After relaying to Nurse Libbie that I didn’t want it to look ‘too frozen’, she agrees to give me 10 units across my forehead, and 15 in the centre of my frown- the average dose is between 10-25 units. I lay down across the bed in her treatment room and as she preps the solution, I’m asked to frown and raise my brows. As I do so she inserts the needle, and a tiny dose of botox by Allergen is inserted across six points of my forehead and in between my eyebrows.

She advises me that there are many conspiracies around botox- staying up right for more than two hours, is false for starters. ‘The solution takes 20 minutes to settle in your muscles, so I do advise you to stay upright for then, any longer wont make a difference’. She does however advise me not to undertake exercise that’s too strenuous or hot following the treatment (fine by me) and to carefully wash my face when I get home, not scrubbing or rubbing too hard.

Finally, patients that cannot quit smoking, which is a critical necessity that can have an impact on the final outcome, for the pre-op period, as well as the recovery phase, are not considered not good candidates for any cosmetic procedure, including Brazilian butt lift. The same goes for binge drinkers. Now, if a patient insists on undergoing the surgery, despite the doctor's recommendations, then they should expect significantly increased costs if the plastic surgeon is willing to take the risk and operate on that patient.

Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including: loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control, trouble breathing, and trouble swallowing.


Dr. Larry Fan is a Harvard educated, Board Certified Plastic Surgeon in San Francisco, CA. He is a Master Artist who is known for creating beautiful, stunning, and natural results. Dr. Fan has been named One of America's Top Plastic Surgeons for the past 10 years running and has received several national awards for his work in Plastic Surgery. He has successfully performed more than 10,000 cosmetic procedures of the face, breasts, and body over a 20 year period. Dr Fan has been an invited speaker at the American Society of Plastic Surgeons and the American College of Surgeons, and has been featured in national media outlets such as CNN, NBC, and ABC.

Directly following your butt lift, you may feel groggy and disoriented, especially if you have been under sedation or general anesthesia. Your buttocks will also most likely be swollen and bruised from surgery. For this reason, you will need someone to drive you home from your procedure and take care of you. Before you leave the surgeon's office, you will need to:


Given the rising popularity of the Brazilian butt lift, many fitness instructors have created "Brazilian butt lift" workout regimens to target your hips, buttocks, and thighs. Depending on your circumstances, you may be able to use exercise and nutrition as an alternative to butt lift surgery, or as a complement to enhance the results of your procedure.
Bellesoma is a new breast reduction and lift technique that seems like it would be a great fit for you.  This procedure utilizes 3-D volumetric scanning and a multi-point measuring system to design a precise surgical blueprint exactly tailored to your body and the reduced breast size that you desire. The Bellesoma procedure reduces the sagging and weight of your breast, lifts your breast and reduces areola diameter, preserves the nipple sensation and ability to breast feed.  After Bellesoma, your breasts will look as full and perky as if an implant had been placed without using any implant, so no need to compromise.  One of the huge positives of this technique is that there is NO vertical incision traveling down the front of your breasts.

Butt lift surgery can be a complex and personal process, so finding the right plastic surgeon is important. In addition to having the expertise and experience to provide you with excellent results, your surgeon should make you feel comfortable and listen to your concerns. Thoroughly researching your options and asking the right questions can help you find a surgeon to suit your needs.


IPL can reduce the redness that comes with rosacea or lighten dark circles under your eyes, which are caused by clusters of blood vessels showing through the skin. A few sessions will vaporize the blood vessels, leaving the surface unharmed. IPL can also remove unwanted color patches (like melasma and age spots) by destroying pigmented cells. It also prompts the skin to make collagen, which fights fine lines and wrinkles.
Have excess fat deposits elsewhere in your body that your surgeon can remove with liposuction, purify, and use for fat transfer during your Brazilian butt lift. These deposits should ideally be easily accessible, such as love handles around your hips. Since the fat will need to be purified, you typically need to provide between three and four times the amount of fat that you would like to be transferred. If you lack excess fat deposits, you may need to gain weight before your procedure or consider an alternative.

