Dr. De Fazio Plastic Surgeon :: Procedures :: Body :: Buttock Lipofilling

Buttock Lipofilling

estetica_lipofilling_glutei.jpgLipofilling is a natural and safe procedure, which does not imply allergy risks; it is useful to improve muscle definition in some areas like the buttock. Through this procedure, it is possible to harvest fat tissue from parts of the body such as the thighs or the abdomen (tummy) or from any other site where it is available and, then, graft it to the gluteal region. The grafted fat tissue is permanent and, being enriched with autologous stem cells, no allergic reactions can occur.

spinal + sedation / general
2 to 4 hours
day surgery or one
overnight stay
1 week

The procedure

Lipofilling can also correct post-traumatic and post-surgical defects.

Nowadays, thanks to Regenerative Medicine, in particular to the Celution® System, it is possible to use stem cells obtained from adipose tissue harvested from the patient himself/herself, to make the result of lipofilling even more effective.

Benefits of the Celution® System:
- the fat tissue grafted is permanent, thus lasting a lifetime
- no allergic reaction can occur
- the result is extremely natural
- using autologous stem cells the grafted fat tissue volume increases significantly.

Lipofilling is performed in a surgery room if the areas to be treated, like the buttock, need a big quantity of adipose tissue and, as a consequence, the harvesting (liposuction) must be from several parts of the body. In these cases, anesthesia must be spinal with sedation or general.
For a lipofilling procedure, the surgeon uses a small needle or cannula attached to a surgical vacuum or syringe, harvesting the fat tissue from the donor site, preferably from the parts of the body where fat tissue is firmer: abdomen, hips or thighs. Once the fat tissue is harvested, it is then processed with the “Celution® device", which, inside the surgery room, automates and standardizes the extraction, washing, and concentration of the patient’s own adipose-derived regenerative cells (ADRCs), which can then be redelivered to the patient's buttock using very thin needles.
This process can be repeated as many times as needed, until the desired correction is achieved.

The harvesting of fat tissue for buttock lipofilling is normally performed in combination with a small liposculpture. In most of the cases, to get the desired volume enhancement, it is necessary to harvest an adequate quantity of material, considering that buttock augmentation requires in average 200-500 cc of adipose tissue for each side. For this reason, the patients who decide to undergo this procedure must have the necessary quantity of adipose tissue available for liposuction. As a consequence, the procedure will have a dual result: reducing adipose tissue in the areas where it is excessive and increase the buttock volume. The surgeon will make a pre-operative study using the patient's photos, in order to assess which areas need to be corrected by liposuction and how to reshape and lift the buttock by lipofilling. There will be no visible scars in the calves, since the needles used leave no marks. In the donor sites, there will be a small scar of about 3 mm (the needle size).

The procedure is performed as day-hospital surgery, except from either the cases when it is performed late in the afternoon or upon the patient's request.
This procedure is very safe, since it is minimally invasive.

Preoperative Preparation

The patient will be asked to stop taking aspirin or other drugs containing it 2 weeks before and 2 weeks after surgery. Aspirin can cause bleeding and, as a consequence, increase the risk of complications.
It is recommended to female patients taking oral contraceptives to stop taking them one month before surgery.

Post-operative care

The patient will be able to perform their usual activities within a few days after surgery. Social activities should be reduced for one week after surgery if involving the treated areas, such as thighs, knees, hips, tummy and the buttock itself. Long walks should be limited, as well as strains and sports, for one month; yet, already from the day after, office work can be resumed.

After the procedure

Already from the first day after surgery, the patient can get some Tecar® therapy applications on the treated areas in order to reduce edema, ecchymosis and pain when occurring. At the first check-up, one week after surgery, no stitches need to be removed, since only resorbable sutures are used. 

5 to 7 days after surgery the treated areas can be soaked and the patient can have a bath or a shower.
The patient must wear an adequate post-operative compression wear for about one month.
The buttock should not be compressed or massaged for 30 days; therefore, for the first 10 days a special cushion should be used.

The first post-operative check-up will be one week after surgery, the second one 30 days after and, then, 90 days after. Six months after surgery the surgeon will check the patient at his consulting room.

Possible complications

Complications related to the procedure are rare and, when occurring, consisting of: infection, hematoma, asymmetry and irregular skin surface.

These complications, as mentioned above, are rare and, anyhow, easily corrected and, in most of the cases, with no major problems.
Although this is a low complication risk procedure, antibiotics are anyhow prescribed to prevent any possible infection. Amongst other possible complications, we can mention a temporary impairment of the lymphatic circulation in the treated area, and, consequently, swelling. This situation gets solved by itself or with the help of a Tecar® Therapy course in combination with massages within one month after surgery.
Another possible complication is, once recovered, some sagging of the skin profile in the treated areas, due to excessive scarring. Possible irregularities or asymmetry can be easily treated with secondary outpatient surgery with local anesthesia six months after the lipofilling procedure.

Recovery time (back to social life)

Recovery of the normal physical activities does not get not longer because of edema and swelling. Possible redness, normally rare for this procedure, can require a longer time before resuming sun exposure, at least until the redness is gone, which normally happens within 10 days if a course of Tecar® Therapy is carried out. Pain and discomfort can last for 2-3 weeks and could reduce the functionality of the lower limbs.
Social activities will be reduced for one week after surgery if involving the treated areas (such as thighs, knees, hips, tummy and buttock). As a consequence, long walks, sports and strains should be avoided for one week. Yet, already from the day after surgery, office work can be resumed. Sports can be resumed during the 3rd or 4th week after surgery. There are no special limitations regarding diet. Pain is normally not occurring and can anyhow be easily controlled by proper therapy.
Limitations in movement are depending on the donor sites involved and on the quantities harvested.
Driving is not affected by this procedure.