Step 1 – Anesthesia
Butt enhancement is usually performed under general anesthesia. After initiation of anesthesia in the operating room, Dr. Agha will inject a solution of local anesthetics known as “tumescent solution” at the sites marked for liposuction. The injection solution consists of a low concentration of lidocaine and epinephrine. The lidocaine will numb the surgical site, and the epinephrine causes constriction of the blood vessels at the surgical site, reducing the potential for bleeding and bruising. Liposuction is performed as indicated.
Step 2 – The incision
Butt enhancement via fat grafting (Brazilian Butt Lift)– This procedure involves liposuction of fat usually from the back, flanks, and thighs through several small stab incisions that are discretely placed. The fat is then processed and injected into the buttock through minute incisions.
Butt enhancement with use of buttock implants– For this procedure, incisions are made where the butt cheek meets the back of the thigh or down the buttock crease. The latter is the more common place for an incision, since scars are less noticeable. However, it carries a higher infection rate than the other locations. Working through the incision, Dr. Agha creates a pocket large enough to place the implant. The implants are placed above the sitting area of your buttocks to reduce the possibility of the implants shifting. The same is done for the other cheek. Dr. Agha carefully examines both sides to make sure that the butt enhancement results are symmetrical.
Butt enhancement via buttock augmentation and lift– Parallel incisions are placed over the lower back and the upper buttock. The tissue in between is then developed as a flap on each side. A large pocket is then created over the buttock muscle. The lower back flaps are then rotated into the buttock pockets and secured in position via sutures. The buttock is then elevated over the flaps to meet the lower back incision. When this is performed correctly, the incision lies appropriately at the junction of the new lower back and the upper buttock.
Butt enhancement via buttock reduction and lift– Parallel incisions are placed over the lower back and the upper buttock. The tissue in between is excised and the buttock is elevated to its new position. When this is performed correctly, the incision lies appropriately at the junction of the new lower back and the upper buttock.
Step 3 – Closing the incisions
The incisions are carefully closed to minimize scarring. Dr. Agha places all his sutures beneath the skin where they are gradually absorbed by your body. Not having to undergo suture removal has improved patient comfort and satisfaction after butt enhancement surgery.
Step 4 – Dressings
A sterile dressing is applied to the incisions, and a compression garment is placed on you. This compression garment helps support your lower body during healing, decreases post-operative swelling, and helps decrease any bruising that may occur.