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Hourglass butt augmentation

Hourglass butt augmentation procedure is a high volume fat transfer to the buttock and hips, Dr.
Cortes’s feature technique. The hourglass buttock augmentation is a procedure developed by Dr. Cortes. The 2 objectives of this procedure are to increase the size of the buttock by performing liposuction to harvest the fat from the abdomen flanks, low back, upper back, thigh, and injecting this fat into the buttocks. The second objective is to provide a better hip to waist ratio for an hourglass shape. If you are considering an hourglass butt augmentation with Dr. Cortes, this description will provide you with the basic understanding of the procedure, how the procedure is performed, what to expect after surgery, basic recovery information, and most commonly and frequently asked questions. At the end of reading this information, you will realize that this
procedure is more than a buttock augmentation is for a total body transformation.

The difference between the Brazilian butt lift and hourglass butt augmentation

The Brazilian butt lift is a procedure that is commonly referred when we talk about fat transfer to
the buttocks. This procedure is mainly to improve the projection of your buttocks. With the hourglass butt augmentation Dr. Cortes not only increase the projection of your buttocks but also the shape of your buttocks. Changing the shape of your buttocks is the most challenging part of the procedure since there are many different types of buttocks. Anybody can increase the size of your buttocks from the side profile but not everybody can change the shape into an hourglass shape from the back profile. This is were artistry and experience plays a role. In addition with the hourglass butt augmentation Dr. Cortes will inject fat in the hips. This is an additional
anatomical area that is address with this procedure for the hourglass shape from the front view and back view.

Who is the best candidate for an hourglass butt augmentation?

The best candidates for this procedure are patients with excess fat in certain areas like the back,
abdomen, flank sides, thighs, etc. For references, ideally if you were a size 11 to 12 in dresses you are best suited for the hourglass butt augmentation. If you are thin and wear a dress size from 2 to 4, you will not be a good candidate for this procedure simply because there is not enough fat to be used. Do not get discouraged if you are a thin patient and want to have fat transfer to the buttocks since there are other options. For these particular patients, Dr. Cortes recommends the patient to gain from 10 to 20 pounds before the procedure. Otherwise, if this is not possible, a buttock implant is another option. In addition, you must have realistic expectations about what this procedure can do for you. Not only do you need to have the necessary fat to be transferred, but other factors like your skin tone will ultimately determine the results in skin retraction after your liposuction as well as the projection that you might get. Your age is not a major consideration; however, the older you are, the more elastic is your skin and you may not achieve the same results has a young patient with tighter skin.

Overall, you must be completely healthy. If you have diabetes, high blood pressure, or any medical issues, this will need to be controlled before surgery. Sometimes, Dr. Cortes will request a surgical clearance by your primary care doctor for those health issues that require particular attention.

Your consultation

We encourage our patients to connect through YouTube at DrWilbertoCorteslive channel. We have a lot of different educational videos that will help you understand the surgery.

During the consultation he will explain the areas that are suitable for fat harvesting as well the areas that require fat transfer to provide you with an hourglass shape.

He will review with you, if you smoke or if you take any medication, vitamins, or drugs that can affect the postoperative care and increases the chances of bleeding and heart problems. He will also discuss your expectations and how realistic you are about the results. One of Dr. Cortes’s main qualities is that he will be very frank with you while describing alternatives, risks, and limitations.

During your consultation the most important factors that will be discussed is that of the projection that you desire. Projection is determined by many factors and not only the amount of fat that you will have will result in a bigger behind, but other things to be considered is your current buttock shape before surgery, your hip bone, your muscle structure, the amount of projection prior to surgery. With this procedure, everybody can get a better shape and projection, but not everybody can get an extremely large buttock.

Surgical risk

Liposuction in general is normally safe. As long as the patients are carefully selected, the surgeon has a good understanding of the anatomy of the body and the procedure is performed in an accurate facility with the necessary equipment.

Dr. Cortes uses advanced surgical techniques to perform procedures that remove the large amount of fat that is required for this procedure. For this particular reason, you will be staying overnight at the hospital for monitoring.

