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Men who seek this procedure truly have small, flat buttocks and are really very self-conscious about and disturbed by this feature. It is often not related to weight loss or other factors, but just what you are born with. By careful selection of men, Dr. Romano is pleased to report that he can help you with this issue in a safe and permanent way.
In principle it is the same as fat grafting in the body, but the features and indications for surgery are different and very important. First of all, you must have some fat “reserve” excess in your body—enough to allow for a resource of fat to graft. If you are really thin or athletic, you may not be a candidate, or you may have to gain weight. Secondly, your buttocks have to have some tone and contour and not be completely deflated or sagging. Provided these conditions are present to some degree or another, you can proceed. The relevant anatomy is basically not enough volume of fat in the buttocks. The muscles are usually okay. The buttock area blends intimately into the lower hip area, so this area must also be evaluated, usually for liposuction to create a lower inward curve to the back and then an outward curve over the buttock.
There is an art to fat grafting in terms of which fat to harvest, how it is harvested and prepared, how it is injected and grafted, and how to make it permanent. Dr. Romano has expertise in fat grafting to the buttocks, and he has performed many of these operations with very natural results.
Also known as the “Brazilian Butt Lift,” this is such a popular procedure that I decided I needed to devote a whole section to it.
I am impressed and humbled by the number of men who see me in consultation who truly have small, flat buttocks and are really very self-conscious about and disturbed by this feature. It is often not related to weight loss or other factors, but just what you are born with. By careful selection of men, I am pleased to report that I can help you with this issue in a safe and permanent way.
In principle it is the same as fat grafting in the body, but the features and indications for surgery are different and very important. First of all, you must have some fat “reserve” excess in your body—enough to allow for a resource of fat to graft. If you are really thin or athletic, you may not be a candidate, or you may have to gain weight. Secondly, your buttocks have to have some tone and contour and not be completely deflated or sagging. Provided these conditions are present to some degree or another, we can proceed. The relevant anatomy is basically not enough volume of fat in the buttocks. The muscles are usually okay. The buttock area blends intimately into the lower hip area, so this area must also be evaluated, usually for liposuction to create a lower inward curve to the back and then an outward curve over the buttock. So there are a number of anatomic features that must be analyzed and addressed prior to your surgery. I will coordinate the features of your anatomy with your expectations, formulate a plan with you, and guide you through this process. There are very specific techniques for collecting fat and grafting it into the correct areas, and I will explain and illustrate all of this to you. Surgery involves a light general anesthetic and is performed where I do surgery, which is in a hospital setting. The surgery is safe and predictable. The fat grafting is planned and designed to be permanent, and it is. There is a mild to moderate degree of swelling after surgery. All of the stitches are small and removed in four to seven days, and you can return to work in as little as two to three days and to some physical exercise in the second week.
I do not perform buttock synthetic (silicone) implants under any circumstances.
Please also read Dr. Romano’s article on fat grafting FAQs in the Educational Articles section of the website.
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