The Quest for the Ideal Butt Aesthetic

The ideal butt aesthetic changes with the times and with societal norms.  The ideal aesthetic as long as it is reasonable and possible to achieve is whatever the patient thinks is the ideal.  Some patients think that Dr. Kenneth Hughes has a preference or a type of buttock or shape that he produces or prefers.  However, Dr. Hughes has no preferred aesthetic and tries to get the patient as close to the buttock aesthetic that he or she desires.

Sometimes patient want more hips with as small a waist as possible with as much butt projection as possible.  Some patients want a rounder butt with less projection and less hip to create a more athletic look.  Then there are all of those butts in between.  The truth of the matter is that a more conservative result is easier to achieve and will, by its very nature, have fewer complications and an easier healing process.  However, most patients do not want to only look slightly different.  Most patients want significant change in overall body and butt shape and size.  In fact, the most difficult patients are those who think they look a certain way in the mirror and are actually so far away from their goals that the goal can never be achieved given their starting point.  These individuals must either agree to have realistic expectations or not have the surgery.  Otherwise, the postoperative period and any relationship with the patient will be unhappy for all involved.

Realistic Expectations for Butt Augmentation Surgery Are Essential

Dr. Kenneth Hughes endeavors to get the best Brazilian buttlift or BBL results for his patients and he does achieve these high standards, but the patient must have expectations that can be met to move forward with surgery.  Many of the issues with butt augmentation involve the elasticity of the skin envelope and how much that envelope can stretch.  Some patients will have such as tight envelope that very little improvement can be achieved with fat transfer.   There is no test to evaluate for this and can only be determined at the time of surgery.  Patients should remember that the worst result is not the one in which their desires are not met.  Overfilling with high pressures can lead to infection and fat necrosis.  Fat necrosis can be significant and may require a second or third surgery to remove the large brick of dead fat and another surgery to reconstruct that area.  So, it is very important to exercise good judgment when performing these fat injections.

Another issue for some patients is that they have a very square physique due to small hips and a large waist or a combination of both.  In these situations, the hourglass figure can be much more difficult to achieve.  If the musculoskeletal anatomy of the waist is large with little subcutaneous fat, liposuction is not going to make a big difference in overall aesthetic.  Similarly, small hips can only be made so large due to the restrictive nature of the skin.

Butt Implants Have Restrictions as Well

Many patients think that an unsuccessful Brazilian buttlift means that a butt implant surgery is their only option.  This may or may not be the case.  Dr. Kenneth Hughes has performed thousands of Brazilian buttlift revisions, and he can tell you that a revision can be very successful with the right surgeon.  However, Dr. Kenneth Hughes has also performed many butt implant surgeries as well following Brazilian buttlift surgery.  Butt implants to look natural must be placed within the muscle.  The muscle camouflages the implant so that the surgery is not obvious.  In addition, the muscle tends to stabilize the implant and makes for a better longevity of the result.

 

Butt Implants Must Fit Within the Gluteus Maximus Muscle

Having said all of these things, it should be apparent that the butt implant dimensions must be smaller than the muscle so that the implant is completely covered by the muscle.   That means that a lot of patients who request greater than 450 cc to 500 cc will simply be too small for the implant surgery to be a success.  This is where it pays to make a smart decision and not an impulsive one.     Once again, good judgment will help prevent complications.  Placing an absurdly large implant for a patient will result in a higher failure rate and a greater likelihood for implant removal or revision surgery.  Dr. Hughes has warned many patients about such complications.  Some patients heed the warnings and some do not.