Brazilian Butt Lift (BBL) in Turkey

Buttock aesthetics is a popular surgical approach today preferred by many individuals to improve their body contours and boost their self-confidence. These procedures include various techniques aimed at enhancing the volume, shape, and contour of the hip area, aiming to improve volume, shape, and contour. One of the most frequently performed methods, Brazilian Butt Lift (BBL), offers a more natural appearance by transferring fat taken from different parts of the body. Alternatively, the volume of the hips can be increased using silicone implants. Both methods have their advantages and potential risks. For successful results, proper patient selection, correct technique, and choosing an experienced surgeon are critical.

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What is Buttock Aesthetics?

Buttock aesthetics has evolved over time alongside the development of surgical techniques and changes in aesthetic understanding. For the first time in 1969, Bartels and colleagues placed a round buttock implant through an infragluteal crease incision to treat gluteal muscle atrophy. This initiative laid the foundation for the use of implants in buttock aesthetics. In 1973, Cocke and Ricketson performed buttock augmentation procedures using silicone implants for cosmetic purposes. However, this method was not found aesthetically satisfactory due to the visibility of implants and issues with displacement.

In 1977, Gonzalez-Ulloa introduced gel implants through infragluteal and intergluteal incisions, aiming to improve their fixation properties. However, the subcutaneous placement techniques used during this period led to complications such as skin laxity and implant displacement. In 1984, Robles and his team recommended placing implants at the submuscular level. This technique reduced the risk of capsular contracture but required minimizing the implant placement area to reduce the risk of sciatic nerve injury.

In 1996, Vergara and Marcos introduced the intramuscular placement technique for gluteal implants using intergluteal crease incisions. This method provided better coverage and stability of implants, thereby reducing complication rates. In 2004, De La Peña developed a technique for placing implants beneath the gluteal aponeurosis, ensuring a stable implant position with minimal muscle dissection.

Alongside these surgical advancements, autologous fat transfer (lipoinjection) has emerged as a popular alternative in buttock aesthetics. In 1987, Dr. Eduardo Krulig introduced this method, which allows for volume enhancement using the patient’s own fat. Especially in the 2000s, the technique known as Brazilian Butt Lift (BBL) gained popularity with fat transfer. While BBL offers more natural results, it is controversial due to serious risks like fat embolism.

Today, buttock aesthetics is increasingly in demand due to cultural influences and changes in beauty perceptions. Advancing surgical techniques and improved safety protocols enable the achievement of successful results in this field.

Who is Buttock Aesthetics Suitable For?

Buttock aesthetics can be preferred not only for aesthetic concerns but also for medical reasons such as congenital or acquired deformities. Typically, candidates for this procedure are individuals who meet one or more of the following conditions:

Congenital or Acquired Deformities: Conditions like Poland syndrome or shape deformities and asymmetries resulting from trauma can be corrected with buttock aesthetics. Such interventions can provide not only aesthetic but also functional improvements.

Volume Loss Due to Aging: Over time, the elasticity of the skin and fat tissue in the buttock area decreases. This can lead to sagging and volume loss, creating an aesthetic problem. Buttock aesthetics can rejuvenate this area.

Shape Deformities After Significant Weight Loss: Individuals who have lost a significant amount of weight may have excess skin and insufficient fullness. These issues can be addressed with buttock aesthetics.

Gender Transition Process: For individuals undergoing male-to-female transition, buttock aesthetics is a crucial step in achieving a more feminine body contour.

Aesthetic Appearance and Symmetry Correction: Individuals desiring a fuller, more symmetrical, and proportionate buttock shape can benefit from this procedure.

Post-Tumor Surgery: After the removal of tumors from the buttock area, aesthetic intervention may be necessary to repair tissue loss.

Buttock aesthetics can be an ideal option for enhancing an individual’s quality of life, boosting self-confidence, and improving body image. Suitable candidates are generally healthy individuals without conditions that contraindicate surgical intervention.

Who is Buttock Aesthetics Not Suitable For?

Buttock aesthetics is a procedure that is not suitable for everyone and requires careful evaluation. Firstly, patients with active infections, especially those close to the surgical area, should refrain from the procedure due to the serious risks involved. Systemic diseases like uncontrolled diabetes can negatively affect the healing process and increase the risk of infection. Individuals with bleeding disorders or those taking blood-thinning medications have a higher risk of bleeding during and after surgery.

