However, light exercise such as walking (as long as the activity will not result in increased blood pressure and heart rate) is important during the initial healing stage to promote healing. Prolonged bed rest or immobility, meanwhile, must be avoided because of the increased risk of deep vein thrombosis (blood clots), pulmonary embolism, and persistent swelling.
Reducing tummy tuck bleeding at the time of surgery is one of the most critical steps to minimize risk of complications and promote quicker recovery, as suggested by leading Los Angeles plastic surgery expert Dr. Tarick Smiley.
In his recent Snapchat post, the celebrity plastic surgeon is seen injecting epinephrine before making a hip-to-hip curved incision, which is the standard tummy tuck technique.
(Note: This curved incision is positioned very low that the resulting scar is easily hidden by the patient’s underwear. Furthermore, it is almost always expected to fade significantly and blend in with the skin after about a year.)
By injecting epinephrine, Dr. Smiley can significantly reduce the amount of bleeding, as this drug works by constricting the blood vessels. Aside from tummy tuck, this medication is also helpful in reducing surgical trauma and blood loss during liposuction surgery.
Once the epinephrine takes effect, the surgeon creates a small circular or diamond shaped incision around the navel so it becomes separated from the surrounding skin, but still remains attached to the muscle. Then, he creates a hip-to-hip incision that will allow him to remove the excess skin and tighten the abdominal muscle.
When separating the skin and fat from the muscle, Dr. Smiley uses an electric cautery, which can further reduce bleeding by sealing off the blood vessels. The “separation” is performed up to the breastbone, allowing him to suture and tighten the pair of loose muscle.
Aside from epinephrine injection and meticulous tissue dissection, Dr. Smiley says certain preparations are also critical in reducing bleeding. For instance, in his practice he instructs his patients to avoid aspirin or any other medications that inhibit clotting and healing 2-3 weeks prior to tummy tuck.
Some herbal supplements, vitamins, and homeopathic remedies can also increase bleeding; hence, the patient must notify her doctor if she uses any of these.
Furthermore, patients with hypertension must control this condition through lifestyle change (e.g., weight loss, more exercise, healthier diet, etc.) or medications well in advance of the surgery to prevent bleeding and poor healing, warns Dr. Smiley.
Most buttock implants complications can be avoided or at least minimized its incidence with proper implant selection, good patient-doctor rapport, and 100 percent patient cooperation.
Experts at the California Surgical Institute explain the basic guidelines on reducing buttock implants complications and ultimately achieve near permanent results.
- Patient selection process
Buttock augmentation, as with any elective surgery, is only reserved for healthy, near normal weight patients. Meanwhile, individuals with serious medical conditions are considered as poor candidates until these are treated or at least controlled through lifestyle change, diet, weight loss, and/or medications.
- Soft tissue evaluation and butt measurement
Careful evaluation of the soft tissue coverage and buttock dimension allows the surgeon to determine the “best” butt implant size in terms of reducing the risk of shifting or malposition, fluid formation, poor healing, and palpability.
In general, butt implants over 400 cubic centimeters can stretch the skin to a great extent and possibly lead to other problems such as palpability (due to fat atrophy or shrinkage), malposition, and wound healing.
- Implant placement deeper into the tissue
Placing the implants within or beneath the gluteal muscle, as opposed to above this anatomical layer—with only the tissue, skin, and small amount of fat covering them—is the most critical step in reducing the risk of migration and palpability.
The “intramuscular” implant placement is also known to lower the risk of infection and fluid formation (seroma) because the muscle acts as a protective barrier between the implant and the incision site should wound healing problem occur.
Any time a synthetic device is introduced into the body, scar capsule always forms around it. For this reason, it is important to give the scar tissue ample time to stabilize before returning to physically demanding activities and prolonged direct sitting.
A good rule of thumb is to limit sitting and physical activities for one month so the scar capsule or pocket heals without any “interruption.”
Simply put, minimizing buttock implants complications also requires the patient’s full commitment especially during the initial healing stage.
Modern techniques have made liposuction infection risks very low. In standard approach, doctors inject tumescent fluids—which contain lidocaine known for its antibacterial and numbing effect—into the fatty area prior to fat extraction.
The aforementioned technique, which is referred to as tumescent liposuction, has become the gold standard in Beverly Hills plastic surgery, says celebrity body contouring expert Dr. Tarick Smiley.
Aside from utilizing tumescent technique, Dr. Smiley further reduces liposuction infection risks by adhering to strict guidelines and principles which he explained below:
- Proper sterilization of the surgical equipment
Dr. Smiley only performs surgeries in accredited surgical facilities and hospitals, which adhere to the strictest patient safety guidelines. To further minimize risk of infection and other complications, he ensures that the liposuction cannulas (flexible tubes used to remove the excess fat) are properly sterilized along with other equipment.
- Controlling surgical trauma
Studies have found a strong link between high surgical trauma (which in turn leads to more seroma and hematoma) and increased risk of infection. For this reason, a good surgeon will make every effort to control the amount of trauma such as using microcannulas and avoiding large volume fat collection (more than 5 liters of fluids in a single day).
Excessive superficial liposuction—i.e., removing too much fat beneath the skin—is also best avoided because of the increased risk of infection and poor cosmetic results manifested by skin irregularities.
- Compression garments and other modalities that minimize swelling
The goal of compression garments is to prevent seroma and hematoma (collection of fluids and clotted blood beneath the skin), which in turn precludes infection. It is believed that these fluids “attract” opportunistic infections.
Meanwhile, some doctors feel that lymphatic drainage massage, which is purported to control swelling and prevent seroma, could also minimize the risk of infection.
The patient must shower daily as part of the postop wound care. Furthermore, the incisions must no be submerged in water (e.g., public pools and bathtubs) until these are clinically healed (about 2-3 weeks after surgery).
It is also important to avoid sun exposure for at least six months because it prevents healing and may even lead to dark marks or hyperpigmentation of scars.