Gluteus (buttock augmentation)
Anesthesia: Epidural.
Hospital stay: one day.
Duration of surgery: about an hour.
What happens on the day after?
The patient may sit, walk and take a shower. There might be pain ranging from medium to strong, which can easily be avoided by taking the proper painkillers.
Drain: It is necessary to use a drain so as to avoid the accumulation of liquid in the incision. It must be kept for 48 hours.
Incision place and scar: The incision is made between the two buttocks, so it is completely hidden when the patient is standing.
Decubitus: The patient must remain in ventral (lying on your belly) or lateral decubitus for seven/ten days, thus avoiding direct pressure on the prosthesis.
Local of prosthesis implantation: In the biggest muscle of the region, named gluteus maximus. The prosthesis is placed exactly in the middle of the muscle, which allows it to not be in evidence.
Hospital discharge: Usually 24 hours depending on recovery and doctor’s guidance.
The first post-surgery week: After going back home, during the first week, the patient must be in relative rest. It is not necessary to rest on a bed. The patient can walk and sit, although with a little discomfort.
Return to activities: Most patients can return to work in about ten days, provided it does not require great physical effort, as well as they can drive a car.
Prosthesis durability: Currently manufactured prostheses have a durability forecast of around 20 years or more, but ANVISA recommends a duration of 10 years.
When sitting: Do not seat over the prosthesis, since it is located in the superior 2/3 of the buttocks, and the body weight is projected to the inferior 1/3, when sitting.
Long-term cares: No special cares to the prosthesis are needed at a long-term. The patient can keep up to the prosthesis conditions through a simple ultrasound.
Interference in personal life: There are no physical restrictions after the recovery, which normally takes two months.
Injections in the gluteus: The intramuscular injection is not recommended when the patient has gluteus prosthesis. It is important to remind, though, that no shots must be given to patients if they are unconscious when they arrive at an emergency room.
Natural look of the results: Lots of married patients do not tell even their husbands that they have prosthesis. Their claim is to have fat grafting. It is very difficult to touch the prostheses, and even more difficult to see them.
Types of prosthesis: The prosthesis may be round or oval. The round ones make the buttocks more projected, while the oval ones are used to shape and fill. Their sizes range from 180 to 350 mL.
Possibility of association with other surgeries: No surgery on the front part of the body should be done along with the gluteus prosthesis, except minor liposuctions.
It is possible to associate this procedure with gluteus lifting, liposuction, gluteus retraction treatment or even to graft fat in order to help finish the shaping.