Nova Clínica Médica e Odontológica

The gluteus prosthesis is placed through surgery, with epidural or general anesthesia, recovery time of at least 14 days and greater discomfort in relation to pain. This procedure requires a postoperative period with an indication of not sitting for two or three weeks. Allows removal of the prosthesis, if necessary. Complications are rare and the results are natural. The patient will no longer be able to take an injection in the buttocks and because there is a predetermined place for implantation of the prosthesis, it does not always allow a natural result.

There are round or oval implants. The selection criteria are subject to the person's biotype: they must be in accordance with the body shape and, in addition, with the patient's goals. The round prosthesis makes the result a little more artificial, lifting the gluteus more, the oval one mimics the anatomy of the muscle, providing a more natural result.

The specialist evaluates the shape and size of the buttocks and guides the patient on the volume that will be better from an aesthetic point of view. However, the final choice of size is at the discretion of the patient and also of the body shape that will guarantee a harmonious result for that chosen volume of prosthesis.

Silicone prostheses must be cohesive gel, smooth or thesaurized. Prostheses made of other materials can cause rejection by the body. The use of injectable silicone is prohibited by law, as liquid silicone, generally industrial, is not allowed for medical use. Once in the body, the substance causes rejection reactions, with severe inflammatory processes that are difficult to treat. In addition, this liquid can migrate through the body or even through the bloodstream and reach organs such as the liver, kidneys, lungs and brain, and can even lead to death.

The prostheses used in the buttocks have a higher density than the prostheses intended for implantation in the breasts, due to the greater exposure to impact, because when sitting, the buttocks receive a good part of the body's weight. Buttock prostheses are stiffer and thicker. The high density also prevents any leakage of silicone even if the prosthesis breaks.

The patient must be hospitalized for 24 hours and remain on his stomach for the first 46 hours. Only after this period is it allowed to turn sideways. A week later, it is already possible to sit down.

Postoperatively, the patient will have to wear a modeling belt for a month. There may be pain for the first few days, which is controlled with medication.

“We recommend that the patient walk with short steps and sit down, when necessary, on more rigid surfaces, with the spine erect, thus avoiding tensions on the scar”, says Ruben Penteado.

“For approximately ten days, the most appropriate thing is for the patient to sleep on his stomach”.

Postoperative rest is essential for at least 20 days. Rejection of prostheses is rare and in this case they must be removed. The durability of the prostheses is still uncertain, but it can reach more than ten years. Some experts believe that the new prostheses reach 25 years.

Surgery for calf augmentation consists of the inclusion of a silicone prosthesis between the fascia (membrane that covers the musculature) and the muscles of the back of the calf, in order to achieve an increase in volume and definition of the contour of the leg.

It can be a cosmetic surgery for simple augmentation or reconstructive, when used in neuromuscular diseases that cause atrophy or alteration of the local contour and volume.

The second is used to improve the volume of the legs or calves through the inclusion of silicone prostheses. It can also be done using fat extracted from the patient.

Prior to surgery, physician and patient discuss extensively what can realistically be expected, possible risks and complications, and specific details about silicone implants.

The prosthesis is usually placed below the deep fascia of the leg, in front of the gascrocnemius muscle, through a horizontal incision in the groove behind the knees, approximately 3 to 4 cm. More than one prosthesis can be placed in each leg eventually.

Complications such as capsular contracture (contraction of the scar capsule around the prosthesis), calcium deposits around the prosthesis, changes in local sensitivity, displacement of the prosthesis, although uncommon, should be discussed with the doctor.

Postoperative pain is minimal and controlled with oral medications. If drains are used, they are removed before hospital discharge or up to two or three days post-operatively until the amount of flow decreases. Occlusive dressings are applied at the end of the surgery. During the first two to four weeks the patient should not make physical efforts.

Improves the contours of some regions of the body and face, such as lips and buttocks.

Popularly known as liposculpture, this procedure consists of taking advantage of fat removed by liposuction to improve the contours of some regions of the body and face, such as lips and buttocks.

It is noteworthy that the injected fat is partially absorbed by the body in approximately four to six months. This procedure requires more careful technique and thinner cannulas. Fat grafting can be indicated to improve liposuction, therefore, the association of both techniques in the same surgical procedure is frequent.

Surgical procedure

For minor procedures, local anesthesia with sedation is used, but when there are several areas to be treated, the option falls to epidural anesthesia. The period of the surgical procedure varies between two to four hours, with an average hospital stay of one day.

Location of Scars

Due to the use of thin cannulas, the inclusions are generally not larger than four millimeters and usually achieve good healing.

The stitches are removed one week after the surgery. The pain is of medium intensity, in fact it is more characterized as a discomfort than pain itself. This situation can be circumvented with the intake of painkillers prescribed by the doctor and lymphatic drainage sessions.

Excessive pressure on the grafted area should not be applied, in addition to avoiding fat reabsorption. Therefore, patients who had a fat graft in the buttock, for example, should lie on their abdomen (ventral decubitus) and on their side for at least 10 days, avoiding direct pressure on the grafted site.