Plastic Surgery In Beverly Hill ( Part eight )
Buttocks Liposuction Beverly Hills
Tiny Cannulas Give Best Results
Using microcannulas
and tumescent liposuction techniques, the size and shape of the
buttocks can be improved, and can produce excellent, symmetric, and
smooth results. Microcannulas have a diameter of less than 3 mm or less
than 1/8 of an inch. In contrast, liposuction of the buttocks using
large cannulas are more likely to cause irregular shape and lumpiness.
Larger cannulas are somewhat old fashioned, and tend to be used by
surgeons for maximum speed rather than maximum finesse and precision.
Shape Is Important
The
shape of the buttocks is formed by subcutaneous fat. When well
proportioned, the buttocks fit into clothing more comfortably. When
misshaped or disproportioned, buttocks are a source of dissatisfaction,
inconvenience, shame, embarrassment, and derision.
Function and Aesthetics
The
fat of the buttocks has functional and aesthetic importance.
Functionally the buttock is a soft, resilient cushion that provides
protection when sitting on a hard surface. Aesthetically, a beautiful,
callipygian buttock is a source of admiration and visual delight; it is
pleasing to behold, and hold.
Callipygean
The
Ancient Greeks were preeminent authorities on the subject of human
surface anatomy. They had a word to describe beautiful buttocks:
callipygian. The word is derived from a compilation of kallos
(beautiful) and pyge (rump). The Callipygian Venus is a famous marble
statue of a female nude discovered the Roman house of Emperor Nero, and
now displayed at the Museo Nationale in Naples.
Liposuction Surgical Technique
The
goal of tumescent liposuction of the buttocks to achieve uniformly
smooth results with a pleasing reduction in size and bulk. The surgeon
must strive to achieve a symmetry and avoid excessive fat removal.
Because the buttocks is a rounded surface, it is difficult to achieve a
smooth rounded result by liposuction using a large cannula with only one
or two incisions. Large cannulas have a tendency to create a
lumpy-bumpy furrowed result. The smoothest results are achieved using
microcannulas (less than 3 mm diameter) and multiple tiny incisions that
leave virtually no visible scars.
Too much liposuction
Too
much Liposuction will leave an unacceptable sagging appearance, and
surgical irregularities of the skin. The goal is never to remove the
maximal volume of fat; rather it is to produce the smoothest, most
natural, well proportioned result possible. As a general rule, no more
than a 40 percent of the buttock fat should be removed by liposuction.
Liposuction
cannot be expected to lift or elevate the buttock to any noticeable
degree. A skilled surgeon can remove fat uniformly from throughout the
volume of the buttocks and thereby produce a reduction in the weight of
the buttocks. By removing some of the weight of the buttock, the natural
elastic recoil of skin has the potential to produce a slight elevation.
In older patients whose skin has lost some of its youthful elastic
qualities, there is usually very little elevation.
Sacral Fat Pad
Some
patients have a genetically determined fat pad (the sacral fat pad)
located on the lower back just above the intergluteal crease. From an
aesthetic perspective, the sacral pad is regarded as a component of the
buttock.
Horizontal Crease Below the Buttocks
The
horizontal crease below the buttocks is the boundary between the
buttocks and the posterior thighs. The crease is formed by a meshwork of
fibrous connective tissue stands (known as Luschka's ligament) that
loosely connects the skin to the surface of the muscles in the buttocks.
Some people do not have a horizontal gluteal crease. It is a mistake to
attempt to create horizontal gluteal crease by liposuction.
Horizontal
Crease Cannot Be Created. Any attempt to produce an a horizontal crease
below the buttocks by means of liposuction is unwise and often results
in a crease that appears unnaturally scooped-out, and furrowed. This
deformity is most apparent when the when the patient bends over, and
stretches the affected area. Removing too much fat from the in this area
results in pain when sitting on a hard surface. Too much liposuction in
the area of the horizontal crease cannot be repaired. The cosmetic
risks out weigh the possible benefits.
The Banana-Shaped Bulge
This
is a banana-shaped fat pad sometimes found below the horizontal crease,
on the upper posterior thigh immediately below the buttock. Removing
too much fat from the banana-bulge will produce a redundant or double
horizontal crease.
Double Horizontal Crease
Many
women are concerned about the banana-shaped bulge which represents a
focal accumulation of fat and skin. Most patients who have a prominent
banana-form fold will want the surgeon to treat the area aggressively.
However a conservative approach is recommended. Patients should be told
not to expect more than a 50% improvement in this area with the first
surgery. If additional surgery is necessary, then a second liposuction
procedure can be performed at a later date. Excessively aggressive
liposuction of the banana-form fold will often produce second horizontal
infra-gluteal crease that is almost impossible to repair without a
significant scar. This first time the banana-shaped bulge is treated by
liposuction, it is always better to remove too little than too much.
No comments:
Post a Comment