Gluteal Crease (under buttock line)
Normally there is no crease in adolescent girls. Crease develops later on. However, this should not exceed the line passing vertically through the center of the leg. If exceeds, there is sagging.
Trochanteric depression (concavity)
A concavity at the side of the buttocks is acceptable in men. But if present in women, it should be mild. If it is deep, it disrupts the aesthetics of the buttocks. Excess fat in the hips above and below causes the concavity to seem deeper.
Firmness of the skin and subcutaneous tissue
Subcutaneous tissue should have an adequate fullness and firmness so that the projection is not lost when lying down. Being too slim is not something good in terms of buttock aesthetic because the subcutaneous tissue loses its fullness.
Muscle tone and firmness
In case of inadequate movement of women living a sedentary life, the muscle tone decreases and the buttocks sag quickly. Exercises such as running and swimming do not strengthen enough these muscles. The gluteal muscles work during actions that force the body to change from one position to a higher one, such as jumping, climbing stairs, and standing up from a chair. Sports such as volleyball, basketball, tennis, climbing wall are more useful in this regard.
The problems that disrupt a woman's contour regularity and aesthetic, when viewed from behind, can be evaluated under the following headings:
- Gluteal ptosis (sagging buttocks)
- Gluteal hypoplasia (underdeveloped buttocks)
- Gluteal retractions (retractions on the buttocks)
- Muscle defects
- Lipodystrophy in the waist, back, buttocks and hips (excess fat and cellulite)
- Trochanteric depression (concavity at sides)
- Long and loose buttocks
- Uneven legs
These problems can exists alone or osten in combination with each other. The techniques used to treat these problems are as follows. Depending on the situation, they are used alone or in combination:
- Placement of gluteal implants (silicone gluteal implants)
- Surgeries intended for eliminating retractions
- Lipectomy (buttock lift) and buttock stretching operations
- Lipoplasty (removal of fat through vacuum, and fat injections)
- Silicone leg implants
Gluteal Implant Placement (Buttock Sılıcones)
Generally the purposes of placing silicone implant in the buttocks are the same with the purpose of placing silicon in the breasts.
The most important requirement is underdeveloped buttocks. It is intended for increasing the volume. And its second most important purpose is to lift the buttocks and make them fuller and more projected. Buttock implants are almost the same with the breast implants, in terms of content. Buttock implants are more curved and shaped, and their prices are twice expensive than breast implants. They can be round or oval shaped, depending on the intended use.
The entry place for inserting the buttock implants is the crease, i.e the fold between the two buttocks. A 7-8 cm incision is made there, and since the scar is in the fold, it remains hidden. The implant can be placed under the skin or fascia, and into or under the muscle. Placement under the skin is not recommended due to many drawbacks. Some people prefer placement under the fascia but sagging may occur in the future periods. In the placement under the muscle, the implant remains in a position that is very high. Most of plastic surgeons dealing with this, including I, prefer intramuscular placement. The thick structure of the gluteal muscle can easily harbor the implant.
The surgery is performed under general anesthesia when the patient is lying in prone position. It takes about 1.5-2 hours. Usually a 1-nigh and sometimes a 2-night hospital stay is required. After the surgery, the patient can lie in any position, on condition that her leg and waist area are supported from below with pillows. However, she should frequently change herposition. The next day, after her dressing is made, she can sit and walk for a short time, and an appropriate corset is put on her. On the same day, she can sit on the toilet bowl, and take a shower. She is discharged the next day. She rest at home for a period of 1 week, by meeting only her daily requirements. 1 week later, she can get out of the house, go for a short walk and drive car. If she has a comfortable job, she can return to work within 10 days after the surgery. 30 days later, she can do all kinds of sports and heavy activities.
As in all surgeries, complications may occur in buttock implant applications, as well. These are very rare in experienced hands. Although very rare, hematoma (accumulation of blood), seroma (accumulation of serum), and infection may occur in the early postoperative period. These problems can be solved with appropriate treatments. Problems such as palpable implant (felt by hand) seroma, and dislocation of the implant may occur in later periods. These are usually associated with unsuccessful application of the technique, and are very rare in experienced hands, as well.
Retractıon Recovery Surgery
Retractions and concavities on the buttocks appear generally due to atrophies caused by previous injections and traumas. If there is a retraction in the subcutaneous tissue or fascia, there must be a retraction while standing up straight, which increases when the legs are bent. If there are retractions in deep tissues such as muscle, the leg seeming normal shows a retraction when it is bent.
If the retractions in the subcutaneous tissue are superficial, it is eliminated by accessing it with sharp tools such as syringe tip. In deeper structures, greater interventions are needed. The area is accessed through an incision made between the buttocks, and then it is liberated, and the tissues that developed scars are removed. In case of necessity, all operations are supported with fat injections.
Lıpectomy (Buttock Lıft) And Stretchıng Surgerıes
If there is a reference to stretching something, there must be sagging or ptosis. The term buttock ptosis refers to a condition in which the buttock tissue exceeded the under buttock line and sagged there, by also horizontally reaching the line that passes vertically through the center of the leg. The length of exceeding this line is stated in mm.
The cases of mild ptosis and sagging, especially in young people, can be eliminated with silicone implants. The best part of this application is that it does not leave a significant scar. In advanced age group, in which sagging is at advanced stages, lipectomy operations are needed. The most important disadvantage of this operation is that it leaves a significant amount of scar, no matter how suitable locations are involved. Some of the lipectomy operations are performed with the styles of stretching upwards, stretching downwards, stretching from sides, as well as butterfly lift. The things done in all these surgeries include peeling the skin in certain tissue segments, shaping the tissues and then leaving them there for supporting purpose, using strap stitches, when needed, and stretching the remaining skin below upwards and suturing it at the upper part.
Lipoplasty applied to the rear sides is not different from other the operations done in other regions. The thing to remember at this point is that liposuction is not a weight loss method but a shaping procedure. Essentiality, it is intended for removing the fat tissues in genetically determined stubborn areas, where there exist abnormal fat accumulation. Usually tumescent technique known as wet technique is preferred. In this method, fluids containing some drugs are delivered to the surgical site. By this way, the blood vessels are caused to shrink, in order to ensure minimal amount of blood in the drawn fat. A corset is used in such a way as to wrap the surgical site, for a period of time up to 1.5 months. The result obtained in lipoplasty begins to show itself after 1.5 months.
As per the Therapeutic Medication Law, scope of which was extended by law dated 29.08.2005 (BGBI.IS 2570), it is forbidden to display before and after treatment/operation images of patients for advertisement purposes. Therefore, before and after treatment/operation images are not available in our website.