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.
Photo of a Brazilian buttock lift patient one week postop (she is wearing a compression garment). Dr. Smiley has created wider hips and fuller, rounder buttocks without compromising the underlying foundation of the butt cheek. Hence, the patient can expect great results that are not susceptible to gravity and aging.
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.
Kim Kardashian’s backside has visible dents and sagging, which could be a result from over-filling the lower half aspect of the butt cheek, and liposuction near the gluteal fold.
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.
There are lots of terminologies thrown around as regards to facelift surgeries—weekend lift, SMAS facelift, deep plane, skin-only lift, just to name a few—which add up to the confusion. For this reason, leading Los Angeles plastic surgeon Dr. Tarick Smiley says prudent patients should ask their doctors about the specific details of their surgery.
Dr. Smiley says he prefers the SMAS facelift technique due to its long-lasting, natural rejuvenating effects. It involves tightening the layer called superficial muscular aponeurotic system, which extends from the neck to the temple area.
The SMAS layer lies beneath the facial fat and skin and so tightening it means the deeper structure receives most of the tension, which in turn promotes good scarring as the skin receives very little of the “opposing” pull.
Meanwhile, older techniques (skin only lifts) can be problematic in terms of scar appearance and longevity. Because most of the tension is placed onto the skin, scar widening and overly tight appearance (done or fake look) are the usual results.
Furthermore, the skin is susceptible to the effects of gravity and continuous aging; hence, the celebrity plastic surgeon stays away from the procedure due to its unstable, usually short-lived results.
Dr. Smiley regularly posts educational videos on his Snapchat account to demonstrate the impressive results of SMAS facelift.
One patient was particularly impressed with her results that she allowed Dr. Smiley to showcase her outcome on social media.
The 60-year-old female patient had come to Dr. Smiley because of her sagging mid face, sunken lower lid, significant jowling, laugh lines (medically referred to as nasolabial folds), and neck bands. To address these problems, the celebrity surgeon performed SMAS facelift and neck lift.
He placed the incision “inside” the hairline (around the temple area), which extended behind the tragus (small bump in front of the ear) and then curved behind the ear for optimal scar concealment.
With SMAS facelift, Dr. Smiley was able to restore the softness over the cheekbone and reposition the sagging cheek fat pad, which in turn eliminated the laugh lines. Moreover, the technique allowed him to tighten the jawline and thus erase the appearance of jowling, and to improve the neck as well.
The SMAS facelift typically entails 3-3.5 hours of operative time and a social recovery (all the outward signs of surgery are gone) of two weeks. Nonetheless, all is worth it as it can erase up to 20 years off from one face, with the results expected to last 12-15 years.
Facelift for cheek enhancement must address these following problems: hollowness below the cheekbone, sagging of the mid face, and laugh lines (nasolabial folds).
It is important to note that the cheeks can easily reveal a poorly executed facelift. With incorrect direction of pull or excessive tension, the patient can end up with flat cheeks, overly tight mid face, and/or skin pleating behind the ears where the wound is closed with sutures.
To avoid these aforementioned problems, renowned Inland Empire plastic surgery expert Dr. Tarick Smiley explains the critical components of facelift for cheek improvement:
- Going beyond skin pulling and tightening
Dr. Smiley warns that relying too much on skin pulling and tightening can lead to flatness below the cheeks that can appear immediately after surgery or years down the road. For a more stable and natural-looking result, he highlights the importance of “deeper” tissue reposition, which is only possible when the underlying structure beneath the skin (fat, tissue, and muscle) is tightened and reshaped as well.
Dr. Smiley prefers deep plane SMAS technique in which the fat, connective tissue, and muscle are all being lifted to achieve natural and long-lasting results.
The SMAS technique has also been known to prevent flatness of the cheek, sunken mid face, and other surgical stigmata, he further explains.
- Volumizers in the form of fat transfer
Fat and tissue reposition alone has no or very little effect on patients with gaunt appearance due to advancing age or inherited feature. For this reason, Dr. Smiley often incorporates fat transfer in his facelift surgeries for a more natural, three-dimensional rejuvenating effect.
