Thank you for your questions.
Unfortunately with out photos, a review of your past/current medical history and a exam of your tissues and nose, I can can only make general responses based your story, however I hope you find my comments helpful
Only after a complete review of your mediical history and a complete exam can the final decision be made on how many procedures can be performed in one setting.
Assuming no major health issues a Brazilian Buttock Lift (BBL) and other procedures are often completed at one surgical setting . From a technical and recovery point of view there is no reason that both can’t be performed together.
Like wise the length of anesthesia should not be a problem. Anesthesia if performed by a Board Certified Anesthesiologist in a fully accredited Outpatient Surgical Center is very safe and analogous to flying a airplane: the take off and landing (going to sleep and waking up) is the most critical times not the duration of the flight (length of anesthesia)
Hopefully, you will be meeting with your Plastic Surgeon prior to your surgery to go over all the pre and post operative instructions and to answer all your questions.
I suggest you make a written list of your questions.
In general, most patients have recovered in the 2 week peroid of time.
I allow my patients to sit on their buttock areas when their is no longer any pain.
I suggest you purchase a BBL pillow type pillow to place the majority of your weight on your thighs while sitting.
Gentle postoperative massage of the harvest areas is recommended. Purchase a hand held massager and massage oil and use as tolerated as the post operative pain remits for the first several months.
I also recommend Vellashape III (radio frequency) to help shrink the skin over the fat harvest areas.
Is straight forward and usually a easier recovery than the BBL recovery. Depending on if internal correction of deviated septum is necessary the recovery is often less painful and easier to deal with than the BBL.
I recommend you make a list of your questions and schedule several consultative appointments with Plastic Surgeons who are Certified by the American Board of Plastic Surgery and ideally members of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).
Thank you for your story, photos and questions. Unfortunately with out a exam of your tissues I can can only make general comments. I hope find the following helpful.
The amount of fat that takes depends:
1) the gentle technique of harvest providing the least amount of damage/trauma to the fat cells
2) how the fat is injected
3) the recipient area (good blood supply, lack of previous scars, etc.)
4) postoperative care
5) genetics of the individual
The process for performing a BBL is the same regardless of the patients weight or fat location:
1) harvest the fat
2) purify the fat
3) sculpting the buttock:
a) with precise liposculpting
b) with precise fat injection
The final shape of the buttock depends on:
1) your underlying boney pelvic frame
2) the shape of your buttock muscular anatomy
3) the elasticity (stretchability) of the buttock skin skin
4) the patients desired shape (where fat is injected)
The bottom line:
1) fat survival as a graft is multifactoral but usually varies between 70-80%.
2) the fat that doesn't survive is broken down, dissolves and is excreted by our body
3) the amount injected fat depends on how much fat there is available to harvest.
4) the individuals genetic anatomy and elastic properties of the skin will dictate and limit attaining certain desired shapes
5) Just importantly the liposuction should be done to "sculpt" other parts of the body to attain a body that is in proportion and attractive. Thus a small amount of fat can go along way or in contrast a large amount may not give you the desired appearance
One can try to gain weight prior to the procedure in hope that the areas you can the weight can be liposuctioned.
Caveat: all fat that is gained may not be deposited in areas that can be liposuctioned.
I suggest you collect multiple model photos of your desired buttock shape/size and schedule several appointments with experienced Plastic Surgeons who are Certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).
Thank you for your questions and photos. Unfortunately without a examination I can advise you in general terms, however I hope you will find them helpful.
Loosing or gaining weight will always change your body contour.
I suggest you first obtain your goal body weight.
The amount of fat injected depends on:
1) the amount of fat harvested
2) the amount of suitable fat that is abel to be purified
3) the "stretchability" of your buttock skin
One can try to gain weight prior to the procedure in hope that the areas you gain weight can be liposuctioned.
Caveat: not all weight gain can not be harvested (some may be deposited on your internal organs or areas that can't be liposuctioned).
Please make several appointments with experienced Plastic Surgeons who listens to your specific desires and who are not only Certified by the American Board of Plastic Surgery but in addition ideally a member of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).
R. A. Hardesty, MD, FACS
Diplomate and Certified by the American Board of Plastic Surgery
Awardee: Real Self Top 100
4646 Brockton Ave
Riverside, Ca 92506