Brazilian butt lift for older women can still deliver great results provided that the patients possess the “ideal” starting anatomy. For instance, the right candidates possess good skin tone and their weight is within the normal BMI range, says leading Inland Empire plastic surgery expert Dr. Tarick Smiley.
Contrary to popular belief, the patient’s chronological age plays no role in her candidacy for most body contouring surgeries. Doctors consider more pertinent factors such as physical fitness, weight, skin quality, and condition of connective tissue and other soft tissues during patient selection process.
Nonetheless, it remains important to recognize the anatomical traits commonly found in older patients (55 years and above). For instance, the outer skin layer thins with aging, while its blood vessels become more fragile, which leads to more bruising and bleeding beneath the skin following surgery.
Also, certain health conditions are linked to advanced aging, although with healthy lifestyle these can be avoided or at least controlled. Hence, older patients may require more extensive lab screening to ensure that they can handle the surgery and its ensuing recovery.
Because there is a perceived increased risk of bleeding and bruising, older patients are suitable for the tumescent liposuction, which is the preferred technique of Dr. Smiley. This involves infusing the fatty area with tumescent fluids that contain epinephrine, a drug that constricts the blood vessels and thus reducing bleeding by up to 90 percent when compared to the dry technique (no wetting solution is injected into the liposuction site).
The fats collected during liposuction are then processed before these are injected back into the buttocks and hips.
Because older women typically have less skin elasticity and strength due to age-induced changes in its connective tissue, Dr. Smiley says over-injection of fat should be avoided to prevent sagging appearance and cellulites and other skin irregularities.
To further avoid the aforementioned side effects, Dr. Smiley says most of the fat volume should go to the mid and upper butt, while the lower half aspect should not receive too much weight or augmentation. This approach also ensures natural results as scientific studies and artworks throughout history have depicted attractive female buttocks having most of their prominence found in the upper half.
Meanwhile, the celebrity plastic surgeon says that about one-third of the purified fat should go to the hips, or the lateral aspect of the buttocks, in order to achieve a more hourglass figure.
Aside from the surgeon’s core competencies, several factors can also affect facelift results such as the patient’s diet, skin quality, sun exposure, weight fluctuations, and commitment to recovery and healthy lifestyle.
Dr. Tarick Smiley, a prominent Inland Empire plastic surgery “figure,” has recently posted videos on Snapchat to explain the impact of skin elasticity on the feasibility and long-term effects of facelift.
The patient achieves impressive facelift results due to Dr. Smiley’s core approach and her starting anatomy. She has a relatively good skin tone and a great bone structure.
“It is important that you take care of your skin by limiting sun exposure. When the skin has significant sun damage, facelift will have no or very little effect,” he says.
Furthermore, he advises his patients to avoid sun exposure or at least use sunscreen and protective clothing for one year following their facelift surgery to prevent hyperpigmentation in which the scars turn darker permanently.
Aside from photo aging of the skin caused by sun damage, Dr. Smiley explains the other factors affecting facelift results to help people realize that its long-term success would also depend on their level of commitment.
Aside from natural effects of aging, sagging skin and lax facial soft tissue also stem from massive weight loss. Hence, the patient’s chronological age does not determine her candidacy for facelift.
Meanwhile, the right candidate for facelift should be near her ideal weight (at least 25-30 percent of her ideal BMI) and must be fully committed to healthy lifestyle to prevent weight gain, which can affect if not completely reverse the results of surgery.
While postop instructions may differ from doctor to doctor, there are generally agreed upon guidelines such as avoiding over-exertion for at least three weeks; complete smoking cessation one month before and after surgery; use of sun protection for one year; and sticking to the advice of one’s surgeon without any modification.
When the patient rushes her recovery, she runs the risk of less than optimal results, poor scars, and wound healing problems.
All facelift patients are required to achieve their optimal health prior to surgery, which a superb diet plays a critical role. Moreover, consuming the right nutrients can aid in healing and prevent delayed recovery and less than optimal scar appearance.
While the surgeon’s skillset will have a large effect on facelift results, it is important to note that the patient’s underlying anatomy, particularly her facial structure, will also dictate the outcome. For instance, someone with a thinner face generally achieves more rejuvenating effects than someone who carries more weight in her cheeks and neck.
Again, poor lifestyle choices can have a detrimental impact on skin quality. This is particularly true for smokers who are prone to premature skin aging and thus the rejuvenating effects of facelift become limited.
Furthermore, the vast majority of facial plastic surgeons discourage or at least limit the types of procedures they perform on smokers—unless they are committed to complete smoking cessation for at least one month—because of the increased risk of skin necrosis, poor healing, bleeding problems, and serious surgical complications.
Male rhinoplasty for large nose is a highly customized procedure in which the patient must be able to describe his goals in the most exact detail. Furthermore, the surgeon must conduct a comprehensive physical exam to evaluate skin thickness, underlying structures of the nose (cartilaginous and bony framework), and even the entire face to achieve proportionate, natural-looking results.
Rhinoplasty, or in layman’s term nose-reshaping surgery or nose job, is one of the most technically challenging plastic surgery procedures that its success is determined by minute changes measured in millimeter. Hence, it requires deep understanding of the anatomy and respect of the patient’s ethnicity, gender, and facial and nasal anatomies.
Leading Inland Empire plastic surgery expert Dr. Tarick Smiley has recently posted a series of videos on Snapchat to demonstrate a male patient who required rhinoplasty for large nose.