Psychological health is also an important evaluation criterion. Patients with unrealistic expectations about surgical outcomes or those with psychiatric issues such as body dysmorphic disorder may experience dissatisfaction even if satisfactory results are achieved. Therefore, it is recommended to assess the psychological state before undergoing aesthetic procedures.

Insufficient soft tissue coverage is another contraindication, especially for silicone implant applications. In such cases, the risk of complications increases, and the desired aesthetic appearance may not be achieved. Additionally, patients with known allergies to the materials used should undergo a detailed allergy evaluation before the procedure.

Pregnant and breastfeeding women are not recommended for aesthetic procedures. Hormonal changes can affect the healing process, so procedures should be postponed until after the breastfeeding period is completed. Patients prone to keloid or hypertrophic scar formation may develop exaggerated surgical scars, negatively impacting aesthetic outcomes.

How is Buttock Aesthetics Performed?

Buttock aesthetics is a surgical procedure chosen by individuals to achieve a fuller, more symmetrical, and aesthetic appearance in the hip area. This procedure is typically performed using autologous fat grafting (Brazilian Butt Lift – BBL) or hip implants. Both methods are selected based on the patient’s needs and anatomical structure.

• Autologous Fat Grafting (Brazilian Butt Lift):

The Brazilian Butt Lift is performed by transferring fat taken from other parts of the body to the buttocks. The procedure is usually done under general anesthesia. In the first stage, fat is extracted through liposuction from areas such as the abdomen, waist, sides, or thighs. During liposuction, a tumescent solution is used to reduce the risk of bleeding and facilitate fat collection. The extracted fat is then purified through filtering and centrifugation techniques to obtain pure fat. This purified fat is strategically injected into the buttocks. This method offers the advantage of both buttock shaping and improving the contour of the fat extraction areas. However, it should be noted that a portion of the transferred fat may be absorbed by the body.

• Hip Implants:

Hip implants are ideal for patients who do not have sufficient fat tissue or desire a significant volume increase. This procedure is also performed under general anesthesia. The surgeon makes small incisions in the natural curves of the hips to place the implants beneath the gluteus muscles. The selected implants are placed according to the patient’s aesthetic goals in terms of size and shape. The incisions are closed with sutures, and the healing process begins. While hip implants offer more permanent results, they carry risks such as infection, implant displacement, and wound healing problems.

• Combination Method:

In some cases, both techniques can be applied together. This approach is preferred when a significant volume increase is desired or when there are specific anatomical needs. In any case, the guidance of an experienced surgeon is essential for achieving successful results.

What are the Side Effects of Buttock Aesthetics?

Like any surgical procedure, buttock aesthetics carries certain side effects and risks of complications. Therefore, it is important for candidate patients to be well-informed about this process and to understand the potential risks to make an informed decision.

• Autologous Fat Grafting (BBL) Side Effects:

The Brazilian Butt Lift is performed by injecting fat taken from the body into the buttocks. While this method provides a natural appearance, it carries serious risks.

Fat Embolism: One of the most severe complications, this occurs when fat enters the bloodstream and travels to vital organs, potentially resulting in death. It is crucial to note that this risk is closely related to the surgeon’s experience performing the procedure.

Infection: Bacterial infections can develop in the injected areas and may sometimes require surgical intervention.

Asymmetry: Uneven absorption of the injected fat can lead to asymmetrical results.

Fat Necrosis: Dead fat cells can cause hard lumps or irregularities.

• Silicone Implant Side Effects:

Silicone implants are an effective option for patients who do not have sufficient fat tissue. However, this method also has its disadvantages.

Infection: The use of a foreign substance increases the risk of infection. In severe cases, implants may need to be removed.

Implant Displacement: Incorrect placement or movement of the implant can create asymmetry.

Capsular Contracture: Scar tissue around the implant can harden, leading to shape deformities.

• General Risks:

Both methods carry general surgical risks.

Deep Vein Thrombosis: Post-surgery immobility can lead to clot formation.

Scarring: Visible scars can cause aesthetic discomfort.

