The hourglass excisional buttock lift is a procedure that essentially cuts the excess skin in your
buttock and lifts the buttock prior to an augmentation. If you have lost a lot of weight and have a lot of saggy skin with poor skin tone, this procedure will be the first step in achieving an hourglass shape. This information will provide you what to expect after the surgery. How the procedure is performed. What are the instructions required before and after surgery among other things among others.
The Brazilian butt lift is a procedure to augment the buttocks. Even though the description is
refer as a lift. This procedure does not lift your buttocks as much, particularly in patient with a saggy butt. If you have lost a lot of weight, then the buttocks skin needs to be remove to provide the foundation for a buttock augmentation with fat and or implants. The hourglass butt excisional procedure will be the first surgery for you. Then once the buttock skin is removed the gluteus can be augmented in later stage for beautiful results.
The best candidates for this procedure are patients who have lost a lot of weight, who have a
saggy butt for other reasons, and/or their buttock has sagged because of aging and gravity. This procedure is not a buttock augmentation. This procedure is a natural lift of the buttock. If you want a buttock augmentation and you have saggy skin, it will not be possible to perform a buttock augmentation without cutting the excess skin because injecting fat into a saggy buttock will result in you having a large saggy buttock. If you are considering a buttock augmentation, but you have excessive skin, this will be the first step and the first procedure necessary to achieve the body that you want. For this procedure, you have to be healthy with no medical issues and if you have medical issues like high blood pressure and diabetes, this needs to be controlled before surgery.
During your consultation with Dr. Cortes, he will assess the type, shape, amount of skin, and
skin tone of your buttock. He will also determine if in fact you will need to have an excisional buttock lift versus doing an hourglass butt implant or an hourglass buttock augmentation. He will assess the areas that will require liposuction if any. For the most part, the patient that have lost a lot of weight do not have enough fat and they have mainly excess skin, nevertheless if there are some areas of stubborn fat, sometimes he will do the liposuction. He prefers not doing liposuction during this procedure. If the patient wants to have a buttock augmentation, this fat will be used in the subsequent surgery to shape your buttock and give you an hourglass shape.
Although this procedure is safe, there is always the uncertainty and risks and complications that
can occur. For this procedure, complications that can occur includes bleeding, infection, blood clots, pain, thick scars, and prolonged swelling. Any risk factor that will increase your complication rate will be discussed during the consultation like medical health issues or smoking. If you smoke, you will need to quit smoking 2 weeks before surgery and 2 weeks after surgery. There will be a preoperative visit where the risks and complications will be discussed with you page by page.
Dr. Cortes performs his surgery at the Houston Northwest Medical Center. He performs the surgery under general anesthetic because of the dissection and amount of skin that needs to be remove performing a surgery under local anesthetic is not going to be an option.
The surgery typically takes about 2-1/2-to-3 hours. First you will be lying on your chest and Dr.
Cortes will use his premarked areas to cut the excess skin of your buttock. The dissection is performed in such a way that the skin is detached from the muscle. Once Dr. Cortes has reached the lower part of the buttocks, the skin will be pulled and excess skin will be removed. Dr.Cortes preserves the skin and removes the epithelium to use the skin and anchor it to the lower part of you back. This will essentially provide you with a long-term result by fixing the new buttock to the right anatomical place. Any fat in the upper part of the buttock will be excised in order to create a nicer takeoff of the buttock. If not, it will look like a hump on the lower back.
After your surgery, you will be going home. You cannot sit for about 2 weeks due to the fact that if you put pressure on the incisions, they will open creating issues. Also, if you sit too early, the sutures on the inside will pop losing the support and the suspension of the buttock allowing early sagginess and recurrence of the saggy buttock. You need to take about 2 weeks off work. You will be able to exercise in about 3 to 4 weeks. You will have 2 drains, one in each buttock.These drains help with the fluid collection and swelling in that area and they will be removed 7 days after surgery. You will be able to sit for a few minutes to do your necessities but during most of the time, you need to lie on your chest..
Stitches will be removed in 14 days. Swelling will take 3 to 4 weeks to resolve. Your scar is going to take up to a year to mature. Dr. Cortes will provide instruction on what to expect, medications, recovery instructions among other things.
You will notice right away that your buttock is going to be tighter and a lot of the skin that you
used to have is not going to be there anymore. This procedure is not going to give you fullness or projection. It is mainly to cut the excess skin. In the event that you want to have a buttock augmentation, this will be done in a second stage surgery.
The scar for the excisional buttock augmentation surgery is going to be long. Dr. Cortes always
explains that the excisional buttock lift is like a tummy tuck for the buttock. You will have a long scar on the lower part of your back in order to be able to lift your buttock to the right anatomical place.
The procedure is not a buttock augmentation and certainly most patients that have saggy butts do not have a lot of projection, so your buttock will be the same or slightly flatter after the surgery. Remember this procedure is not an augmentation. Its main goal is not to increase the volume of the buttock rather than to excise the excess skin.