Butt Procedures

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.

There is a predictable natural history of the evolution of the breast. With pregnancy, nursing,
time, force of gravity, gaining weight, or losing weight, the breast will eventually sag. This is a result of various factors including a loss in skin elasticity as well as damage to the internal suspension ligaments of the breast. A breast lift is a procedure to raise and reshape saggy breasts. There are different ways of lifting the breast. If you have lost a lot of volume, it might be necessary to combine a lift with a breast augmentation. If you have saggy breasts but enough breast volume, then just a breast lift might be sufficient to provide you with a nice result and the volume an size of breast that you might want. The information in this section is mainly related to the Wonder Breast Lift. This is a lift without implants, a technique developed by Dr. Cortes. In this description, we will provide you with information related to the surgery, where the surgery is going to be located, type of anesthesia, and what to expect after the procedure among others. Since there are many factors involved in deciding the best procedure for your breasts, it is important to have a consultation with Dr. Cortes, so he can provide you with the best option to enhance your breast to your satisfaction.

The difference between the wonder breast lift and traditional breast lift

Throughout the history of plastic surgery, there are many techniques that have been developed to
lift the breast. These techniques vary in the way the scar is located, how the nipple is transferred among other things. One of the main problems with any breast lift technique is that not only the breast needs to be lifted, but also the breast shape needs to be changed in such a way that will result in beautiful breasts. In addition, traditional techniques of breast lifts do not give you long-term results. In other words, the breasts are lifted and because the skin is used as the main venue to support the breast, with time the skin will stretch, your breast will bottom out, and even though the relationship between the nipple and the areola with the breast mount is where it is supposed to be, you will lose upper pole fullness. Meaning the fullness on the top of the breast will be lost. The Wonder Breast Lift is a technique developed by Dr. Cortes. This technique is approached very differently than the traditional breast lift. Dr. Cortes sees a breast lift not only as an aesthetic procedure, but also as a breast reconstruction. If we look at the anatomy of a saggy breast, all the major structures of the breast are weak. This is the reason the breast sags. Your skin is thinned and has lost elasticity and tone. Your breast tissue has been replaced by fat tissue and also the ligaments of the breast have been stretched, losing support, allowing the breast to descend. The Wonder Breast Lift will give you not only a lifted breast but also will provide you a long term result as well as a breast shape with an breast implant like look but without an implant. It is an amazing technique that solves many of the issues of all the breast lift techniques.

Dr. Cortes not only reconstructs the ligaments of the breast but also uses the pectoralis major muscle, which is the muscle of the chest to support the breast and the redistribution of the breast tissue for a result that you will be happy with.

Who is the best candidate for a wonder breast lift procedure?

The best candidates for the wonder breast lift are patients with saggy breasts and enough breast
tissue to reshape the breast and provide some fullness to the top of the breast. If you have had massive weight loss and your main issue is excess skin and you have absolutely minimal breast tissue, this technique will not be for you. In addition, you need to be healthy, emotionally stable, and have realistic expectations.

Your consultation

We encourage our patients to watch our videos on YouTube channel Drwilbertocorteslive these
educational videos will provide you with additional information about the procedures that you are interested.

During your consultation with Dr. Cortes, he will examine your breast and measure the distance between the nipple and the lower part of the fold as well as the distance between your sternum and the nipple. These measurements will determine not only the length of your scar but also the different maneuvers that he needs to do to transpose the nipple in a successful position. The longer these measurements are the more extensive the surgery will be. He will also record the difference between the breasts including nipple size, areola size, and breast volume. All women have breasts of different size and shape. Your breasts are not perfect before surgery and
certainly they will not be perfect after surgery. Dr. Cortes always describes the breasts as very close sisters but not twins; you have to be realistic because perfection will not be provided by any breast surgery or any surgery. Nevertheless your breasts will be very symmetric after surgery. During the consultation, he will review your health; make sure you do not have any medical issues that need to be addressed prior to surgery including high blood pressure, diabetes, etc. He will also assess your skin tone and amount of breast tissue. He will discuss with you the probable size of the breast after surgery.

He will also describe the location of the scar as well as setting the expectations and understanding the shape that you want.

If you have any medical issues these will need to be addressed prior to surgery. Sometime Dr. Cortes will request medical clearance prior to the surgery and make sure that it is going to be safe.

Surgical risk

The Wonder Breast Lift is a technically challenging procedure that is very safe, but any surgery
carries some uncertainty and risk. Some of the risks can include:

  • Infection
  • Loss of nipple sensation
  • bleeding
  • wide scars,
  • poor healing with unsatisfactory scars,
  • blood clots,

Cosmetic surgery is safe however any surgery carries uncertainty and risks.

