Brazilian Butt Lift Los Angeles, CASilicone injection and biopolymer removal expertBodytite and Facetite expertLiposuction Revision and BBL revision expert
Dr. Hughes performs approximately FIVE HUNDRED (500) Brazilian butt lifts EVERY YEAR in the Los Angeles and Beverly Hills areas. The demand for these procedures is extraordinarily high, and Dr. Hughes sees patients from almost every state in the US, Canada, England, France, Scandinavia, the Middle East, China, India, the Philippines, Australia, and Africa. About 50% of Dr. Hughes’s patients come from out of state for his expert services.
SO WHAT MAKES DR. HUGHES SPECIAL?
1) RESULTS AND 2) PERSONAL ATTENTION
1) Dr. Hughes has been a natural bodybuilder for over 20 years, and, quite simply, he understands what works to build a magnificent physique.
2) You will NOT find a plastic surgeon more available to his patients through email or by phone. This applies not only to the preoperative period but also to the postoperative period as well. Many doctors or plastic surgeons are available before surgery, and many are great salesmen who can be very charming and can tell you exactly what you want to hear. Dr. Hughes will give you the facts and will be HONEST with you, even if it upsets the patient or causes the patient to go elsewhere.
Many patients, despite Dr. Hughes explaining what is necessary in the preoperative and postoperative period to achieve success, simply disregard or simply choose not to acknowledge Dr. Hughes’s thorough discussion of complications and instructions for postoperative care. The truth is that ANY surgical result can be sabotaged by a non-compliant patient and that same irresponsible patient is far more likely to complain about Dr. Hughes or write a negative review than are the 95% of patients who follow instructions and receive amazing outcomes.
Dr. Hughes really wants patients to get the best possible result by preserving his surgical result of the table. The key is to follow all of the postoperative instructions and stay in close contact with Dr. Hughes after surgery. Dr. Hughes answers all of his own emails (even on weekends and holidays) and the after hours urgent line rings to Dr. Hughes’s personal cell phone so there is ABSOLUTELY NO excuse that patients can have for reaching Dr. Hughes. There are no middle men or answering services. Just YOU, the patient, and Dr. Hughes, the doctor – THAT IS ALL.
What is the Brazilian Butt lift?
The Brazilian butt lift involves transferring your own fat from your abdomen, sides, back, arms, legs or other locations to your BUTTOCKS and/or HIPS.
The improvement in the buttocks is two fold. First, significant volume can be added to the buttocks, producing much larger, more projected buttocks. Second, the fat is expertly placed to produce very shapely, custom tailored buttocks. Even large defects in the buttocks or marked asymmetry can be remedied with this technique.
Dr. Hughes performs the buttock lift or buttock augmentation to create whatever shape or silhouette you desire. Dr. Hughes has adopted this technique for butt augmentation, but Dr. Hughes performs a great number butt augmentation surgeries by solid silicone implants (called buttock or gluteal implant surgeries). The procedure has an extremely low rate of complications in Dr. Hughes’s experience and a high patient satisfaction rate.
However, in patients who are thin and lack the required fat to produce a significant volumetric improvement with the Brazilian buttlift or BBL, Dr. Hughes offers buttock implant surgery with solid, silicone implants. The butt implant surgery produces a significant and long-lasting improvement and the result is predictable. The complication rate is low as well, but patients should understand that every surgery has complications and some are unavoidable. The buttock implant complications include bleeding, infection, extrusion or incision opening, poor healing, fluid collection, need for removal or replacement of implants, capsular contracture, visibility of the implants, and palpability of the implants. It is absolutely imperative that patients follow Dr. Hughes’s very strict postoperative regimen and nutritional recommendations to avoid as many of these complications as possible. The rate of complications in Dr. Hughes’s practice and need for reoperation after butt implant surgery is about 5%. Most of these complications are secondary to fluid collection or poor wound healing.