Permanent Pain and Numbness: Nerve damage can cause pain or numbness.

How Successful is Buttock Aesthetics?

Buttock aesthetics is one of the rapidly growing areas of aesthetic surgery and requires proper patient selection, appropriate surgical technique, and an experienced surgeon to achieve successful results. The success of the procedure can vary depending on the method used, the patient’s anatomy, and the surgeon’s skill.

Autologous Fat Transfer (BBL): BBL is known for providing natural-looking results. However, the success of this method depends on the survival rate of the injected fat cells. On average, about 50-70% of the transferred fat integrates into the tissues long-term. Maintaining a healthy lifestyle and proper care post-surgery can contribute to the longevity of the results. However, due to the serious risk of fat embolism, this procedure should only be performed by an experienced surgeon.

Hip Implants: Hip implants are an effective method for increasing volume in individuals without sufficient fat tissue. However, the risks of infection, seroma, and implant displacement must be considered. Results obtained with implants are generally permanent and patient satisfaction is high, but regular follow-ups are important to prevent complications.

Overall, both methods have high patient satisfaction rates, but the success is directly related to the patient’s expectations and the surgeon’s expertise. Therefore, a detailed evaluation before the procedure and open communication about all risks with the patient are critically important.

How to Prepare for Buttock Aesthetics?

Buttock aesthetics requires a well-prepared surgical and psychological process. The first step is a detailed medical evaluation. The patient’s medical history is reviewed to identify bleeding disorders, uncontrolled diabetes, or other health issues that may contraindicate surgery. A physical examination includes assessing skin elasticity, fat distribution, and muscle tone. This information helps determine which method (autologous fat transfer or gluteal implant) is more suitable for the patient. Additionally, the implant option may be considered for patients without sufficient fat tissue.

Surgical planning begins with clarifying the patient’s aesthetic goals and aligning expectations with the surgeon. Visual aids are a fundamental part of the planning process. Markings are meticulously done according to the patient’s anatomy to ensure symmetry and achieve ideal results. Areas for liposuction and implant placement sites are determined during this process.

Patients should quit smoking at least four weeks before the surgery and avoid medications like aspirin that can increase bleeding risk. Maintaining a balanced diet accelerates the healing process. Preoperative blood tests and imaging studies are used to enhance surgical safety.

Logistical preparations are also important. Having a helper available for transportation and care post-surgery is necessary. Preparing a comfortable recovery environment at home and having all necessary materials ready in advance is essential.

How Should Postoperative Care Be After Buttock Aesthetics?

The postoperative recovery process after buttock aesthetics is a crucial phase that directly affects the success of the surgery and the permanence of the results. During the postoperative period, it is essential for patients to follow the surgeon’s instructions carefully and monitor their condition closely.

• Early Postoperative Phase (First 24 Hours and First Week):

In the first days after surgery, patients typically experience mild pain, swelling, and nasal congestion as the effects of anesthesia wear off. Cold compresses can help reduce swelling but should not be applied directly to the nose. Keeping the head elevated helps reduce swelling and regulate blood circulation. During this period, nasal splints or casts should be protected and removed at the time specified by the doctor. Physical activities should be avoided, and buttock aesthetics patients should continue using saline nasal sprays to keep the nasal passages moist.

• Healing Phase (2nd and 4th Week):

During this phase, swelling begins to decrease, and the patient can gradually return to light activities. However, strenuous exercise and physical exertion should still be avoided. The regular use of compression garments should continue to reduce swelling and provide support to the treated area. Wound care remains important in this phase; signs of infection should be closely monitored and the wound area kept clean. To prevent sun exposure, patients should be cautious and use sun-protective products.

• Later Phase (From 2nd Month to 6th Month):

During this period, the shape of the abdomen becomes more defined, but some swelling may persist and requires time to fully resolve. Patients should seek the doctor’s approval before resuming heavy physical activities. It is important to avoid abdominal trauma and minimize exposure to sunlight.

• Long-Term Recovery (6th Month and Beyond):

Approximately six months after the surgery, the abdomen begins to take its final shape. Most swelling has subsided by now. However, if there is any aesthetic or functional dissatisfaction, it should be openly discussed with the doctor. In this phase, protecting the abdomen and continuing regular follow-up appointments are important.