Buttock augmentation with implants
For patients who want a buttock augmentation but do not have enough of their own body fat for harvesting, a combination of buttock augmentation with special silicone gel implants and fat grafting is the treatment of choice. Dr. Hamers places buttock implants inside the gluteus muscle. This so-called intramuscular placement makes the implant less visible and better covered, achieving a very natural look and feel.
For lateral parts of the buttock Dr. Hamers uses the fat transfer. The fat grafting placed the superficial layers of the buttock smoothes the implant edges with the patient’s own fat.
The fat is harvested by using a gentle water-jet assisted liposuction. It is transplanted to the buttocks with EVL expansion – vibration – lipofilling. EVL is an innovative technique to expand the recipient tissue with vibration during the fat transfer procedure. It results in both a higher transplant volume and a higher take rate than conventional lipofilling techniques.
This combination of implants and fat grafting allows for a buttock shape that would not be possible with implants alone, since the lateral parts of the buttock cannot be shaped. For these cases, fat grafting is the procedure of choice, which brings about the best possible result.
Duration of the surgery:
approximately 2-3 hours
general anaesthetic, inpatient for 1night
No sports, lifting and heavy workout for 6 weeks, compression garments.
No sitting for the first two weeks, restricted sitting for the third and fourth weeks, sleeping on the belly for 4-6 weeks
Normally fit for flying after 2weeks
Minimally invasive, tiny incisions of about 3-5 millimeters are needed for fat to be washed out of the body. Various techniques exist. The most advantageous and gentle is water-jet assisted liposuction, using just a small cannula with a pulsation water-jet on the tip. The water-jet’s gentle loosening and washing action makes it possible for large amounts of fat to be atraumatically removed. Compared with conventional liposuction, the sculpting of tissue is more precise and there is less trauma, pain and recovery time. Apart from being, gentle and more precise, the quality of the fat cells is superior to that resulting from other techniques, meaning that a higher survival rate of the transplanted fat cells is achieved.
Having a special clinical interest in natural body contouring, Dr. Hamers can reuse the patient’s own extracted fat to shape, fill or augment various parts of the body where it might be needed (for instance face, breast and buttock, but also calves or scars).
Dr. Alexander Hamers has specialised in Water-jetstream assisted fat transfer technology since 2012.
The transplanted fat needs to grow in. That is why it needs to be treated gently. Smoking, nicotine, pressure and cold all harm the freshly transplanted fat and should be avoided in the period immediately after surgery. Once the fat is grown in, it is part of the body and just part of normal aging.
Expansion vibration lipofilling (EVL) is the latest innovation in fat transfer. Using a vibrating cannula, the recipient tissue is gently expanded while grafting the fat. This results in both, a higher graft-able volume and a better take rate of the fat (higher percentage of fat cells growing in and remaining). Thus, if desired, more fat cells can be transferred to the same recipient area compared with conventional techniques. Dr. Hamers is the first surgeon to have established the EVL technique in Europe.