Returning to liposuction and the Brazilian buttlift or BBL, the operation is a straightforward outpatient procedure in which up to 5 liters is liposuctioned through only a few tiny incisions in discrete locations. The fat is purified in the operating room by gravity sedimentation and transferred to syringes. The fat is injected above the gluteus muscles and superficially under the skin into the fat and surrounding tissue of the buttocks. Dr. Hughes DOES NOT inject fat into the muscle to all but eliminate the risk for fat embolus and death (although this rate is most probably not zero). Precise placement of the fat is necessary to help reduce the risk for fat pooling and resulting fat necrosis and/or infection. Frequently, Dr. Hughes transfers 1200 cc to 2000 cc or more per buttock to give the most dramatic transformation possible. Dr. Hughes also performs fat transfers to the hips in excess of 400 cc per side. These significant results are sought by local patients in the Los Angeles and Beverly Hills areas to be sure, but Dr. Hughes has become one of the world’s most popular butt augmentation surgeons.
Brazilian Butt Lift
BEFORE & AFTER GALLERY
The Brazilian butt lift involves transferring your own fat from your abdomen, sides, back, arms, legs or other locations to your BUTTOCKS and/or HIPS.
Safety in The Brazilian Buttlift
For over 20 years, the Brazilian buttlift was taught to young surgeons as a method to improve the body contours and to augment hip and buttock projection by liposuctioning unwanted areas of fat and transferring that fat to the buttocks and hips. The transfer of fat to the muscle layer was preferred as the vascularity of the muscle was better and allowed for better fat graft viability or take. There is truth to this. However, there was a really unknown danger of performing the surgery in this way. The fat even though it was injected through blunt cannula it was somehow able to get into the venous system and cause fat emboli, which could lead to death.
Although doctors knew about fat emboli as a cause of death in the Brazilian buttlift and other procedures as well including liposuction and orthopedic procedures and this was certainly not considered malpractice or negligence, no one realized the extent to which these fat emboli were occurring. In 2017, a survey was taken of Board Certified Plastic Surgeons to ask about experience with the Brazilian buttlift and the rate of fat emboli. Although only a small percentage responded, there were over 130 fat emboli reported. This number indicated that this occurs about 1:1000 procedures. As a result, some recommendations were provided to improve the safety of this procedure.
Larger cannulae and more superficial injection into the fat and under the skin were recommended. Injecting into any portion of the muscle may cause the fat emboli to get into the venous system and result in emboli and death.
Dr. Hughes recognized the need to shift the paradigm in 2015 when he shifted to a totally subcutaneous or under the skin procedure, which you can see on his you tube videos. For almost 4 years and 1500 BBLs, Dr. Hughes has not had a single incidence of a fat embolus. These figures are much better statistically than average. Since 2015, there have been dozens of deaths in the US alone by extremely qualified board certified surgeons in Los Angeles, Beverly Hills, and across the country. In addition, though only time, numbers, and statistics will tell, this method may wholly eliminate the risk.
Dr. Hughes has still been able to transfer volumes of fat as high as 2000 cc or more per buttock, but this is never deeper than the skin level. Just in July of 2018, the global task force recommended performing the procedure in the subcutaneous level or NOT AT ALL.
Safety is always number one for patients, but there are admittedly times when science gets ahead of itself. Dr. Hughes recognized the problem with injecting fat into the muscle several years ago and altered his technique accordingly.
Dr. Hughes also performs many buttock implant surgeries for patients who are disinclined to have the Brazilian buttlift surgery or who want to have buttock implant surgery.
Who is A GOOD CANDIDATE for the Brazilian Butt lift?
Dr. Hughes has patients who range in weight from 98 to 110 lbs to over 200 lbs. There are very few patients who will not benefit tremendously from the Brazilian butt lift performed by Dr. Hughes.
Large Volume Transfers for Maximum Results
Dr. Hughes has performed many high volume outpatient liposuction (5 liters) cases and high volume fat transfers to the buttocks (over 2 liters). This allows for an improvement in buttock volume to the maximum extent possible.
Few plastic surgeons have performed as many of these large volume transfers as has Dr. Hughes. Dr. Hughes finds that fat augmentation with over 1 liter per buttock is not only safe, but the patients appreciate the dramatic change in butt appearance. About 50% to 75% of the fat survives as the literature has demonstrated. Thus, results are PERMANENT after the first few months.
