I needed very little convincing before making my way down to the Cadogan Clinic, one of the very best locations in London (might I add) to speak to Nurse Libbie Wallace, a master in her field. After filling in a short consultation form, Nurse Libbie asks me how old I am. After replying 28, she chuckles a little, but continues… I’m not the youngest client she’s had walk through the door, but she does tell me that she would only ever treat those that actually can benefit from the treatment, ‘It’s important that I manage patients expectations’.
During this procedure, your surgeon will make an incision into your buttock to manually remove thin layers of fat (too much surplus fat will make you ineligible for this procedure), tissue, and skin. He or she may also tighten your underlying muscles and create sutures deep within your tissue to hold your now-smooth buttocks in a lifted position. There are four basic types of traditional butt lift procedures, based on the incision the surgeon makes to correct your ptosis (sagging):

Saline breast implants are filled with sterile saltwater. This implant type is recommended for women who do not wish to have silicone implants as well as some women who desire the 'Baywatch' look with a high degree of upper pole fullness and projection. In the right patient, saline implants can also look very natural. Saline implants are generally less popular today than silicone implants.

Not necessarily. Many plastic surgeons recommend that Brazilian butt lift candidates be 20 to 30 pounds heavier than their ideal weight and above a size six in clothing to ensure that there is enough fat for harvesting through liposuction, especially since the removed fats will need to be purified before they are transferred. However, your exact weight and clothing size do not matter as long as your surgeon determines that you have enough total fat to make the procedure a success. If you lack sufficient fat at your initial consultation, your surgeon may recommend an alternative procedure, such as butt implants, or instruct you to gain weight before attempting butt lift surgery.
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.
Your plastic surgeon will give you instructions on how to prevent these complications. If you have a high temperature, it’s a sign of an infection. If you monitor your temperature daily, you’ll be able to head off an infection in the early stages. Darkening of the skin is another red flag sign and your surgeon should be notified almost immediately. Vomiting, convulsions and loss of consciousness are signs that something needs to be checked medically – quickly.
Since traditional butt lift surgery is a more involved procedure, your plastic surgeon will typically administer either general anesthesia or local anesthesia and sedation to keep you safe and comfortable throughout your butt lift. Then, he or she will make an upper, lower, butterfly, or lateral incision into your buttocks to access the tissue beneath. Next, your plastic surgeon will remove any stubborn areas of fat using a scalpel or, in some cases, liposuction. He or she will then reposition the remaining tissue for a perkier, firmer look, suturing it to deep hip muscles or even to your hipbones.
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.
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