Both saline-filled breast implants and silicone-filled implants have an outer shell composed of silicone elastomer. This shell is basically a flexible envelope that contains the implant filling. In the case of some anatomically shaped implants, the shell also gives the implants shape. Some models of implants have a "double lumen." This is an elastomer envelope inside of another elastomer envelope (sort of like double-bagging your groceries) which may reduce the risk of implant rupture.
At the initial consultation, your plastic surgeon will discuss his or her ideas on how the procedure will be done as well as what type of results you can expect. He or she should have a large book of before and after photos that you can spend time looking at. When looking at these, consider the height, weight and build of the person in the photos and whether it matches yours or not. If it matches your specs, then it’s more likely you could have similar results.
Where do you perform this procedure? Some plastic surgeons have hospital privileges at local facilities, while others perform procedures in their own offices. If your prospective surgeon works out of an independent clinic, make sure the office is accredited, meaning that it meets standards set by organizations like the American Society for Aesthetic Plastic Surgery.
Tell your doctor if you have received any other botulinum toxin product in the last 4 months; have received injections of botulinum toxin such as Myobloc®, Dysport®, or Xeomin® in the past (tell your doctor exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allergy or cold medicine; take a sleep medicine; take aspirin-like products or blood thinners.
Many different types of breast lifts are now available in conjunction with a breast reduction, including lifts just around the areola (periareolar), vertical/lollipop mastopexies (incision around the areola and down to the breast fold, and full breast lifts with an anchor incision. For patients who have very loose skin in the armpit or back, axillary or bra lifts are also often combined with breast reductions.
Silicone-filled Breast Implants. Silicone-filled breast implants are filled with a silicone gel. Over the years, the consistency of this silicone filling has changed. The first silicone breast implants were filled with a very thin, oily silicone. Currently, the silicone used in implants is a gel that is less likely to leak out of the shell if it ruptures. This gel is referred to as "cohesive." Some breast implants — called gummy bear breast implants — are even more cohesive, or "form-stable," and have the consistency of a gummy bear, thus the nickname.
Patients who want to contour their waist and buttocks by removing excess fat deposits may be able to use endermologie, also called lipomassage, rather than surgical treatments. During endermologie, your masseuse will use a special tool to help dissolve fats, drain any fluids that might cause swelling, and encourage your body to produce substances like collagen that help tighten skin.
If your primary concern is mild sagging in your buttocks as a result of weight fluctuation, aging, or hereditary conditions, you may be able to improve your appearance with topical treatments. These lotions, creams, and serums only mildly tighten your skin, and their results are temporary. However, they may be a good option for patients who want to enhance their appearance without undergoing surgery. They can also be used in addition to butt lift procedures to improve results.
There are two basic types of butt lift surgery. In the traditional procedure, the surgeon lifts your buttocks by removing excess skin, fat, and tissue, pulling the skin taut and repositioning it for a lighter, younger look. The less invasive Brazilian butt lift requires only very minor incisions and a fat transfer. Each of these procedures has its own benefits and disadvantages, so the type you choose will be depend on your unique needs and wishes.