The success of Brazilian buttock lift surgery largely depends on how meticulous the surgeon is during physical exam and consultation. The goal is to identify the patient’s pre-existing anatomy and ascertain her aesthetic needs, says leading Beverly Hills plastic surgeon Dr. Tarick Smiley.
In Dr. Smiley’s recent Snapchat video post, he demonstrated a patient with noticeable asymmetry between her left and right hips, poorly projecting buttocks, and excess fat along her flanks and lower back that further “concealed” her derriere.
Prior to surgery the left hip appears flatter compared with the right hip. Furthermore, the patient has pre-existing surface irregularities, which must be addressed at the same time as the surgery.
Dr. Smiley says it is critical to identify any pre-existing asymmetry prior to surgery to customize the procedure and achieve the most balanced results possible. For instance, the patient’s left hip was significantly flatter in comparison to the right side. Furthermore, her oblique and profile view showed that the buttocks were almost at the same level as the lower back.
Prior to surgery, the patient’s buttocks are flat that they are about the same level as the lower back.
During physical exam, Dr. Smiley also assessed the patient’s skin quality, particularly its elasticity and shrinkage, an anatomical aspect that would help him determine how much fat volume the buttocks could carry without resulting in sagging appearance or other surgical stigmata.
The pre-existing skin elasticity would also determine how much fat volume that could be harvested from the donor sites without predisposing the patient from surface irregularities and other telltale signs of liposuction.
“The skin of the liposuction or donor sites should be able to retract or shrink nicely. This is possible when the surgeon is able to assess the patient’s skin shrinkage,” says Dr. Smiley.
For the vast majority of patients, Dr. Smiley says the lower back and flanks “carry a large amount of excess fat, which makes them a great donor site,” adding that contouring them creates a more feminine “S” curve and a smoother transition between the back and upper buttocks.
Aside from the lower back and flanks, the celebrity plastic surgeon also collected fat from the patient’s “bra rolls” and tummy, areas that often carry excess fatty tissue as well.
Dr. Smiley allocated about one-third of the fat volume into the outer-lateral side of the buttocks, since the patient requested for curvier hips, while the rest was injected to improve the buttock’s profile.
Male breast reduction photos can shed light on the artistic and technical skills of a surgeon. Nonetheless, you should also take into account the “before” pictures, which show the patients’ starting anatomies that will always have an effect on the final results. Hence, overweight patients do not achieve the same results as men with good physique.
Sample photos depicting great results from male breast reduction.
Leading Los Angeles plastic surgeon Dr. Tarick Smiley has recently posted a series of videos on Snapchat demonstrating a patient with gynecomastia, a condition in which his overdeveloped male breasts were caused by excess fat and glandular tissue.
Unlike fat that can be taken out with liposuction cannula, which is a hollowed steel probe attached to a vacuum pump, the glandular or breast tissue is noted for its highly fibrous nature. Thus, the patient required a concomitant excision procedure.
Microcannula is used to remove the breast fat. The tiny round incision is placed precisely at the border of the areola for optimal scar concealment.
Dr. Smiley started the surgery with liposuction that involved a small puncture wound placed at the lower border of the areola. Since the breast fat is highly fibrous, meaning it has more connective tissue and thus harder to suction out, he used a microcannula instead of a large or standard cannula.
Microcannulae have a narrower steel body (2.2 mm or less) compared to the standard cannulae and so they remove smaller bits of fat. While this could mean slightly longer surgery, it promotes more precise fat removal, leading to smoother results.
The glandular tissue is very tough that liposuction cannula cannot suction it out. Hence, excision is warranted.
However, even a microcannula could not remove the patient’s extra glandular tissue that was mainly located behind the nipple area. Hence, Dr. Smiley created a curved incision right at the border of the lower areola in order to excise a huge chunk of tissue.
To prevent nipple collapse, surface irregularities, and other telltale signs of bad plastic surgery, Dr. Smiley ensured that enough soft tissue remained after surgery.
Meanwhile, he also performed liposuction along the patient’s axilla (armpit), particularly the lateral aspect of the torso so it would not detract from the flatter, more athletic male chest.
Because all the incisions were small and were placed in inconspicuous areas—i.e., border of the areola and armpit—the patient can expect invisible scar after 6-18 months.
Brazilian buttock lift reshapes the buttocks with the use of fat grafting or injection. The patient undergoes liposuction to remove unwanted fats from the abdomen, back, etc., which are then processed and re-implanted into the “backside.”
During surgery, leading Beverly Hills plastic surgeon Dr. Tarick Smiley says the hips, or the laterally projecting region of the buttocks, must also receive some fat volume to complement the increased projection or profile of the backside.
Notice the curvier hips of the “after” photo, leading to siginificant improvement of the patient’s waist to hip ratio.
Essentially, the surgery improves body shape by changing the volume or fat distribution. According to studies, a waist to hip ratio of 0.7, or at least near this proportion, is the most attractive female figure due its strong correlation with fertility and health.
Dr. Smiley has recently posted a series of videos on Snaphcat to demonstrate one female patient with a markedly poor WHR due to her thick waist, flat buttocks, and narrow hips.
