Buttock augmentation is designed to enhance the size of the buttocks. Buttock augmentation can be done by using silicone implants or fat from a person's body, known as fat transfer. Patients who desire buttocks augmentation generally lack fat in this area, or are unable to develop proportionate gluteal muscles.

Micro Fat Grafting is one of the best ways to add fullness to almost any shape buttock to create the desired look. Butt augmentation can add fullness to any part of the buttocks, or even the entire buttocks. You must have enough extra fat available in other areas of the body to be removed and used in the fat grafting process. This excess will be removed with very gentle, low-vacuum liposuction using a special cannula (thin tube) to protect the living fat cells. The fat particles are purified, and then inserted into the layers of tissue in the buttocks thru a single 1/16" incision, putting tiny droplets throughout the tissues so each fat cell will have a good blood supply.

Recovery - Butt Augmentation Surgery  

• To ensure proper healing, you CANNOT SIT OR LIE DOWN ON YOUR BACK FOR 3 WEEKS AFTER BUTTOCK AUGMENTATION SURGERY.
• You must either be standing or lying on your abdomen for these 3 weeks.
• Sitting is only permitted when you are going to the bathroom.
• NO DRIVING and NO WORKING at least 3 weeks after Butt Augmentation Surgery. *Depending upon your healing these restrictions may be needed for even longer times.  

PRE-OPERATIVE INSTRUCTIONS:

BUTTOCK AUGMENTATION WITH IMPLANTS

Buttock augmentation with solid silicone implants can be performed in several ways. The implant has various shapes and can be placed subfascially, intra-muscularly and sub-muscularly. Location and shape will be determined with Dr. Koenig depending upon the size desired and soft tissue characteristics. Post operative butt augmentation care and complications are similar.

THREE WEEKS BEFORE BUTTOCK AUGMENTATION SURGERY:

• Laboratory and EKG (if they are required) must be done. If you are having your preoperative testing at a lab other than the one we suggested, you are responsible for having the written results of this testing arrive at our office one full week before surgery (our fax number is 585-271-4786).
• BUTT AUGMENTATION SURGERY WILL NEED TO BE CANCELLED IF THERE IS ANY CHANCE THAT YOU ARE PREGNANT.
• All fees are due, including surgical, facility and anesthesia.

TWO WEEKS BEFORE BUTT AUGMENTATION SURGERY:

• Do not take any products containing aspirin, ibuprofen (Advil, Motrin), non-steroidal anti-inflammatory medication or Vitamin E. Tylenol is acceptable.
• Refrain from all nicotine products, including cigarettes, pipe tobacco, chew or Nicotine patch. Nicotine interferes with healthy circulation and may affect the result of your buttock augmentation surgery. It also places you at higher risk of complication when receiving anesthesia.

ONE WEEK BEFORE BUTTOCK AUGMENTATION SURGERY:

• Do not drink alcohol for 1 week before and after butt augmentation surgery.
• Please ensure that all laboratory tests and/or blood work has been completed by this time as ordered by the plastic surgeon/nurse practitioner. Our fax number is 585-271-4786.

THE DAY BEFORE BUTTOCK AUGMENTATION SURGERY:

• Call 267-8200 to obtain your arrival time for the day of surgery.
• DO NOT EAT OR DRINK ANYTHING AFTER MIDNIGHT (This includes water and gum chewing). Surgery may be cancelled if this is not followed. A fasting state is required in order to receive sedation for butt augmentation surgery. The only exception is medication, which we instruct you to take with a sip of water the morning of surgery.

DAY OF BUTT AUGMENTATION SURGERY:

• Go to suite 101 (Lindsay House Surgery Center).
• You may shower and shampoo the morning of your buttock augmentation surgery. Do not wear makeup, hair sprays or gels, or nail polish. You may leave acrylic nails on.
• Avoid clothing that must be pulled over the head. Please wear loose fitting clothing.
• Do not wear jewelry, including body jewelry or bring valuables to your buttock augmentation surgery. Do not use underarm deodorant.
• If you have your menstrual cycle, please wear a feminine napkin. Do not wear a tampon.

POST-OPERATIVE INSTRUCTIONS:

BUTTOCK AUGMENTATION WITH IMPLANTS

COMMON INSTRUCTIONS AFTER BUTT AUGMENTATION SURGERY:

• A responsible adult must provide transportation for you after butt augmentation surgery (public transportation is not permissible).
• A responsible adult must stay with you overnight and after your butt augmentation surgery until the morning following the procedure. If you are having several procedures, you may need or prefer assistance for 1-2 days following your procedure.
• Avoid making major decisions or participating in activities that require judgment for 24 hours after your buttock augmentation surgery.
• To allow the sound to heal properly you CANNOT SIT OR LIE DOWN ON YOUR BACK FOR 3 WEEKS AFTER BUTTOCK AUGMENTATION SURGERY.
• You must either be standing or lying on your abdomen for these 3 weeks.
• Sitting is only permitted when you are going to the bathroom.
• NO DRIVING and NO WORKING at least 3 weeks. *Depending upon your healing these restrictions may be needed for even longer times.
• Avoid any activities that cause pain or discomfort.
• You are encouraged to walk around the house on the day of surgery and thereafter. This helps to prevent blood clots from developing in the legs.
• Move/pump your legs frequently while lying down. This also helps in preventing blood clots from developing. Wear the support stockings for at least 5 days after buttock augmentation surgery or until fully active.
• Exercise may usually be started in 6 weeks with no restrictions after 3 months.
• Implants will feel very firm initially like sitting on rocks and then soften up over several months. Most implants are palpable by you and your partner, especially when placed in the subfascial position.
• Use your incentive spirometer 10 every hour while awake for 5 days after buttock augmentatio surgery or until fully active. This is necessary to prevent post operative pneumonia or atelactasis.
• Resume activities slowly. You may feel tired for the first few days.
• Expect to have pain for the first 24 hours. Take your pain medication before your pain becomes severe.
• You may shower but not bathe when it is deemed appropriate.
• Take all medications as instructed post-operatively.
• You may resume your vitamins, Motrin/aspirin products 7 days after surgery.
• Drink plenty of fluids (8-10 glasses/day) for the first week to keep well hydrated.
• If you have not urinated after 6 hours of being home from buttocvk augmentation surgery, please contact our office.
• You will go home with a compression garment in place. You will need to wear this at all times for 3-6 weeks after your buttock augmentation surgery.
• After surgery you will have two drains at the surgical site. Drains help to remove excess bloody drainage from the buttocks. The amount of drainage will determine how long the drain will be left in place (typically one week).
• Avoid direct sunlight to the incision for at least 1 year. Use a sunscreen with zinc oxide with SPF 20 or greater to help decrease the visibility of the scar.
• You may resume sexual intercourse after 3 weeks.

CALL OUR OFFICE IF YOU DEVELOP ANY OF THE FOLLOWING AFTER BUTTOCK AUGMENTATION:

• Fever of 101 degrees F or greater.
• Pain not relieved with pain medication.
• Swelling, redness, bleeding, and/or foul drainage from an incision site.
• Persistent nausea and/or vomiting.
• Any other concerns.

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