However, it is important to keep in mind that even with the best equipment and the best training of the surgeon can improve your chances of having good results, there is no guarantee. Complications do occur, although rarely. The risk of liposuction increases with the amount of fat that is removed as well as the number of areas that are treated at the same time during the procedure.

Postoperative complications include the following:

  • Infection.
  • Blood clots.
  • Skin loss or burns.
  • Unsightly scars.
  • Fat embolism.
  • Bleeding and fluid collections.
  • Liposuction deformities.
  • Discoloration of the skin.
  • Prolonged pain.
  • Swelling.

This is a reason why if you are smoker or you have uncontrolled high blood pressure or diabetes can increase significantly the risk of complications and delayed healing. If you are a smoker, Dr. Cortes advises to stop 2 weeks before the surgery.

During your preoperative visit, we will provide you with specific instruction on how to get prepared for surgery including what to eat, when to have sex, when to return to work, which medication and herbals you need to avoid.

This is very important that after surgery when you are discharged from the hospital be sure to arrange for someone to drive you home after the procedure and if necessary to help you for a day or two.

Location, where your surgery will be performed and type if anesthesia

Dr. Cortes performs the hourglass buttock augmentation at Houston Northwest Medical Center Outpatient Center. You will need to stay overnight for monitoring. To perform this procedure and remove the fat that is required to sculpt the body it is necessary to perform the surgery under general anesthetic. You cannot be awake because you are not going to be able to tolerate the surgery due to pain and discomfort. In addition, because of the amount of fat that is removed, the amount of local anesthetic required will be toxic to your body if local anesthesia is being used. For this reason, Dr. Cortes performs all his buttock augmentations under general anesthesia. Dr. Cortes only uses board-certified anesthesiologist with his assistance, the certified nurse anesthetist for all his surgeries.

The Surgery

Typically, the time that is required to perform the hourglass butt augmentation is about 4 hours.
This can range from 3 to 4 hours depending on the size of the patient, the areas that require liposuction, and the amount of fat being removed among other factors. Dr. Cortes starts his procedure while you lie on your back and perform liposuction in your abdomen, flank sides, and thighs. Once he finishes performing liposuction on these anatomical areas, you will be placed on your chest and liposuction is then performed in the upper and lower back, and sides. Liposuction is performed through small incisions and a cannula of about 5 mm is inserted. The cannula is connected to a vacuum machine. The cannula moves back and forth and the fat is broken into small fat globules and are suctioned. Dr. Cortes uses the power-assisted liposuction technology on the very low settings to protect the fat during suctioning. You cannot have a fat transfer procedure using the Vaser liposuction, ultrasonic liposuction, or laser liposuction techniques because these techniques will kill the fat increasing your complication and you will have bad results.

What to Expect After Your Surgery

After your surgery, you will be staying at Houston Northwest Medical Center where we are going to give you IV antibiotics and control your pain with IV medication. We will encourage you to walk around immediately after surgery since this is going to diminish the risk of having blood clots. In general, your pain will feel like soreness, like you have been exercising for a long time and we will prescribe medications to control your pain. You will be discharged within 24 hours from the hospital. Dr. Cortes will see you in about 3 to 5 days after the surgery. Your stitches will be removed in 7 to 10 days. The full recovery to see the final results will be in about 6 to 9 months. It is important for you not to sit at all for 2 weeks. After 2 weeks, you will be using a special cushion for 2-1/2 months while you are sitting. If you sit too early after surgery, it will cause pressure necrosis meaning the fat will die and you will have suboptimal results.

Getting Back to Normal

The recovery of the hourglass butt augmentation is a slow process. Dr. Cortes will ask you to
move around in the first 5 to 7 days to reduce swelling and help prevent blood clots from forming in your legs. It will take about 10 to 14 days before you can go back to work. You will need to wear girdles for about 3 to 6 month. This is the most important part for your postoperative recovery since it diminishes the swelling. You will need to be patient. Swelling will take a while to resolve and there is no magic pill to get the swelling improved within 48 hours. You will be able to sit for a short period of time to do any of your body necessities.
Nevertheless, you will need to lie on your stomach doing your leisure time and for sleeping for about 14 days. After this, we will give you a specialized cushion to relief any pressure from your buttock area..

