San Francisco Plastic Surgery Dr James Romano

126 Post Street, Suite 618, San Francisco, CA 94108 | 415.981.3911 

San Francisco Plastic Surgeon

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Buttock Fat Grafting

THE TYPICAL PATIENT

  • Desire for a more youthful, enlarged, rounded, lifted and tighter buttock.
  • Designed to improve features of flattening, small size, unevenness, sagging or deflation.
  • Extremes of loose skin or no shape or no fat may make the operation more difficult.
  • Also related to outer thigh and posterior thigh sagging which may also be improved.

CANDIDATES FOR SURGERY

  • You must have some fat and muscle already present in your buttock to serve as a foundation for the grafted fat to be placed into and to grow into.
  • You must have enough fat in different areas of your body to serve as the source for the graft.
  • If you have some but not enough fat, you may need to gain weight prior to surgery.
  • You should not have had liposuction previously in the areas we want to take fat graft source from.
  • Microfat grafting is much more difficult if you have had previous buttock implants.

SUCCESS FACTORS FOR MICROFAT GRAFTING OF THE BUTTOCKS

  • You will need enough source fat from other parts of your body for this to work.
  • Your fat cells need to be healthy before and after they are removed from and grafted into your body.
  • The fat cells transplanted will need to have a new blood supply grow into them to survive.
  • You will need very good blood supply at the site of the transplanted cells.
  • Be aware not all fat cells will survive but the ones that do should survive forever.
  • About 25% of the fat harvested is available for fat grafting and about 80% of this survives.

THE PROCEDURE

  • Anesthesia is a very light general and the procedure takes at least 3 hours.
  • A minimum of at least two areas that can be liposuctioned as a source of fat are needed.
  • The incisions are the same used for liposuction and are only _" in length.
  • The procedure involves first careful and gentle liposuction, preparation of the fat, then micrografting the fat into the buttock.
  • You will be turned side to side then face down for the surgery.
  • No drains are used.
  • Dressings and a light compression garment are used for several days.

This can be combined with other plastic surgical procedures.

THE RECOVERY

  • You can go home after several hours or can stay overnight.
  • You can shower on the third or fourth day after surgery after the garments are changed.
  • There is only minimal pain that is mostly gone by the day 2-3, and easily controlled by medications.
  • Swelling is mild to moderate and peaks 2-3 days then disappears rapidly over the next three weeks.
  • Minimal or no bruising is the usual.
  • Some grogginess is present which persists for about a week.
  • You can resume many activities within the first week, and most by at least three weeks.
  • The stitches are either totally dissolvable or the type to be removed at three days.
  • Expect to be off of work for only three to seven days.

THE RESULT

  • Beautiful, balanced and proportioned contour.
  • Larger, tighter, rounder, raised buttock.
  • More confident and comfortable in clothing, especially form fitting pants.
  • Lasts the rest of your life and always looks better than if you didn’t do it.
  • Natural and presentable appearance in the first week that just gets better over the next three to six months.

For before and after images of this procedure click here

 

Please call or contact the office for any further information or to schedule an appointment.

Copyright 2007 James J. Romano, M.D., 126 Post Street, Suite 618, San Francisco, CA 94108, 415 . 981 . 3911
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