The patient had no curves on her hips; its width was almost the same as her flanks. Furthermore, she had thick waist and “back rolls” caused by excess superficial fat beneath the skin (this is different from the deeper visceral fat linked to obesity).
In most cases, Brazilian buttock lift allocates most of the fat to improve the projection of the buttocks. But for this particular patient, Dr. Smiley said he injected more volume into the hips to achieve a more hourglass effect.
Laser light guides Dr. Smiley during liposuction.
To further highlight the curves of the hips and the projection of the buttocks, Dr. Smiley treated the flanks and lower back as a donor or liposuction site. He also removed fats from the anterior abdomen to further ensure more proportionate and smoother results.
During liposuction of the flanks and back, Dr. Smiley used a laser light that helped him distinguish the “root” or “start” of the buttocks and thus avoid the area. The device also allowed him to deliver more symmetric results during fat injection.
Almost all cultures and ethnicities seem to agree on what constitute an attractive looking derriere: Most of the prominence is found between the mid and upper buttock, while the hip width adheres to the 0.7 “beauty ratio.”
Mommy makeover surgery is any combination of body contouring surgeries performed simultaneously to improve the post-pregnancy body of patients. Common combination procedures include tummy tuck with liposuction of flanks, tummy tuck with some type of breast enhancement, and breast lift with implants.
The results of body contouring surgeries are near permanent, provided that the patient manages her weight through regular exercise and superb diet. It is important to note that fad diets and pills almost always don’t work long term and so weight management should be a lifelong commitment, says leading Beverly Hills plastic surgeon Dr. Tarick Smiley.
After muscle repair, precise skin removal, and liposuction along the flanks, this patient is ecstatic with the results.
To shed light on the issue, Dr. Smiley has recently posted several mommy makeover surgery pictures on his Snapchat.
One patient received tummy tuck to remove the redundant skin between her mid and lower abdomen. To further achieve a flatter contour, the underlying muscle between the sternum and below the navel was tightened with the use of internal permanent sutures known for their additional strength (compared with absorbable sutures).
To further achieve a more feminine silhouette—i.e., cinching effect on her waistline—she also received liposuction along her flanks. Dr. Smiley started off the surgery with this procedure so he could tighten and pull more skin during tummy tuck.
When looked closely, the “after” photo (taken six months postop) reveals some muscle definition, which contributes to the more athletic but still feminine appearance of the abdomen. Furthermore, the new navel looks smaller and more proportionate compared with the “before” photos.
Tummy tuck and breast lift give this patient a more feminine and more youthful physique.
The second sample of mommy makeover surgery pictures shows a patient who had tummy tuck and breast lift performed simultaneously. Due to her underlying anatomy—there is a great distance between the lowest rib and hip—Dr. Smiley was able to significantly “reshape the sides” or flanks, leading to the hourglass appearance of her body.
And as seen from the “after” photos, tummy tuck has given her a flatter tummy, a significant improvement from her previous barrel-shaped torso.
To further complement the cinching effect of tummy tuck, she also had a breast lift in which her actual breast tissue, not just the skin alone, was elevated and reshaped with the use of internal sutures. Aside from the perkier appearance, Dr. Smiley has also created better cleavage and additional upper pole fullness of the breast.
Major tummy tuck surgery entails not just the removal of apron-like abdominal skin. To achieve more proportionate and natural-looking results, it typically combines other surgical maneuvers including liposuction (fat reduction), muscle repair, navel repair, and pubis lift.
Dr. Tarick Smiley, a celebrity Beverly Hills plastic surgeon, has recently posted a series of videos on Snapchat to demonstrate one case of major tummy tuck in which the female patient has large redundant skin following massive weight loss.
While the standard tummy tuck uses a hip-to-hip incision pattern, the patient has required an extended version, meaning the scar slightly extends into the side. Nonetheless, Dr. Smiley has made every effort to place it “beneath” the bikini area (i.e., very low) for its optimal concealment.
But prior to the removal of excess skin, Dr. Smiley had performed liposuction of the flanks in which the unwanted fat was removed with a cannula (straw-like device attached to a vacuum pump). This additional step would allow the patient to achieve a more slender, curvier side.
In the past, tummy tuck and liposuction performed at the same time was greatly discouraged due to the perceived higher risk of complications. However, recent clinical studies and surveys have shown otherwise. Provided that liposuction is not too aggressive (i.e., only a small amount of fat is removed) and it does not involve the area above the navel, the combo procedure is reasonably safe.
Meanwhile, large volume liposuction or extensive liposuction involving the area above the belly button is ideally performed 3-6 months after tummy tuck to allow the body, particularly its blood supply, to recover from the surgical trauma.
Going back to the topic of major tummy tuck’s components, it is also critical to reshape the belly button, which might become distorted or enlarged following massive weight loss or pregnancy. In the video, Dr. Smiley is seen creating an incision around the inner rim of the navel to improve its appearance and to look more proportionate with the slimmer waistline.
To further create more proportionate results, the patient received pubis lift (the area is susceptible to sagging after massive weight loss). The idea is to encourage a smooth transition between the mons pubis and the lower abdomen.