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.

The best reaction came from my mum, who is always honest. She isn’t afraid to tell me I look tired, pale or spotty, but when I saw her after my treatment she couldn’t have been more complimentary. After confiding in her that I had botox she yelped and said, ‘Wow you did really need it, now you look so fresh, like you’ve had a month of great sleep’. Thanks mum.


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.
Many patients want to know how much fat actually survives. This is a very relevant question to ask, but it's also incredibly difficult to accurately answer. Most conservative estimates put the survival rate of transferred fat at roughly 50%, although many surgeons claim to be able to save a more significant amount. The fat that remains after 3 months of recovery will be your actual final result, not the results immediately after surgery.
Saline-filled breast implants contain a silicone outer shell filled with a sterile saltwater (saline) solution. Some are pre-filled and others are filled during the implant operation. Saline-filled implants come in different sizes and have either smooth or textured shells. The FDA approved saline-filled breast implants for breast augmentation in women age 18 or older and for breast reconstruction in women of any age. They are also used in revision surgeries, which correct or improve the result of an original surgery.
The ‘gummy bear’ implant comes in both round and teardrop shapes. They have a firmer gel, which may give a better shape and may last longer. The round gummy bear implant is often a good choice for women with looser tissues and who want a more durable implant that remains soft. The teardrop shaped gummy bear implant may be a good choice for women whose tissues are relatively tight and desire a very proportionate and natural looking enhancement with less fullness of the upper portion of the breast and more projection and fullness of the lower portion of the breast.

Complications after breast lifts are relatively rare. The main three are bleeding, infection, and scarring. Your surgeon will give you instructions for preparing that will help lower your risk of complications. Those instructions will include such things as not smoking, making sure you are off medications that may make bleeding more likely, and taking antibiotics if necessary.
“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."
Drink only liquids for the first few hours after surgery. Advance slowly to small, light meals. If you experience  nausea or vomiting more than two times, please call me so I can prescribe something to reduce this.  Excessive vomiting and retching can result in bleeding beneath the breast and/or around the implant (if  breast enlargement was done) that will require more surgery.
Your Brazilian but lift may take several months to stabilize, during which some of the transferred fat cells may be reabsorbed, especially if you put any pressure on your buttocks in the first few weeks after surgery. After you have recovered fully, your results can last years or even decades as long as your weight does not fluctuate dramatically and you maintain healthy lifestyle habits.
Suture complications. Brazilian butt lifts usually require just one suture, if any, but traditional butt lifts use long incisions that can involve many sutures. If you have sutures, your cosmetic surgeon will remove them several weeks after your surgery. Sometimes, sutures emerge through the incision line as the tissue heals. If this happens, your surgeon can safely remove them and clean the surrounding skin so you can continue healing.
Every BBL surgery will differ, based on the amount of fat that needs to be harvested and transferred to meet your goals. “Often fat is also added to the hips in addition to the buttocks with extensive liposuction of the flanks (love handles) and lower back to achieve a more curvy, hourglass shape,” Marina del Rey, California plastic surgeon Dr. Ziyad Hammoudeh, says in a RealSelf Q&A. “The cost can range widely based on the amount of time needed to complete all of the steps.”
Even though there is a possibility for deep vein thrombosis subsequently following the operation, this rarely occurs. All potential side effects from this procedure can be efficiently treated through proper instruction follow through and medication for pain management. The best way to avoid these complications is following your surgeon’s orders. You should avoid blood thinners, stop smoking, stay hydrated, stop drinking alcohol and arrange for care.
It is also important that the patient be in good health standing and have realistic goals and expectations from the procedure. Patients will have to dedicate a few weeks for the recovery period after the procedure is complete. They must be willing to understand that not every patient will have the same butt augmentation result. Therefore, it is important to compare before and after photos of Buttock Lift procedures with fat transfer only if the patients has a similar body type.

Your Brazilian but lift may take several months to stabilize, during which some of the transferred fat cells may be reabsorbed, especially if you put any pressure on your buttocks in the first few weeks after surgery. After you have recovered fully, your results can last years or even decades as long as your weight does not fluctuate dramatically and you maintain healthy lifestyle habits.


At this point, opinions vary. Some doctors seem to agree that having a tummy tuck and a Brazilian butt lift simultaneously is the recommended way so that the patient does not have to undergo a second surgery and second-time anaesthesia. Also, costs are less if those two surgeries are performed in one go. Other surgeons suggest the butt lift and tummy tuck are done separately. This is because the recovery after a tummy tuck involves the patient remains in any flexed or bent position at the hips while the recovery after a butt augmentation requires that the patient reduces the pressure applied to the butt region, as much as possible. So, for a patient that has had both procedures at the same time, it will be difficult to find a position that makes them feel comfortable. The rest of the plastic surgeons recommend the patient has the butt lift first, where fat is aggressively being removed from the waist and abdomen, and then schedules to have a tummy tuck to address the loose skin in the trunk and the abdomen after they have recovered from the butt lift.
A simple trick you can try that's remarkably effective at keeping you from putting too much pressure on your new butt while sitting is to use a towel. Roll the towel into a cylindrical shape, then put it under your thighs as you sit down, keeping your weight off your buttocks. Just be careful that you don't cut off the blood supply to your butt, which can also contribute to fat cell death.
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.
The woman wanting a lift is usually slightly different. She had breasts she was happy with before, she had loving kids who she may or may not have breastfed, exercised and had a good life. They come wanting to restore the youthful breast they once they had(or better), they hate that it is slightly more deflated than before and it's slightly more south then they'd like. The formal name of this operation is "Mastopexy" and that's why you hear terms like "Mastopexy augmentation" because often in order to restore the youthfulness of the breast you not only need to reposition the nipple/areolar complex "up" with a mastopexy, you also need to provide some additional volume with an implant, hence augmentation as well. The discussion with implant also is entirely different discussion all together, but this highlights the primary difference in the reduction and a lift.
The Brazilian Butt Lift Miami is also not as invasive as a butt enhancement through the use of implants, meaning a shorter recovery period for patients who undergo this procedure. The incisions made throughout the fat transfer procedure are small and cause nearly invisible scars. However, the incisions made for a butt implants must be greater in length.
If you opt for butt implants, solid silicone materials created to suit your preferences for shape, texture, and size, these will be placed at this point. Finally, your doctor will pull your skin tight across your sculpted buttocks, trimming the excess for a smooth appearance. Patients who combine fat transfer with a traditional butt lift will have fat injections at this point in the surgery. This procedure typically takes between two and four hours to complete.
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.
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.
Allergic reaction to medications or materials. If you are allergic to the gloves, sutures, gauze, drugs, or any other substances used during your butt lift, you may develop an allergic reaction. This could cause redness, rashes, hives, irritation, or other uncomfortable symptoms. To minimize your risk of allergic reaction, discuss your medical history with your plastic surgeon at your initial consultation. He or she may be able to use different materials to accommodate your allergies. If you do experience an allergic reaction, this should abate within a few days to one week.

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):
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