Brazilian Butt lift Revisions
The two main reasons for revision after a Brazilian butt lift are too little liposuctioned or too little transferred. About 80% of Dr. Hughes’s patients have had a previous Brazilian butt lift. Thus, it is important from a financial standpoint, a safety standpoint, and a frustration standpoint to have the surgery performed well the first time.
Dr. Hughes specializes in difficult liposuction revision and Brazilian buttlift revision cases. Revision cases (cases in which the first surgeries were performed elsewhere by another surgeon or surgeons) require much more skill and awareness to improve upon those existing anatomies and underlying issues. Frequently, Dr. Hughes is tasked with improving dramatically the result of another surgeon who thought he or she did a good or reasonable procedure. Precision and expertise in these procedures is rare, and make no mistake that these procedures are much more difficult than primary or first liposuction and Brazilian buttlift procedures.
WHATEVER YOU WANT
Dr. Hughes encounters every kind of anatomy you could imagine. He sees short buttocks and long buttocks and skinny buttocks and wide buttocks. He sees buttocks that are muscular and buttocks that are flabby. He can improve anyone’s physique with this technique.
Dr. Hughes has adopted this technique for butt augmentation and prefers this method over butt augmentation by semisolid implants. The procedure has an extremely low rate of complications in Dr. Hughes’s experience and a high patient satisfaction rate.
The operation is a straightforward outpatient procedure in which up to 5 liters is suctioned through tiny incisions in discrete locations. All of the harvested fat is purified in the operating room and some or all of the fat transferred into the superficial fatty tissue above the gluteus muscles and the surrounding tissue of the buttocks and hips.
The procedure takes about 2 hours to perform in most cases. The operation is performed in our accredited outpatient surgery center under general anesthesia with a board certified anesthesiologist. Your safety is our number one priority. Patients return home from the operation the same day. Patients can usually return to work within 1 week.
The swelling and bruising reduce a great amount over the first two to three weeks. The patient is encouraged to wear the compression garment for the first six weeks to improve shape, increase the rate of healing, and decrease the rate of seroma formation (fluid collection formation).
RESULTS ARE PERMANENT
Dr. Hughes has performed more of these surgeries than almost anyone in the country. Therefore, he can tell you from watching thousands of patients throughout recovery, the result is permanent. The issue is that some of the fat does dissipate (up to 50%). Therefore, Dr. Hughes transfers about twice as much as is desired. The buttock tends to shrink during the first 4 weeks. After 4 weeks, the fat that is going to live has received a blood supply, and that fat that does not acquire blood supply is sequestered and excreted from the body. This process is governed by known scientific principles and data and is not something that can be disputed by vehement rhetoric.
Dr. Hughes is very familiar with surgeons who consistently articulate that the Brazilian buttlift is ineffective, as these surgeons only perform butt implants or these surgeons perform no buttock augmentation surgeries as well. Dr. Hughes has not only performed thousands of Brazilian buttlift and buttock augmentation surgeries, but he performs butt implant surgeries as much as anyone (particularly butt implant revision surgeries of other surgeons’ work). Dr. Hughes feels that BOTH methods of buttock or gluteal augmentation are effective, and he will not force you into one or another (just because he only does one or the other).
The areas that are liposuctioned will take up to 6 months for the swelling to resolve. Thus, the final results will not be observed for approximately 6 months. Patients are often concerned with lumps and bumps or hardness during the recovery, but, the truth is that the surgical result is perfectly smooth on the table (verifiable by intraoperative videos taken by Dr. Hughes for EVERY SINGLE SURGERY). Thus, if the patient follows the postoperative instructions to the letter and does not develop a fluid collection, the result should be as smooth as the result that Dr. Hughes achieves on the surgical table.
ALL in ALL, The results of the Brazilian buttlift can be tailored to almost any specification within reason. It is ultimately the anatomy of the patient and the skill of the surgeon that determines the result. Dr. Hughes pays attention to patient requests and he endeavors to get the result as close as possible to patient goals.
The result can be conservative. The result can be dramatic.