Aside from having a hugely disproportionate nose (relative to his “small” face), Dr. Smiley said the patient also complained of the following cosmetic issues:
- dorsal hump or excessive fullness along the bridge of the nose
- hooked or drooping tip
- bulkiness of the tip
For this patient, Dr. Smiley performed the closed rhinoplasty, meaning all the incisions were made inside the nostrils, specifically within their inner lining. Aside from eliminating the risk of visible scar, the technique is also known to result in shorter “social” recovery because of the minimal postop bruising and swelling.
The incisions allowed Dr. Smiley to access the cartilaginous framework of the nose and to remove the piece of cartilage causing the dorsal bump along the bridge. But instead of discarding this tissue, he resized and reshaped it so it could be used to support the tip and refine its appearance at the same time.
With additional tip support, Dr. Smiley was also able to address the excessive bulkiness of the tip.
Afterwards, the celebrity plastic surgeon rasped or shaved down the bone (the upper one-third of the nose is made up of bony framework, while the lower two-thirds is made up of cartilage that is relatively flexible) to further reduce the fullness along the bridge. This was done with the use of a device closely resembling a nail file.
Because the patient has thick nasal skin, the amount of reduction must be on the conservative side. The idea is to allow the overlying skin to redrape beautifully around the new contour, as opposed to looking bulbous or amorphous, which could happen after an over-aggressive tissue resection.
The Brazilian butt lift or BBL results will primarily depend on the surgeon’s qualifications, which include his education, training, experience, and arguably the most critical variable: board certification.
Inland Empire plastic surgery expert Dr. Tarick Smiley says the general rule of thumb is to choose a surgeon who is a member of the American Board of Plastic Surgery, which is the only board certifying body recognized by health authorities.
Apart from the surgeon’s qualification, BBL results will also depend on his “tools” and surgical techniques, Dr. Smiley said in his recent Snapchat video.
The celebrity plastic surgeon has explained the tools that help him achieve smooth and proportionate BBL results.
One female patient had large lateral indentation on her buttocks. This “depression” is typically caused fascia or thread-like anatomy that is pulling the skin inward. Hence, her surgery required the use of a “fork.”
A surgical “fork” is a long slender tube whose tip has two prongs to “release” the skin tethering through a small round incision. Dr. Smiley said it is important not to “overdo the process” to prevent “herniation” and skin asymmetries.
- Liposuction microcannula (hollowed steel tube attached to a vacuum pump)
All BBL surgeries start with liposuction in which large amounts of unwanted fats are collected from two or more donor sites. Doctors may choose large or standard cannula, or microcannula during this process.
Microcannula removes smaller bits of fat; therefore the process of fat extraction (i.e., liposuction) becomes longer although at least they give surgeons greater precision compared to large cannulas.
Large cannulas (4-5 mm outside diameter), meanwhile, remove large masses of fat and so the perceived risk of skin asymmetries and other untoward side effects of over-correction is higher.
The use of microcannula is also ideal when treating the back area (bra rolls, flanks, and lower back), which is notorious for its fibrous fat.
The use of laser light allows Dr. Smiley to achieve the highest level of symmetry in terms of forward projection and overall shape of the buttocks.
While breast augmentation trends come and go, there are universal guidelines that help surgeons achieve natural-looking results and minimize risk of complications, particularly relating to aesthetic issues such as sagging or bottoming-out, and rippling.
Leading Inland Empire plastic surgery expert Dr. Tarick Smiley, who performs over a hundred breast augmentations every year, has provided basic explanations of the current breast augmentation trends.
Although many trends and new technologies have paved way for safer, longer-lasting implants, Dr. Smiley says the ideal choice still boils down to patient compatibility, meaning that one’s underlying anatomy and aesthetic goals must be in line with her implant type, design, and size.
- Breast implants that “acknowledge” and “respect” patient lifestyle
Patients who participate in sports and fitness programs generally seek breast augmentation to achieve a more balanced figure, instead of having a “cup size” that will be the focal point of their physique. For this reason, they choose the conservative route—i.e., breast implants not bigger than 350 cubic centimeter or cc.
While cc is not directly correlated to the final breast size (due to variables such as pre-existing tissue, chest shape, and other anatomy), patients with an active lifestyle typically ask for a full B or small C cup result, or simply want to restore the lost volume in their upper breast pole following pregnancy.
- Gummy bear breast implant
This is a marketing term used to describe fifth generation silicone implants. But instead of a “runny” silicone gel, it uses solid silicone whose molecules have stronger crosslinks and so it is highly cohesive just like a gummy bear candy.
The solid silicone will keep its form when cut in half and so the risk of rupture is markedly low, with one study suggesting it is only 2.6 percent within a nine-year period.
While fat injection is a growing trend in buttock augmentation surgery, it is rarely used as a primary method to reshape and increase the breast size. Unlike the butt area, the breast can only “take” a lower volume of fat.
Nonetheless, fat injection—which involves liposuction as a way to collect unwanted fat, and purification prior to re-injection to achieve a high survival rate—can serve as an additional soft tissue coverage to prevent or minimize risk of rippling and palpability.
- Postoperative breast massage
A 2016 survey conducted among active members of the American Society of Plastic Surgeons has shown that more than half of the 1,067 respondents recommended postoperative breast massage, which basically requires pushing the implants into the outermost corners of the pocket.
The idea is to retain the thinness and softness of the scar tissue sac encapsulating the implant, which in turn prevents capsular contracture and high riding implants.