There are two types of breast implants approved by the Food and Drug Administration (FDA): silicone-filled and saline-filled. They come in various sizes and shapes, and with two types of shells: textured shells and smooth shells. A type of silicone-filled implant with a thicker filling, called a form-stable highly cohesive implant, or "gummy bear" breast implant, is currently under investigation and may one day provide another option for women undergoing breast augmentation with implants.

“One of the most exciting procedures we perform is the fat transfer. We take fat from elsewhere on the body and we transfer it to another place in the body. The most common places where we transfer fat is to the face, and even more popular in South Florida is transferring it to the buttocks to create a fuller figure look. For the vast majority of patients, fat transfer is the best option. Not only does it provide a full body liposuction, which already helps contour the body, but it provides a secondary effect (double effect) because we’re taking off fat from one location and placing the fat in another location that the results are very, very dramatic."


“One of the most exciting procedures we perform is the fat transfer. We take fat from elsewhere on the body and we transfer it to another place in the body. The most common places where we transfer fat is to the face, and even more popular in South Florida is transferring it to the buttocks to create a fuller figure look. For the vast majority of patients, fat transfer is the best option. Not only does it provide a full body liposuction, which already helps contour the body, but it provides a secondary effect (double effect) because we’re taking off fat from one location and placing the fat in another location that the results are very, very dramatic."
A Brazilian butt lift enhances the size and shape of a patient's butt so that it better fits his or her figure and provides an attractive, prominent rear end. In order to perform Brazilian butt lift surgery, fat from areas of the body such as the back, abdomen, hips, and thighs is removed through liposuction. During this process, your surgeon will make a small incision in the region with excess fat and insert a small tube. He or she will then use manual motion, vibration, ultrasonic waves, bursts of air, or even lasers to dissolve fat deposits before gently aspirating them. Liposuction usually only requires local anesthesia to complete, but your doctor may recommend general anesthesia or sedation if you require more extensive fat removal or are particularly nervous about your surgery.

Excessive bleeding. Due to improperly sutured incisions, poor healing, or anticoagulant medications, your wounds may bleed excessively. Refraining from strenuous activity for the first month after your butt lift can minimize your risks for bleeding. Depending on the severity of your condition, excessive bleeding may require additional surgery or blood transfusion, although this is not common. Traditional butt lifts carry a higher risk for excessive bleeding than Brazilian methods, given the size and placement of the required incisions.
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.
Buttocks fillers are typically not helpful for patients who have experienced massive weight loss since they cannot remove excess skin. They can be an effective, less invasive alternative to a Brazilian butt lift, but the materials required are often quite expensive, especially since they were developed for use in the face, which requires much smaller injections. In addition, most fillers require repeated treatment on a regular basis, increasing their cost and inconvenience over time.
A: During your initial consultation, you will discuss your desired results with Dr. Hochstein so he can fully understand your expectations. You will be provided with before and after photos so that you can see some of the results Dr. Hochstein has achieved with his other patients. He will examine your breasts and evaluate other factors that may affect the outcome of your surgery. This will help determine the appropriate breast size and incision location.

Firstly about surgical technique. Breast lift and reduction employ similar surgical technique, it's just that with reduction you're removing more breast tissue (because the biggest aim of a reduction is.... to reduce the size of the breast). Does breast lift remove SOME breast tissue, the answer is yes, but the AIM of the lift is more to restore the youthfulness of the breast. Both women, one wanting a reduction vs a lift need their nipple/areolar complex repositioned "up". Only the woman wanting a reduction need the volume addressed.
Most experts agree that Botox can also be a preventative measure for some younger clients, ‘It preserves the skin and stops lines developing,’ explains Spyrou. ‘Botox softens and temporarily freezes the muscles, which means the treated area will stay flat. If you can’t physically frown, then over time, the line will smooth out.’ That being said, there's a lack information about the long term effects of starting botox at a younger age. "The long term safety data in these treatments is usually focussed on older individuals." Says Dr. Justine Hextall, Consultant Dermatologist on behalf of The Harley Medical Group. So as with most cosmetic procedures, there are risks.
Do not receive BOTOX® Cosmetic if you: are allergic to any of the ingredients in BOTOX® Cosmetic (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc® (rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin infection at the planned injection site.

