Posts Tagged ‘fat injections to the buttocks’

How Much Fat Will Survive After A Brazilian Butt Lift?

Monday, December 5th, 2011

Q:  Dr. Eppley, I have a very flat butt and have been researching buttock augmentation with fat transfer. (aka the Brazilian Butt Lift) I have a good amount of fat to take from my stomach area so I think I am a good candidate for the procedure. I know that not all fat survives after it is injected, so how does one compensate for that problem? What are realistic expectations for how much fat will survive? How does one know how much fat to transfer in a buttock augmentation surgery? How much fat can I expect to retain with my new butt and will it be permanent?

A: While fat grafting is very popular and can be highly successful, it is far from an exact science.  There are so many unknown variables in doing it that no one can predict with any accuracy how much fat will or will not survive afterwards. Every patient and their fat is somewhat different leading to a wide variety of results. What we do know about fat grafting is that it is very safe and many people have more than enough to donate. What I have observed about fat injections into the  buttocks (aka Brazilian Butt Lift) is that it often will produce less of an effect than many patients want. This is because of the combination of unrealistic buttock size expectations for some and the variable retention of the injected fat. As a general rule, I inject as much fat as possible (between 300 to 500cc per buttock) and judge the final outcome at three month after surgery. There is never a fear that the result will be too big. The real question is whether it will be big enough.

Dr. Barry Eppley

Indianapolis, Indiana

Can Fat Injections To My Buttocks Be Done If There Is Silicone Oil In My Buttocks From Prior Injections?

Wednesday, March 16th, 2011

Q:  I would like to know if Dr. Eppley has any experience in removing free silicone oil from the butt? I had silicone injections in my butt and would like it removed and replaced with my own fat.

A: Once silicone oil is injected into any tissue it can not be removed, from a practical standpoint, from the recipient site. The oil is dispersed throughout the tissues in many islands or droplets (really pools of oil) so it is not just one large collection which can be evacuated. It is not like an implant where it is in just one location as a congealed or formed mass. During buttock lifts I have run across injected silicone oil several times and it just runs out as you hit every subcutaneous pocket that it is in. The only way the silicone oil can be removed would be to completely cut off one’s entire buttocks. Therefore, it is best left alone.

The good news is that the silicone oil is not in the deep muscle but in the fat or subcutaneous tissues under the skin. Buttock fat injections can still be placed with the silicone oil in place as they are placed deeper into the gluteal muscle and deeper fat. I am not aware that the presence of silicone oil causes any problems with doing fat injections to the buttocks or necessarily causes greater problems because it is there.

Dr. Barry Eppley

Indianapolis Indiana

Body by Home Depot

Friday, March 12th, 2010

Just when you think you have heard it all, a new and bizarre tale of cosmetic surgery rears its head. If I didn’t know any better, this story may well have happened in China or the back streets of a remote Siberian city.

From the Garden state of New Jersey in Essex County, a group of female patients (six to be exact) ended up in hospitals after undergoing buttock enhancement. Apparently, they received buttocks enhancement injections containing caulking material. The same material that is used to caulk windows and bathtubs was injected to make their glutes larger. Different from medical-grade silicone, the substance used in these Mengele-like botched procedures was believed to be a diluted version of a nonmedical-grade silicone. Traditional buttock enlargement procedures are done with either a medical-grade solid silicone implant or with fat injections.

Apparently administered by unlicensed providers, the women were admitted to hospitals following  the injections after developing raging infections. They were treated with surgery and antibiotics and appear to be recovering (although, you can be certain their buttocks will never be the same).

While many may wonder why anyone would want their buttocks enlarged (since many women would actually want them reduced), this is a popular request amongst certain ethic groups where a fuller and rounder buttocks is more appealing. Some have called this the Jennifer Lopez effect.

While these cases are certainly a tragedy, the looming question is how could this happen? In a country with the finest and most advanced medical technology in the world, how does someone come to the fate of having their butt caulked?

While injectable aesthetic treatments, such as Botox, collagen and fat, have been a real advance in plastic surgery, there is a rare, dark side to the concept. Because injection therapy is not surgery, it is not regulated like traditional plastic surgery procedures. There is no oversight and many of these treatments take place in a wide variety of settings by ‘providers’ of all backgrounds.

Because of their apparent simplicity to administer, injectable treatments are often viewed as a commodity. As in, ‘what treatment can I get for the lowest price’? While searching for bargains is commendable in many retail situations, a faux watch or look-alike handbag does not carry the same risk as do faux injection materials.

While not common in this part of the U.S., black-market injectors do exist and their practitioners prey on the weakest and least educated consumer- those that often can least afford it. As crazy as the butt caulking incident sounds, there has been a recent history of dubious practitioners  providing cosmetic implants of nonmedical-grade materials. They function in a makeshift office for a short time, then get put out of business…only long enough for other shady providers to take their place.

Most of these incidents happen in large metropolitan cities with a high percentage of immigrant populations. In such an environment it is easy to hide, to be invisible to the authorities, and find plenty of victims before moving on. Smaller cities like Indianapolis are more difficult for unlicensed providers to remain anonymous as they are more quickly exposed, and appeal to a much smaller population.  

The conclusion is …Caveat emptor: Buyer beware.  If the costs of the procedure look too good to be true, there is probably a reason.

Dr. Barry Eppley