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Buttocks implants
Buttocks implants
History
Considered as part of the boom of the current plastic surgery. Its history started in 1969, so using is initially the same breast implants to increase gluteus, so the results were quite distant from the desired (shape is different and the forces and pressures that the gluteus is subjected are very different to the breast). Another problem of the initial technique was that their placement below the gluteal fat left the prosthesis very exposed and obvious.
Like everything in medicine technique evolved quickly, large plastic surgery name embarked on the search for appropriate options, today there are large companies that manufacture these implants highly cohesive silicone gel and with a specific format for the gluteus. Coverage of the implant by muscle provide adequate protection, as well as prevent it being evident.
Indication
Currently the form of implants of gluteus is very similar to the natural buttocks, they used special implants and the results are great. The volume varies between 200, 300, 350 cc, etc., with a specific design for the gluteal region with anatomically shaped oval. Contrary to popular belief, exercise does not increase significantly the size of the buttocks, in fact, the reduction in the volume of fat that gets aggressive exercise and diets do see smaller buttocks and not optimally. Therefore, surgical intervention, with lipo-injection or buttock implants is now a safe option for these patients.
With the advent of fat grafting, buttock implants are considered a second choice for increasing profile and volume of the gluteal region, reserved for when there is no fatty tissue in the abdomen, lower back, or any other donor area enough fatty tissue and quality. Thus transforming the implant gluteus to only option to increase gluteus safely. I focus on the only option because injections of polymethylmethacrylate, polyacrylamide, liquid silicone, are completely contraindicated to increase buttocks volume due to the complications generated.
Technique
No doubt one of the surgeries that better then hides the scar is located in the Groove or fold cleft (at the top). The technique being advocated by Dr. Raúl González (XYZ) the implant is placed exactly in the middle of the greatest gluteal muscle, keeping the same amount of muscle in the front and back part which gets disguise the presence of the prosthesis be subjected to touch. It is necessary the use of drains in this procedure is necessary to avoid formation of collections liquid into the incision and held for 48 hours.
Types
As any surgery inclusion of implant type of surgery or various approach, the prosthesis can be placed below, within or above (within the fascia) of the muscle. The type of surgery depends on the profile of the patient and the surgeon training. All require the hospitalization of the patient and in the majority of cases anesthesia epidural.
Care
After hospital discharge approximately 24 hours of the procedure, during the first week the patient must keep rest, i.e. not necessarily remain lying down, being able to walk or sit still with small inconvenience that the passing of the days will be overcome. The majority of patients get a sixth day perform walk with less discomfort. The majority of patients get back to their work from 15 days and approximately 20 days the patients already they can drive car and return to his work that does not require physical exertion. Contrary to what most people think, the patient does not sit directly on the denture, this is located in the upper third of the buttock and the weight of the body in sitting position is on the lower third. Once recovered, there is no physical constraint, from two months of surgery the patient can perform all kinds of activities. Recalling that the only absolute contraindication is the intramuscular injection in the buttocks, in case of being necessary injection should be used intravenously.
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