The ten most common cosmetic procedures in Germany include nose and breast enlargement in women, chin corrections and breast reduction in men. Smoothing out wrinkles and sucking off fat, on the other hand, allow both genders to work equally. Most women can be embellished between 20 and 30, most men only venture into their mid-40s.
But wait - where do the body parts actually stay below the belt line? In any case, the bottom does not appear in the top ten in the ranking. The human behind is the symbol for eroticism. Even in the Stone Age, well-shaped and relatively large female buttocks were ideally held in statues. The curves were considered a symbol of good nutritional status, health and fertility. Since not everyone is blessed with a flawless buttocks, there should actually be an interest in beautifying the very least. Georg Roth, specialist for plastic and aesthetic surgery in Dortmund, suspects that most patients do not yet know the possible surgical procedures and therefore do not ask about them.
There are also all optimization options for the buttocks, from liposuction when the buttocks are too large, to the injection of body fat for sagging pomuscles, the so-called Brazilian Butt Lift, to the use of implants for a new model. The buttocks are most often enlarged in around 60 percent of all cases. The tightening, ie the "lifting", is only popular in Brazil. There, buttock tightening and buttock enlargement balance each other out. According to an international study, the United States, China and India are at the forefront worldwide with around 15,000 interventions per year. Germany follows in eighth place after Brazil, Mexico, Japan and South Korea with around 5000 operations - and the trend is rising.
The various forms of butt correction are now very popular routine interventions in South America, especially in Brazil and the US. Also in Germany, female curves to which not only the breast, but also the feminine hip and the curvy butt count, are becoming increasingly popular. Therefore, the demand for the appropriate interventions is slowly but steadily increasing. Since the reports of blogs, press and TV are mostly the grotesque cases of such operations, there is still a great deal of skepticism among the population. This skepticism is unjustified. The methods described below are well established and as safe in the experienced as breast operations.
An attractive figure for many women and men is, first of all, beautiful and tight buttocks. But sometimes this part of the body can be too plump, pointed or too small. If healthy food and exercise do not help to achieve the desired shape, plastic surgery comes to the rescue.
With age or after significant weight loss, the buttocks can become drooping or flat (hypoplastic) due to the weakening of the connective tissue. Nevertheless, the buttocks can be of flat shape at a young age as well. It is due to heredity, which occurs both in women and men. However, before visiting a plastic surgeon, it is worth trying to strengthen the muscles and connective tissue of the buttocks with special exercises for the buttocks and healthy nutrition.
To properly change the shape of the buttocks, it is important to know the standards of beauty for this part of the body. The following criteria are used to describe the aesthetics of the buttocks:
If you draw a vertical and a horizontal line through the middle of the buttocks, you will get four quadrants, which, ideally, should be approximately the same size.
The gluteus maximus muscle takes about 80% of the buttocks, thus determining their shape. It starts from the back of the ilium and sacrum/ coccyx, has a long and curved profile, and together with the other gluteus maximus muscle forms an area in the shape of a big letter “V”, the so-called “V-zone”. The deeper this depression and the larger its surface, the more beautiful the buttocks are.
The inner extremity of the gluteus maximus muscle goes down, then outwards and, thus, forms the gluteal fold. Ideally, the gluteal fold divides the muscle by 2/3 of its length, extends to the thigh at an angle of 45°, and forms, together with the contralateral fold, a kind of rhomb that is known as the “rhomboid area”.
Before the operation the attending surgeon will check your health. The operation is possible only if everything is in order. During this check the attending surgeon also conducts a detailed consultation. It is the time when you can express your wishes and ideas and discuss with the surgeon available methods of conducting the operation.
In addition, during the consultation, the specialist will assess the condition and shape of your buttocks and determine the best method for you, which will help to achieve the desired result.
It is also important to inform the patient about the risks of both the operation itself and anesthesia. As well as before any other operation, during the consultation you should inform the attending surgeon about the medicines you take and allergies. The intake of medications that inhibit blood clotting, such as various sleeping pills and acetylsalicylic acid, should be stopped 14 days before the buttocks modelling. It also concerns alcohol and cigarettes. The operation is performed on an empty stomach, so do not eat or drink six hours before the procedure.
During the consultation it is important to clarify all issues and possible concerns. Therefore, be sure to prepare for the consultation with your doctor. Write down all the questions that interest you so as to find out the answers. Take an accompanying person with you, since you cannot drive after the surgery.
Pumping-out adipose tissue (liposuction or body-contouring plasty) is suitable for removing fat from problem areas that are difficult to correct with sports and diets. These include thighs, buttocks, upper thighs, knees, shins and ankles, as well as chin and shoulders. During liposuction the fat that is between the skin and the muscles (subcutaneous adipose tissue) is removed.
