Buttock Augmentation or
Buttock Implant - Testimonial letters
Up
to now SRS has significantly evolved during the last
decade in technical refinement aspects. Formerly the
mainstay of the neovaginal reconstructive procedure
is trying by all means to create the deepest vaginal
canal . Sensation and external appearance are less
surgically oriented. Presently we do reconstruct clitoris
and its apparatus from sensate penile glandular flap
, the labia minora, the urethral opening etc. to silhouette
the true female external genitalia.
FFS ( facial feminizing
surgery ) silmultaneously runs in the same track to
reach the ultimate female face.
However
buttock and hip enlargement are somewhat in the dilemma.
Some gender dysphasia's search for all kind of injections
, fat graft of such a large volume cannot resist rapid
resorption. Liquid injected silicone (LIS ) is FDA.
prohibited in our country.The implant is originally designed to be put in the buttock cheek to enhance the buttock dimension. In the patients who need lateralization of implant to enhance the hip width, I basically will dissect the pocket lateralwise a little bit not to disrupt the gluteus border , therefore a little hip augmentation is achieved
As
far as I am concerned, the ultimate solution for buttock
and hip enlargement is
Gluteal
implant insertion such as those successfully
done for the breasts.The current technique I use at
TPSC is placement of the silicone
prosthesis in the deep pocket of Glutei Muscles
. Thanks to the uncomplicated anatomy of this area,
there are no major blood vessles or motor nerve except
the large sciatic nerve which is out of vicinity of
the operative area. This procedure, thereby, yields
extremely low complication rates. Intramuscular prosthesis
alleviates the capsular contracture and malposition
of implants which are often experienced by earlier
subcutaneous ones.
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Gluteal implant
Silicone-gel
filled smooth & textured surface round, anatomical shape
The
"GLUTEUS" implants are permanent
prostheses available in two different shapes
and in an extensive range of volume. These
implants incorporate a low permeability barrier
layer within the shell structure to suppress
gel bleeding. The silicone-gel is cohesive
enough so that its feel like real muscle tissue
and does not migrate in the case of an implant's
rupture.
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I personally prefer to use smooth wall round implant since it offers me low risk of seroma complication. The scar is unsightly either in the midline gluteus crease or bilateral curvelinear at the inner side of buttock cheek. We can assure
you the naturally soft consistency. The only drawback
is that your buttock must stay clear for intramuscular
injection.
On frequent occasion, i combine liposculpture and Lipo Filling simultaneously with buttock implantation to fulfill the buttock beauty especially on the lateral boundary.
The complication
Seroma and wound dehiscence are two leading complication. Currently I personally change to smooth wall buttock implant, surprisingly the seroma incidence decreases and by using two curvilinear incisions instead of one midline incision the tension on wound is remarkedly relieved so I have found the wound complication is low as well.
Do and don’t for buttock augmentation by bhumsak Saksri M.D
- No need for fressing change in 18 hours except for fecal contamination
- Lying on the stomach for one week
- Weeks
in the hospital menu
- Vacuum drain and foley catcheter will be dwelled for 48 hours.
- Standing is alright but walking should be under limit.
- Seroma is not uncommon be patient , if little amount open and drain will solve it.
- Continue pressure wear for three weeks
- wound or implant infection can happen because this area of the body is not perfectly clean even scrubbed. Regard to minor wound infection open and drain with antibiotics is fine but in the serious case removal of implant may be unavoidable.
- Post operate pain is more frequent comparing with breast augmentation. Morphine injection helps a lot for the frist two days. We will switch to home with strong pain killer.
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