You decide. Dr. Hughes Delivers.
Live in Los Angeles? Beverly Hills? East Coast? Canada? Europe? Asia? Australia? Dr. Hughes sees people from your locale every day and performs Brazilian buttlift procedures and liposuction procedures for thousands of patients just like YOU.
View Los Angeles and Beverly Hills liposuction articles from Hughes Plastic Surgery
Article 1: Overview of Liposuction
Article 2 : History and Physical for the Liposuction Patient
Article 3: Types of Liposuction Available
Article 4 : Complications of Liposuction
Article 5: Complications of Liposuction 2
Article 6: Postoperative Management in Liposuction
Additional Reading on Brazilian Butt Lift
All articles are written by Dr. Kenneth B. Hughes, MD
Harvard-educated, Harvard-trained, Board Certified Plastic Surgeon in Los Angeles
- Buttock Implants or Brazilian Buttlift for Buttock Augmentation or Hip Augmentation?
- Why Liposuction of Foreign Material Injections of the Buttocks Does not Work
- Sometimes the Best Liposuction Revision Involves Neither Liposuction Nor Fat Grafting
- What to Do With the Leftover Skin at the Bottom of the Buttock?
- Other Options for Buttock Augmentation?
- Dr. Hughes New Technique and Success in the Brazilian Buttlift
- The Importance of Surgical Technique in the Brazilian Buttlift in Reducing Fat Emboli and Death
- Plastic Surgery Task Force Recommendations to Avoid Fat Emboli and Death in Brazilian buttlift
PREPARING FOR SURGERY
- STOP SMOKING: Smoking reduces circulation to the skin and impedes healing. It is best to avoid smoking, second hand smoke and cigarette replacements, such as nicotine patches or gum, in the perioperative period. While you should ideally stop smoking for 4 weeks before and after your surgical procedure, please tell Dr. Hughes of any smoking history well in advance of surgery.
- TAKE MULTIVITAMINS: Start taking multivitamins twice daily to improve your general health once you have scheduled your surgery.
- TAKE VITAMIN C: Start taking 500 mg of Vitamin C twice daily to promote healing.
- START TAKING AN IRON SUPPLEMENT: A good iron supplement, such as Feosol Spansules, is required starting one week before surgery and four weeks following surgery. Bowel movements may appear darker than usual as a result. Feosol is available without prescription.
- DO NOT TAKE ASPIRIN OR IBUPROFEN: Stop taking medications containing aspirin or ibuprofen. Review the list of drugs containing aspirin and ibuprofen carefully. Such drugs can cause bleeding problems during and after surgery. Instead, use medications containing acetaminophen (such as Tylenol).
- LIMIT VITAMIN E: Limit your intake of Vitamin E to less than 400 mg per day.
- FILL YOUR PRESCRIPTIONS: You will be given prescriptions for medications. Please have them filled BEFORE the day of surgery and bring them with you.
- CONFIRM SURGERY TIME: We will call you to confirm the time of your surgery. If you are not going to be at home or at your office, please call us to confirm at (310) 275-4170.
- PRESCRIPTIONS: Make sure that you have filled the prescriptions you were given and set the medications out to bring with you tomorrow. Make sure to have the number for your pharmacy ready so that if Dr. Hughes and associates need to call in any special medications for you on your day of surgery they will have that information readily available.
- CLEANSING: The night before surgery, shower and wash the surgical areas with an antibacterial soap.
- EATING AND DRINKING: Do not eat or drink anything after 12:00 midnight except for a small amount of water to rinse your mouth while brushing your teeth.
- SPECIAL INFORMATION: Do not eat or drink anything! If you take a daily medication, you may take it with a sip of water in the early morning.
- ORAL HYGIENE: You may brush your teeth but do not swallow the water.
- MAKE-UP: Please do not wear moisturizers, creams, lotions, or makeup.
- CLOTHING: Wear only comfortable, loose-fining clothing that does not go over your head. NO TIGHT PANTS. Remove hairpins, wigs, and jewelry. Please do not bring valuables with you. TAKE OUT ALL PIERCINGS and REMOVE ALL ARTIFICIAL FINGERNAILS prior to SURGERY.