During your preoperative visit, we will provide you with specific consents for the breast lift and we will discuss any concern that you might have regarding complications and things that can occur during surgery. In addition we will discuss specific instructions about your procedure to minimized complications.

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

Dr. Cortes performs his surgeries at the Houston Northwest Medical Center over at 1960 and 45.
The surgery takes about 3 to 4 hours to perform. Occasionally, you will need to stay after surgery if multiple procedures are scheduled like the hourglass mummy makeover or with the hourglass buttock augmentation or buttock implant. If you are admitted to the hospital, you will stay for 1 day assuming there are no issues. Dr. Cortes performs all his surgeries under general anesthesia. This surgery is a very extensive surgery that will provide you long term results and it will be virtually impossible to do it on the local anesthetic in a very safe manner. Local anesthesia will not be an option and you can’t be awake during surgery. It will extremely uncomfortable to have this surgery under local anesthetics.

The Surgery

The Wonder Breast Lift takes about 3 to 4 hours to do. One of the main differences with this
technique is that Dr. Cortes does not do the inverted T-shaped scar that everybody else does. He believes this scar is a horrible scar that extends all the way to the midline and if you decided to use a sexy bathing suit or you want to show some cleavage, the horizontal scar might be visible. For this reason, he performs a vertical breast lift with a short horizontal limb that goes towards the side not towards the midline. During the day of surgery, Dr. Cortes will mark your skin with double opposing triangles, these markings will help transpose your nipple areola complex as well as isolating the lower part of your breasts that have sagged with its own blood supply to transfer and provide you upper pole fullness. He will use the pectoralis major muscle as a sling to support the lower inferior tissue that will be transferred as well as he will suspend the nipple areola that is being transposed with sutures and ligaments that will prevent the tissue from rotating anteriorly and preventing what is called bottoming out of the tissue with loss of the upper pole fullness of your breast. He will determine during surgery the amount of excess skin that is to be removed and instead of cutting this excess skin, he uses the skin as ligaments to support the breast and provide you a nice shape. Once he determines the amount of excess skin
that needs to be removed to fit your new breast, he will close the incisions and provide you with a nice round breast that looks like you have breast implant without implant for an amazing result.

What to Expect After Your Surgery

After your surgery, Dr. Cortes will assess your nipple areola for any signs of issues including
lack of blood supply and/or areas that will need to be followed closely to avoid any wound healing issues. You will be extremely bruised and swollen. Your breast many times tends to look very high after the surgery and a little bit flat at the bottom part, but all this will settle with time. You will wear a surgical bra for support. You will need to use these constantly for 2 to 3 months. Your skin will be dry and bruised after surgery. You can start using lotions and moisturizers to help improve your skin. You can expect some change in your nipple sensation, most patients still have some sensations after surgery, and some patients have more sensation
after surgery. Your stitches will be removed in 7 to 10 days, bandages will be removed the day after the first visit.

Getting Back to Normal

You need to be very patient; healing takes weeks to months. You will notice your breast changing shape, getting better by the day. We will provide you with detailed instructions on when to shower, what to eat, things that you should be doing.

After the surgery your breast will feel tight and you will need to time to adjust to your new lifted breast. As time progresses your breast will continue to evolve to an implant like look without an implant. You will be able to exercise in about 3-4 weeks by doing light cardio. You will be able to lift weight in about 4-6 weeks. The process of a breast lift takes 4 – 6 months to settle.

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

After the surgery, you will look like you have breast implant without breast implant. You need
to understand that anytime there is a breast lift, you will have scars particularly if you have a lot of sagginess prior to surgery. These scars are permanent. The scars mature with time, they are red initially, and then they fade away. The Wonder Breast Lift will give you a long term result. Nevertheless, it is not an antigravity procedure and with time and ageing most likely your breast will sag again. There is no question that the Wonder Breast Lift is the best breast lift technique for aesthetically beautiful results.

Most frequently asked questions.
Can I lose sensation of my nipples?

With any breast surgery there is the risk of having loss of sensation. With saggy breasts some patient already have abnormal sensation of your nipples and areolas. Yes you can have decrease sensation of the nipples but many times it comes back.

Will my breast sag again?

The wonder breast lift was developed for the purpose of providing you a better and long-standing results. The procedure does not stop the effect of gravity and also aging. The older you get and with time your breast will eventually drop again. This is the beauty of the wonder breast lift were the breasts will hold a nice shape better that other tehniques.

need help?

There are many ways to connect with Dr. Cortes’s office

Hi there! Click one of our representatives below and we will get back to you as soon as possible.