Fat transfer not just corrects the hollowness below the cheekbone; it can also create a smooth transition between the lower lid and cheek, and soften the laugh lines.
Drastic breast reduction surgery is performed not solely for aesthetic reasons, but to improve the patient’s quality of life, said leading Beverly Hills plastic surgeon Dr. Tarick Smiley.
Dr. Smiley has recently demonstrated drastic breast reduction surgery on his Snapchat account. The female patient shown in the video complained about the chronic back pain, postural problem, and shoulder discomfort due to the extra weight of her large, pendulous breasts.
The left photo shows the result of drastic breast reduction surgery.
In the video, Dr. Smiley has explained the challenges of drastic breast reduction, particularly relating to increased bleeding and loss of nipple sensation. However, the risks can be avoided or at least minimized with meticulous dissection and deep understanding of the breast anatomy, he added.
Dr. Smiley said that large, pendulous breasts have longer blood supply originating from the muscle and therefore there is an increased risk of excessive bleeding and nipple areola loss.
“Nipple areola loss occurs when its skin literally dies,” he said, adding that one way to avoid this complication is to perform free nipple graft in which it is removed entirely from its stalk (main blood supply) and later grafted back into its place after eliminating some of the breast tissue and skin to reduce the “cup size.”
The right breast looks significantly smaller and perkier versus the “untreated” left side.
But even the free nipple graft has its own caveat, Dr. Smiley has warned.
“We try to avoid the free nipple graft because it typically causes loss of sensation in the areola. Hence, we only decide if this is warranted during the operation and I will try to avoid it as much as possible,” he said.
During the operation, Dr. Smiley decided not to perform the free nipple graft; hence the areolar complex has remained attached to its stalk or main blood supply. Nonetheless, he was able to lift the drooping nipple by 20 cm from its previous location.
He also reduced the areola so it will look proportionate to the new, smaller breast size.
Meanwhile, Dr. Smiley has ensured that the scar goes precisely around the areola’s border and parallel to the breast fold for optimal scar concealment.
And while the vertical scar between the nipple area and the breast fold is in a more obvious location, Dr. Smiley said it is expected to fade into the background after 6-12 months.
Brazilian booty lift, also referred to as buttock augmentation via fat transfer, is one of the most commonly sought after procedures in Beverly Hills plastic surgery.
Instead of implants, patients can achieve fuller, shapelier backside with the use of their own fat, which is derived from two or more areas.
Leading Beverly Hills plastic surgeon Dr. Tarick Smiley has recently posted a Snapchat video explaining how Brazilian booty lift can achieve the “Kylie effect.”
Posterior View of the Patient. The left photo shows the results of Brazilian booty lift with a “Kylie effect” in mind.
Over the past several months, Dr. Smiley’s patients have been citing reality TV star Kylie Jenner’s voluptuous body to describe their cosmetic goal.
“Basically, the Kylie effect is achieved by creating a narrow and high waist and the fullness of the hips,” he explained in the Snapchat video.
One female patient had requested for this “effect,” although she is naturally thin (weighing just 115 lbs. at the time of surgery) and so Dr. Smiley used multiple donor fats/liposuction sites to collect enough fats to be injected into her buttocks.
Dr. Smiley used the inner thigh, flanks, lower back, and arms as donor sites. He performed liposuction via microcannula, a suction probe with a very narrow body to dislodge and suction the fats in the most accurate and gentlest manner.
The use of microcannula, Dr. Smiley said, is particularly critical when treating the inner thigh because the area is susceptible to surface irregularities and so he avoids the use of large cannulas, which remove fats in bigger chunks and thus with less precision.
Moreover, Dr. Smiley had focused on reshaping the lower back and flanks through meticulous liposuction in order to replicate the reality TV star’s sultry silhouette.
Afterwards, the collected fats were processed with the centrifuge to separate and discard impurities such as the oil and blood cells.
Dr. Smiley injected more fats into the hips to make them appear fuller and curvier.
The celebrity plastic surgeon said that achieving high level of symmetry on both sides is one of the challenges of Brazilian booty lift; hence, he always uses laser light to guide him during the actual injection of fat.