Your abdomen, leg, face, back, flanks, and arms will be swollen, bruised, tender, numb, and hard. All the symptoms will resolve over a time. You will notice that the swelling will decrease the most in the first month after surgery. You will see that your body has changed tremendously right after surgery, but you will not see the final results for about 6 to 9 months.

Dr. Cortes will give you instruction for medications, follow-up, showering precautious, drain care as well as what to expect after surgery. His staff will communicate with you with e-mail, phone, and text to monitor your progress.

The New You

The hourglass butt augmentation will give you an amazing result with a new curvy and sexy figure. In most cases the results are longstanding. Unless you lose a lot of fat by losing weight or you do not follow the postoperative instruction and sit too early after surgery.

Most frequently asked questions.

Can I look like Kim Kardashian after surgery?

One of the most difficult parts of this procedure is that the expectations of the patients are very, very high. The patient wants to look like their favorite celebrity. Although this is possible in certain patients it is not the norm for most patients. When it comes to this procedure your result will be determined by your anatomy. You need to understand that your body is different than other human beings. It is not realistic for a plastic surgeon to be able to transform your body exactly the same as somebody else. Nevertheless, this procedure will make you look better. It will be a better you. In other words, you will be a sexier you. The factors that determine how
you are going to look after surgery include your bony anatomy, your skin tone, your excess skin, your projection before surgery, the amount of fat that you have, how tight your buttock is, attachment between the muscles and the skin among others.

Dr. Cortes’ goal during the surgery is not to make you look like your favorite ideal on how you think you should look. His main goal is for you to have an hourglass shape and a bigger behind. The hourglass butt augmentation will give you this.

How many cc’s of fat can be injected in the buttock?

The amount of cc’s that can be injected into the buttock will depend on your buttock anatomy.This is something that neither, the patient or the surgeon can actually know for certain. If you want a bigger behind the only thing that Dr. Cortes can tell you is that he will make your buttock as big as your buttock allows it. Think about it. The skin of the buttock is elastic. When you start injecting fat into the buttock the skin will stretch to a critical limit. After this the skin does not stretch anymore. It is not that Dr. Cortes can indefinitely inject fat in the buttock. This will increase your complications including fat necrosis, nerve compression, and unsatisfactory outcome. Nevertheless Dr. Cortes typically injects between 800 cc’s to 1200 cc’s of fat into each
buttock and about 200 cc’s to 400 cc’s of fat into each hip.

Is the hourglass buttock augmentation a total body liposuction?

These are the main areas where the fat is removed.

  • Abdomen
  • Back
  • Flanks
  • Sides
  • Thighs

In essence it is not a total body liposuction.

How does my belly will look after the procedure?

You need to understand that the hourglass butt augmentation is a buttock procedure. It is not an abdomen procedure. It is not a thigh procedure. It is not an upper or lower back procedure. 90% of patients that underwent this procedure will have excess skin in their abdomen and other areas secondary to pregnancy or weight gain. Because in this procedure liposuction is used to harvest the fat and used to increase the buttock size any area that you have excess skin will have excess skin after the surgery. The procedure will give you an hourglass shape and a better behind, but if you have additional areas with excessive skin you will need additional procedures
to enhance these areas to the level of your satisfaction. Remember the liposuction cannula is not a magic wand. In other words, if you have excess skin the liposuction cannula will not make the skin tight after surgery. The patients that have good skin tone, they have not had babies, they have no stretch mark will have a very tight abdomen due to the nature of your skin anatomy.

Are results permanent?

Dr. Cortes is an expert in buttock augmentation and his results are permanent. Nevertheless you are going to lose 20% to 30% of your volume due to swelling and some of the fat that does not survive. In addition, if you lose weight your buttock gets smaller, if you gain weight, your buttock gets bigger. The fat is alive and it will respond to the same hormones and stress of the body as well as your metabolism. This is the reason why is important not to sit for about 2 weeks after surgery to avoid unnecessary pressure on the buttock that will result in unsatisfactory result.

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