- CHECK IN/PREPARATION: Surgery Time:
- You should plan to arrive earlier than your scheduled surgery time. DO NOT BE LATE. Patients less than 18 years old must be accompanied by a parent or legal guardian. When you arrive at our office on the day of your surgery, give the receptionist the phone number of the pharmacy you would like us to call for any special medications Dr. Hughes and associates might prescribe.
- CARETAKER: Someone must spend the first night after surgery with you.
- The first week you will need to rest frequently. You need to walk around the house as tolerated. Avoid stairs if possible.
- For the first six weeks post-op sleep on your stomach (unless Dr. Hughes advises you otherwise, particularly when multiple surgeries are performed at the same time).
- Avoid picking anything up greater than 5 lbs the first 4 to 6 weeks.
- No exercise for 4 to 6 weeks.
- No sitting for greater than 30 minutes for the first 6 weeks. Take a short break of standing after 30 minutes of sitting, and then you may resume sitting.
- When you are sitting, place a pillow under your thighs to elevate the buttocks and eliminate pressure on the buttocks.
- You may not drive the first week or while you are taking pain medication. After that it will depend on your ability to handle a car without causing any discomfort. You should wear your seatbelt at all times.
- Do not engage in sexual activity at least 4-6 weeks after your surgery.
- No smoking. This will interfere with your healing and the fat may not live.
- Eat light the first 24 hours, clear liquids advancing to a regular diet as tolerated.
- Patients are instructed to eat 100 grams of protein each day. If there is a doubt as the consumption, please obtain the necessary protein from protein shakes. Premier Protein shakes contain 30 grams of protein and only 160 calories. 3 shakes a day with balanced meals should be sufficient to meet these requirements. Protein intake is essential to prevent healing complications like incisions opening and you must follow these instructions.
- If you have persistent nausea stick to a bland diet until it subsides.
- Avoid foods that can cause a lot of gas. This can cause abdominal distention and undue discomfort. Small frequent meals are best.
- The pain medicine may cause constipation. Drink plenty of fluids. You may take any over the counter laxatives or stool softeners as needed.
- You will have abdominal binder over your abdominal dressings. Change dressings as needed. YOU SHOULD WEAR THE BINDER 24-7 FOR 6 WEEKS, ONLY REMOVE FOR SHOWERING.
- It is normal to have numbness over the surgical sites for several weeks or months.
- Do not use a heating pad or ice around the surgical sites. It could cause a burn.
- You may place new dressings if they become saturated and put on the same garment as instructed, making sure to have the garment covering pubic area.
- It is normal to see lots of drainage on abdominal dressings. Dr. Hughes inserts several liters of fluid, and this fluid must either drain out or be absorbed. It will have blood within it and will be red or pink, but this is not dangerous or a cause for concern.
- When drainage has stopped, you may replace the dressings with a cotton T-shirt and place the garment other the T-shirt as previously instructed.
- Dr. Hughes will advise you about showering. It is essential that fluid not get into any of your incisions as the bacteria on your skin can migrate into the areas of fat transfer and cause an infection. This occurs in about 3 out of 100 patients. Dr. Hughes recommends cleansing the skin around the incisions (sponge baths, bird baths) for at least the first 2 weeks. Also, patients should be in air-conditioned dwellings so that patients are not sweating either (for similar reasons).
- Take your antibiotic until it is completed.
- If the pain medication is a narcotic it should be taken as prescribed. Do not take any Tylenol while on pain medication. The medication we prescribe may already have Tylenol in it.
- Do not drink alcohol or drive a car while taking pain medication.
- The pain medication may cause nausea and should be taken with food or protein shake at each dose.
- You may resume your regular medication after your surgery except for Vitamin E, Ibuprofen (Motrin, Advil), Fish oil and Aspirin (wait at least 2 weeks post-op).
- If you take aspirin or coumadin check with the doctor to see when you may resume them.
CALL THE OFFICE IF YOU HAVE:
- A temperature greater than 101.5 degrees.
- A sudden increase in pain.
- If you have persistent vomiting.
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