This fact sheet was developed under the aegis of the French Society of Plastic Reconstructive and Aesthetic Surgery (SOF.CPRE) as an addition to your initial consultation, to try to answer all the questions you can ask yourself if you plan to use surgery baldness. The purpose of this document is to provide you with all the necessary and essential elements of information to help you make your decision with full knowledge of the facts. Also you is it advisable to read with the greatest attention.

 

 

 

• DEFINITION OBJECTIVES AND PRINCIPLES

 

The aim is to restructure the gluteal area working on the volumes. Where it is not possible to have enough fat using gluteal implants is an alternative. Very developed in Latin America, this operation becomes more common in France. 

As well as breast implants, there are buttock implants shape and specific cohesiveness. Like any implant these will be changing in the medium term (10/15).

 

They require a surgical approach and adherence to recommendations after surgery.

The correction of the gluteal region can be achieve in young patients with the development of the latter could be truncated, resulting in a loss of anatomical definition between buttock, lumbar, and trochanteric under buttock.

 

These anatomical changes can also be acquired with time and tissue changes following a weight change or loss of elasticity. The purpose of a three-dimensional correction of the gluteal area is to restore the anatomic relationships in the area.

 

• BEFORE THE OPERATION

We have performed a thorough study, clinical and photographic corrections to be made.

A preoperative assessment is carried out according to regulations.

The anesthesiologist will be seen in consultation at least 48 hours before surgery.

Tobacco is not a cons-indication formal judgment but one month before surgery is recommended in view of its negative impact on healing.

No medication containing aspirin should be taken within 10 days before surgery.

 

• TYPE OF ANESTHESIA AND CONDITIONS OF INTERVENTION

Type of anesthesia: general anesthesia is necessary because the operated area and the duration of the intervention beyond the capabilities of local anesthesia. Regional anesthesia spinal type is also possible.

 

Terms of hospitalization hospitalization of 2 days is required.

 

• INTERVENTION

Each surgeon adopts a technique of its own and it adapts to each case to obtain the best results. However,

can retain common basic principles:

We begin by making a precise location of the implant and the incision area. The latter is located in the upper part of the cleft.

Current guidelines recommend the placement of the implant intramuscular ie in the gluteus maximus.

Indeed it is the only way to ensure the sustainability of the results and minimize postoperative complications.

Drainage of the lodge is necessary

The duration of the intervention can vary from 90 minutes to 2 hours depending on the case. 

AFTER THE INTERVENTION: THE OPERATING SUITES

 

 

The recovery is not to be neglected. It is important to give you a couple of days to be more alert. Regarding the pain, they are supported by anesthetists and are greatly diminished by powerful products. The risk of phlebitis complicated by pulmonary embolism is very low thanks to the anti-coagulant injections and early rise. The scar should not be exposed to sunlight or UV before 3 months.

 

 

• THE RESULT

It is appreciated within 3 to 6 months after surgery.

It is usually satisfactory, whenever the indication and technique were correct.

The goal of this surgery is to make an improvement and not to achieve perfection. If your wishes are realistic, the result should give you great satisfaction.

 

• FAULTS OF THE RESULT

In some cases, localized imperfections can be observed (not that they are real complications): hypo-localized correction, slight asymmetry irregularities.

They are generally accessible to further treatment: small "touch" lipostructure under local anesthesia from the sixth postoperative month, the patient has been informed of the potential opportunity to improve the result.

 

• POSSIBLE COMPLICATIONS

Implant placement gluthéaux, although carried out mainly for aesthetic reasons, are nevertheless a real surgery, which involves the risks associated with any medical procedure, however small it may be.

We must distinguish the complications of anesthesia and those related to the surgery.

Regarding anesthesia, during the consultation, the anesthetist inform himself the patient anesthetic risks. You should know that anesthesia in the body sometimes unpredictable, and more or less easy to control: the fact of using a fully qualified anesthetist, working in a surgical context that the risks have become statistically very low.

You should know, indeed, that the techniques, anesthetics and monitoring methods have made tremendous progress over the past thirty years, providing maximum security, especially when the operation is performed outside of the emergency and in a healthy person.

 

However, despite their rarity, you must be informed (e) of the possible complications:

• the thromboembolism (blood clots, pulmonary embolism), although generally rare after this type of surgery are among the most dangerous. Rigorous preventive measures should minimize the impact: port anti-thrombosis stockings, early mobilization, anti-coagulant therapy.

• Bleeding: they are possible the early hours but are usually very moderate. When they are too large, it may justify a recovery in the operating room.

• Hematoma: they require an evacuation.

• Cases: Natural shell that is organized around the implants can sometimes thicken and contract it is called shell. If the result of large deformation intervention may be proposed.

• HIV-lymphatic effusion: It may appear a few days after surgery and can be punctured under ultrasound guidance.

• lnfection: despite the naturally occurring microbes to the anal region, it is very rare. If necessary, it justifies the transitional implant removal

• Skin necrosis: although rare, they are still possible, they are indicative of implant exposure can be, for example following an infection.

Overall, due to technical improvements, implant placement gluthéaux intramuscular became a more reliable operation that is to say, more efficient while reducing the risk of complicated postoperative course.

It should not overstate the risks, but just be aware that surgery always has a small share of hazards. The use of a qualified Plastic Surgeon ensures that it has the training and knowledge required to avoid these complications, or effectively treat if jurisdiction.

Regarding surgery: choosing a qualified and competent plastic surgeon, trained in this type of surgery, you limit these risks, without removing them completely.

 

In total there should not overstate the risks, but just be aware that surgery, even seemingly simple, still a small share of hazards. The use of a qualified Plastic Surgeon ensures that it has the training and knowledge required to avoid these complications, or effectively treat if jurisdiction.

          

These are the pieces of information that we wanted to bring you in addition to the consultation. We recommend that you keep this document, read it again after the consultation and reflect "a clear head." This reflection may raise new questions for which you wait for additional information. We are available to talk during the next consultation, or by phone, or even on the day of surgery when we meet in any way before anesthesia.