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ASM reports

More recent icons of the ample rump include super stars such as Beyoncè and Kim Kardashian, who celebrate their voluptuous derrieres and aren’t afraid to shake them! plastic surgeons get a substantial amount of requests for a shapelier behind, which is an essential contour of the human silhouette.

Beauty is never more ingrained in the eye of the beholder than within the context of culture. A good example is the visual feast of the famous Rio Carnival, which boasts glitteringly clad Brazilian women with voluptuous, round bottoms – almost certainly considered by Western cultures to be “substantial,” to say the least.

Dr. Moshe Fayman, a Johannesburg-based plastic surgeon, agrees that in South America there is much more emphasis on buttock lift and/or augmentation for women than anywhere else in the world.  Dr. Fayman explains that not only did the techniques used in body contouring surgery originate in South America, but these techniques were also partly the result of the “beach culture” and the climate, he explained.

Fat pumping for curvy buttocks

Whilst one way of enhancing the buttocks is via the insertion of an implant, another, safer way is through the “re-distribution of wealth,” or fat-pumping into the area, in order to increase it’s size. “We suction fat out of another body part with a syringe and re-inject it in small to micro-volumes in the desired area on the buttocks. The fat re-vascularises in the new site and becomes a permanent fixture, changing the shape of the buttocks,” says Fayman. Owing to the extremely delicate nature of stubborn, human fat, surgeons who perform this procedure have to exercise great caution. The suction method cannot be too strong, or it will kill the fat cells; nor can the surgeon use too narrow a needle on the syringe to inject the fat cells back into the patient’s buttocks. In addition, the surgeon can’t deposit too many fat cells into any one place. The application of droplets of fat is preferable, placed at hundreds of different levels, whereas fat cells the size of a teaspoon put into one place will perish. Fat cells also cannot be exposed to ordinary air.

Of course, as with any surgery, there is the possibility of complications, but these are few and far between. Possible side-effects include slight infection or small pockets of fluid retention, which tend to clear on their own. The procedure also requires a somewhat artistic eye, as it involves the sculpting of the human form and thus an exaggerated result will have the opposite effect to what is desired, especially in the buttock area. The operation will usually require a short stay in hospital, as conscious sedation is used, with a local anaesthetic administered to the areas that are being operated on.

Pain levels are similar to those experienced after liposuction. “Patients say that it feels a bit like you’ve pulled a muscle at the gym, and that only really lasts for about 24 hours after the procedure, so we send them home with some painkillers, but nothing too drastic,” says Dr Fayman. Patients also have to wear a compression garment for two to three weeks after the procedure, he explains. Within a couple of days, one can continue with one’s normal lifestyle. There is, of course, a restriction on how much fat can be redistributed and this does not coincide with the amount of fat you have elsewhere on your body. Important to keep in mind also, is that the results are permanent. ASM

 “We suction fat out of another body part and re-inject it on the buttocks”

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