During this procedure excess skin and connective tissue is removed. The lift is often performed after liposuction to remove sagging skin after the surgery. Thanks to the skin tightening, the buttocks are raised. The incision is made either on the upper edge of the buttocks, or at the lower edge of the gluteal fold. This surgical method allows “hiding” the scars, so that after complete healing they can be almost invisible.
Just one lift is often not enough to successfully lift the buttocks and achieve the desired result. For this reason, after the lift the aesthetic distribution of volume is performed. The volume can be created with the help of plasty using skin flaps, adipose tissue transplantation or silicone implants.
There are the following methods for increasing the buttocks:
This method, like breast augmentation, involves inserting silicone implants to create more plump buttocks. This method is suitable for people who do not have their own adipose tissue which can be transplanted into the buttocks.
Thanks to implants, the buttocks look tighter and have more volume. In the upper part of the gluteal fold the surgeon makes a vertical incision 5-7 centimeters long. Then the doctor forms implant pockets between the buttocks. Implants come in a variety of shapes. They are usually made of silicone and are very strong and elastic. Since the implants are placed in the upper part of the buttocks, they do not interfere with sitting.
Having inserted the implants, the surgeon places a drain in the wound to remove tissue fluids and blood plasma. This approach also helps prevent possible infection. Then the wound is sutured, bandaged, and tight-fitting compression underwear is put on. The compression underwear does not allow the implants to move. It also prevents the formation of fluid in the wound and thus contributes to the healing process.
In addition to implants, to increase the buttocks it is possible to use the patient’s adipose tissue which is removed from other parts of the body with the help of special thin needles. Excess fat is removed on the thighs, abdomen or back, and then it is injected into the desired zones.
The advantage of this method is that you can simultaneously remove fat in unwanted areas in other parts of the body, without the need to insert a foreign body, such as a silicone implant. The prepared adipose tissue is delivered to the desired zones through tiny punctures. Such punctures leave practically no visible scars. Fat is injected mainly into the subcutaneous tissue, and also into the muscle tissue.
Hyaluronic acid is an endogenous (produced by the body) substance, an important component of connective tissue. It plays a significant role in cell proliferation and migration. If you need to correct the shape of the buttocks just a little and for a short time, this method is suitable. Hyaluronic acid is injected into the subcutaneous tissue through small incisions.
To achieve an ideal result, it may be advisable to combine various methods, depending on the patient’s individual needs. Talk to your surgeon during the consultation to determine which of these techniques is right for you and whether this technique should be combined with any others.
Depending on the type and complexity of the procedure, postoperative symptoms and, therefore, measures of postoperative care may vary. If an extensive correction of the buttocks was performed, you may have to stay in the clinic for several days. Before you are discharged, the surgeon will remove the wound drainage. For four-six weeks after surgery you should wear special compression pants round the clock. After surgery on the buttocks, one should be careful both in the clinic and at home, especially during the first week. You can sleep only on the stomach or on the side, it is also forbidden to sit.
After surgery swelling, pain and fruises may occur. The swelling lasts, on average, from four to six weeks (sometimes longer). However, fruises and pain will stop bothering the patient much earlier. If after the operation the pain is very severe, the attending physician will prescribe a pain killer.
As before the operation, it is necessary to refrain from alcohol and cigarettes for two weeks after the operation and not to take medications that interfere with blood coagulation.
A week later the bandage is removed. If your doctor has not used dissolvable stitches, the sutures will be removed about two weeks after the operation. It is allowed to resume doing sports eight to twelve weeks after the operation. Up to two months after the surgery, prolonged sitting can cause discomfort and even pain. Therefore, it should be avoided, if possible, for one to two months.
In principle, it is possible to return to normal life six to twelve weeks after a successful lift or implantation, depending on the way you feel. After a small lift or injections of your own adipose tissue the symptoms and post-operative treatment are similar, but you can resume your daily life even earlier.
Because of the swelling and hematomas, the actual result of the operation can be assessed only three months after the operation.
Like any other surgery, buttocks modelling is associated with certain risks, such as the risk of complications from anesthesia. The doctor will provide you with more detailed information about the risks of this intervention during the consultation.
There may also be a longer duration of pain, swelling and fruises. In addition, complications such as skin redness, bleeding or infection can occur. During the operation, embolism and thrombosis may happen. In the case of predisposition, scar enlargement cannot be ruled out. Besides, numbness may occur in the scar area, but it happens rarely. As with breast augmentation, painful capsular fibrosis can arise or implants can move. This may require their removal or replacement.
If the buttocks augmentation is performed using the patient’s own adipose tissue, there is a risk of tissue nodes formation. In the worst case, they will be surgically removed. Hollows can form because of the degradation of fat cells, which can be eliminated with several repeated injections. On average, about 20-80 percent of adipose tissue inosculates tightly with the skin, so several procedures are often required.