Large volume liposuction is almost a prerequisite for patients having a Brazilian buttock lift in which the basic principle is to collect and transfer unwanted fats to improve body proportions. Scientists and artists alike suggest that a waist-to-hip ratio of 0.70, or at least near this volume distribution, is the most ideal feminine physique.
Having a 0.70 WHR means that the waist circumference is 70 percent o the hips measurement.
Recently, leading Beverly Hills plastic surgeon Dr. Tarick Smiley has shown large volume liposuction before and after photos on his Snapchat account. Fat transfer to the buttocks and hips was immediately performed thereafter.
The patient shown in the photos had liposuction to her abdomen, flanks, lower back, “bra rolls,” and axilla (around the armpit).
In regard to cosmetic goals, African-American patients tend to ask for curvier results and so they typically require large volume liposuction. Caucasians, meanwhile, often prefer subtler improvements—i.e., they are focused more on improving the shape of their buttocks, with minimal to moderate amount of augmentation.
Despite strong predilection to certain beauty goals due to cultural influence, Dr. Smiley says it remains imperative to identify the specific goals of patients through an honest and comprehensive consultation with them.
“It is inimical to assume that everyone has a standardized beauty ideals. Hence, I always ask my patients about their specific goals. After all, elective surgeries are here to elicit a smile from them, says Dr. Smiley on his previous Snapchat post.
As seen in the recent videos, Dr. Smiley injected tumescent fluids into the fatty area to help expand the fat cells, paving way for their gentler and more precise extraction. The solution also contains epinephrine, a drug known to reduce bleeding by up to 90 percent compared to the dry technique.
Dry liposuction is an antiquated technique in which no wetting solution is infiltrated into the fatty area.
Meanwhile, epinephrine works by constricting the blood vessels, which in turn provides another auspicious consequence: It prolongs the numbing effects of local anesthesia, thus allowing the patients to avoid or at least take less pain relief in the first few days post-op.
Thanks to large volume liposuction, Dr. Smiley was able to inject more than 1,000 cc of purified fat into each butt cheek to meet the patient’s desire for additional augmentation. Furthermore, he injected about one-third of the fat volume into the hips, which is basically the outer-lateral aspect of the buttocks, to deliver a more feminine physique.