Buttock Augmentation Options

Body fat transfer is not the only way to augment the buttocks. It does remain the most popular among patients and surgeons, but there are occasions when Dr. B may recommend another approach.

As previously mentioned, removing fat and injecting it into the butt is the most popular way to get a larger and shapelier booty. Though, old techniques did cause some controversy and safety concerns. Since then, the protocol for performing BBL surgery in Long Island has made the procedure much safer. Fat grafting has also become a popular technique for enhancing other areas as well.

Before the advent of the Brazilian butt lift, butt implants were the only way to augment the buttocks. Unlike breast implants, these are firm, solid silicone implants. While rarely performed anymore because a BBL provides better results, in some patients who do not have enough fat for liposuction, Dr. B sometimes still places butt implants. Placement of butt implants involves larger scars and has higher infection rates, but when performed by an experienced surgeon and on a patient who is a good candidate, it can provide good results.

A non-surgical Brazilian butt lift uses injections of the dermal filler, Sculptra, to add volume to the buttocks. Sculptra also stimulates collagen production which can help add longer term volume. This procedure provides only temporary results. Patients need to have realistic expectations going into a non-surgical buttock augmentation. The results also tend to be subtler than fat transfer or implants.

5 Ways DrBFixin Makes BBLs Safer

A common concern among patients surrounds the safety of BBL surgery and specifically the risk of a fat embolism. The biggest risk of a Brazilian butt lift is a fat embolism which is where fat gets into the bloodstream and blocks it. While this condition is rare and not often serious, it has the potential to be harmful when related to a BBL.

Dr. Blyer understands his patient’s concerns and the contrasting fact that any cosmetic surgery (or surgery in general) does carry some inherent risk. To address these concerns he created a five-step educational protocol that makes BBL surgery in Long Island safer.

#1: Use A Blunt, Wide Cannula to inject

A cannula is used to both remove and transfer the fat during a BBL Long Island. When transferring the fat, Dr. B uses a blunt, thick, and large cannula. The bluntness prevents the cannula from entering a blood vessel and moves it out of the way. Additionally, the larger the cannula, the less chance there is of it penetrating small structures like blood vessels or violating the muscle which can create a fat embolism. A thicker cannula is less likely to bend in the butt and end up in a dangerous zone.

#2: Inject Parallel To Operating Table

Positioning the cannula parallel to the operating table keeps the cannula and transferred fat within the right plane. The layers it is safe to inject into are above the muscle, but below the skin. Too superficially placed under the skin and it may look lumpy and unnatural. Placed within the muscle, it can cause a fat embolism. Thus, keeping the cannula straight and parallel prevents it from moving up or down into areas where it should not be. For the safest and best result it needs to be injected in the deep fat.

#3: Patient and incision positioning

Depending on the shape of the butt and the goals for a final result the incision placement and relative position of the table must be adjusted accordingly. Not every patient gets the same approach. Everyone has a different anatomy and a different image of perfection. One must be mindful of the best angulation of cannula placement to get a safe and amazing result.

#4: Static Bolus Injection

When injecting into the deep fat layer the spread of fat along that layer is even and safe. Injecting fat while actively moving the cannula can lead to unintended fat distribution, potentially causing serious complications. Dr Blyer has been sharing this technique through teaching and lectures since 2019

#5: Avoid Injecting Too Deep With The Use Of Ultrasound

It is safe to add fat to the subcutaneous fat layer, but, as previously mentioned, it needs to stay within this plane. Experienced BBL surgeons should be able to tell the difference in how fat and muscle feel with the cannula, but it is still difficult without being able to physically see the fat and muscle layers. To provide safer BBLs, Dr. B and his practice were among the first in the United States to implement the use of ultrasound during BBL surgery. He has the only WAGS certified teaching center in the northeast training plastic/cosmetic surgeons how to inject a BBL safely with an ultrasound.

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