Exciting News!

As of March, 2016 Dr. Bharti joins Hunstad Kortesis Plastic Surgery + MedSpa in Charlotte, NC. New and existing patients are welcome to call 704-659-9000 to set up consultations with Dr. Bharti's new office.

Case of The Week: Brazilian Butt Lift

Body contouring to improve buttock shape is becoming popular in the United States.  Last year, plastic surgeons across the country performed nearly 10,000 buttock augmentations, up from the approximately 8,500 done in 2012, according to stats from the American Society of Plastic Surgeons.  There are several methods to increase and improve buttock shape and volume.  Traditional methods have focused on using buttock implants.  These implants can provide reliable results but there can be some serious complications of infection and implant malposition. 

Buttock augmentation with fat grafting is becoming the state of the art.   A popular name for this method is the Brazilian Butt Lift (often abbreviated as BBL).  This method can give you a larger, more shapely buttocks. A Brazilian butt lift enhances your figure by reducing waist-to-hip ratio without increasing overall body weight.

One of the key advantages of a Brazilian butt lift is that fat used to enhance your backside is taken from your own body.  There is no need for implants, and your donor site will benefit from a slimmer, more contoured appearance. The abdomen, thighs and lower back are common donor sites where fat is removed.  The best candidates for a Brazilian butt lift will possess good physical and emotional health, along with realistic surgical expectations.

Using this technique, Dr. Bharti performs an aggressive liposuction of areas with unwanted fat such as the abdomen, flanks, lower back, and thighs. Using a cannula (thin suctioning tube), Dr. Bharti will break up and suction out excess fat from a donor site on your body through very small incisions.  Multiple small incisions are used so that fat can be removed from all targeted areas in a smooth fashion without leaving contour deformities. 

The harvested fat is then processed and purified. Dr. Bharti will then carefully inject the harvested fat into your buttocks to increase volume and improve the overall shape. Injections will be administered using a fan pattern to ensure the highest possible survivability of the fat.  Fat is injected superficially under the skin and deeper into to the buttock muscles as well.  All incisions will be closed and surgical dressings will be applied to the treatment sites.
This 24-year-old 5 foot 4 inch female patient weighing 150lbs presented to Dr. Bharti with the primary goal of increasing the size and improving the shape of her buttocks to have balance with her body.  She was not interested in buttock implants.  She was a healthy and physically fit non-smoker.  She had realistic expectations and met with Dr. Bharti several times before her surgical procedure to make sure she understood the procedure and to ensure Dr. Bharti clearly understood her goals. 

She was taken to the operating room under general anesthesia as an outpatient.  This was performed at a surgery center.  Dr. Bharti began the procedure with the patient lying on her back.  Dr. Bharti used tumescent fluid anesthesia as well which uses warmed fluid with adrenaline and local anesthesia to limit blood loss and help provide pain relief.  This fluid is injected prior to performing liposuction.  He then performed an aggressive liposuction of her tummy and flanks.  Small 1 cm incisions were used to perform the liposuction.  All of this fat that was removed was kept and used later in the procedure.  After her tummy and flank liposuction was complete, her small 1 cm incisions were closed with absorbable sutures. 

Her position was then changed and she was placed on her tummy on the operating room table.  Dr. Bharti then continued to perform an aggressive liposuction of her posterior flanks and her lower back.  The lower back is a very important area to perform liposuction as it accentuates the upper border of the buttocks and creates a transition zone between the buttocks and the lower back.  After this was done, multiple small incisions were used to gain access to the buttocks and fat injections were carefully performed to both buttocks.  The fat was injected into multiple areas that Dr. Bharti had marked preoperatively to increase the size and projection of the buttocks and to also improve the shape.  The fat was injected into the layers under the skin and also deeper into the gluteal muscles.  Following this all the small incisions were closed.  She was then placed in compression garments and awoken from anesthesia.  She went home later that day.  Our patient had minimal pain that was controlled with medicine by mouth.  Dr. Bharti saw the patient the following day, and continued to follow his patient at 1 week, 1 month, 3 months, 6 months, and at 1 year follow up appointments.   

Compression garmets were maintained for a total of 6 weeks, and the patient avoiding sitting or lying on her buttocks for the first two weeks after her operation.  She has an excellent result, but most importantly this patient is extremely happy!  

If you are interested in this procedure please make sure you see a Board Certified Plastic Surgeon like Dr. Bharti who is certified by the American Board of Plastic Surgery.