Nausea and disorientation. If your surgeon used intravenous sedation or general anesthesia to perform your butt lift procedure, you may feel disoriented, groggy, or nauseated directly after your surgery. For this reason, and due to the effects of painkillers, you will need someone else to drive you home and care for you for at least the rest of the day. 

During the first week, you should plan to take time off of work and have a friend or family member care for you. You can shower, removing your compression garment and gently washing your buttocks, in about two days. You should come into your plastic surgeon's office within the first week of recovery so that he or she can examine your buttocks and remove your drains, if they are no longer collecting much fluid. Sutures may be removed within ten days of your procedure, depending on your healing. You may not drink alcohol, smoke, or take medications like aspirin. Many patients return to work after the first week, but you may need someone to help you care for your house and children for two weeks. Plastic surgeons typically recommend taking short walks around your home during this time period to decrease swelling and keep your blood moving properly. Some plastic surgeons even recommend having regular massages to improve your circulation and help you recover more quickly from butt lift surgery. Depending on your condition and your customized procedure, you may be able to travel after the first week.

Like lasers, IPL goes below the surface to a deeper layer of skin called the dermis. Short pulses of light heat and destroy cells to start renewing your skin. Unlike a laser, IPL uses a broad spectrum of light that can treat different kinds of  blemishes at the same time. The treatment is usually painful, so ask your doctor how you can be more comfortable.


A series of peels can reduce age spots, fine lines, acne scars, and wrinkles caused by sun damage or aging. Mild treatments, like the one shown here, have more subtle results. You can have one every few weeks until you get the results you want. Deeper peels cause swelling and crusting at first, but have more dramatic results in the end. You can get moderate to deep peels again in 6 to 12 months.
It is also possible for implants to rupture and leak. If saline implants rupture, the saline will be safely absorbed by the body. A silicone leak may stay inside the implant shell or leak outside of the shell. When a saline implant ruptures, it will deflate. But silicone breast implants may cause no obvious symptoms when they rupture. This is called silent rupture.
Gently get out of bed as soon as possible after your surgery. When you get up, sit with your legs hanging over the edge of the bed or chair for a few minutes before standing. This will help avoid problems with dizziness, light-headedness and fainting. Do not use your arms or upper body to push yourself out of a bed or chair. You may roll to your side and then sit up or stand up. Have an adult assist you the bathroom the first few times. Always get out of bed to go to the bathroom. Begin to walk as much as possible as soon as you can after surgery. Do take it easy the first few days. Do not exert yourself in any strenuous activity. Avoid strenuous activities that involve arm movement such as raising your arms over your head and lifting with your arms. A balance of rest and reduced activity will speed up your recovery.
The Summary of Safety and Effectiveness for each of the FDA-approved saline- and silicone gel filled breast implants details safety information known at the time of FDA approval. As the FDA learns of new safety information, it requires companies to update their product labeling. The most current safety information about saline- and silicone gel-filled breast implants can be found in the labeling.

Sun tanning damages your skin. It leads to wrinkling, discoloration, and superficial growths. It can also lead  to serious skin cancer. For these reasons, I recommend you use sun block with an SPF number of 15 or greater at all times. A physical broad-spectrum sun block works best. If you are exposed to the sun, I recommend you protect your breasts for six weeks with clothing such as a T-shirt or pareo. You must carefully protect any scars from sun exposure with clothing, tape or sun block for six months.

You may have heard of dermabrasion, a procedure that sands away the top layer of skin. It can treat severe sun damage, but it causes bleeding and needs a week of recovery time. Microdermabrasion is a nonsurgical option. Often called a "power peel," it blasts the skin with tiny crystals that exfoliate the outer layer. This can reduce fine lines, brown spots, and mild acne scars -- usually with little recovery time.

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