Gluteal Augmentation

GLUTEAL AUGMENTATION

(Buttock enlargement and /or reshaping)

 

 

This is a surgical procedure to enhance the size and shape of a patient’s buttocks for a number of reasons:

 

To enhance the body contour of a patient who, for personal reasons, feels his or her buttocks size is too small.

To correct sagging buttocks.

To reshape buttocks (for any reason acquired or congenital)

 

Gluteal augmentation can give you the smooth, round buttocks you have always wanted.

 

The following information is strictly the opinion of Dr. Gomez-Mendoza and his associates and pertains to gluteal augmentation and other body contouring procedures as performed by him.

 

 

If you're considering a Gluteal augmentation...

 

Buttock Implants are used in a gluteal which will increase and/or reshape the appearance of your buttocks. The buttock implants are filled of soft (cohesive gel grade III), they come in many shapes and sizes as needed to reshape your particular body form.

 

If you’re considering gluteal augmentation, this information will help provide a basic understanding of what a gluteal augmentation can and cannot achieve. Because each individual patient is different no amount of written information can replace a personal consultation with Dr. Gomez-Mendoza and his team.

 

 

Candidates for Gluteal Augmentation

 

The best candidates for buttock enlargement or reshaping are men and women looking to improve the appearance of their buttocks. Buttock implants are ideal for those who want to enlarge, lift or even reshape their buttocks. If you are physically healthy and realistic in your expectations, you may be a good candidate.

 

Buttock implants are an excellent way to enhance your overall body shape and appearance.

 

 

Gluteal augmentation is relatively straightforward, but the the most important risk to consider is the risk of infection. Simply stated, gluteal implants are placed in an area of the body where there is a much higher chance of bacterial infection. It goes without saying , that no matter who you are, the proximity of any surgical procedure to the rectal area, is one where severe infection can occur. Rest assured, when choosing a board-certified plastic surgeon like Dr. Gomez-Mendoza and his associates to perform gluteal augmentation, the chances of infection are extremely rare. You can reduce your risks by closely following the advice of your surgeon concerning your pre-operative and post-operative care. There are not risk free surgical procedures.

 

 

Planning your surgery

 

In your initial consultation, Dr. Gomez-Mendoza and his team will evaluate your health and assess your body contours and measure them while you are standing, Be sure to tell Dr. Gomez-Mendoza if you smoke, and if you're taking any medications, vitamins, or other drugs.

 

Be frank in discussing your expectations with Dr. Gomez-Mendoza He will be equally frank with you, describing alternatives to gluteal augmentation and the risks and limitations of each. In any case, he will work with you to recommend the procedure that is right for you and will come closest to producing the desired body contour.

 

Then we will discuss the variables that may affect the procedure (such as your age, the size and shape of your buttocks, and the condition of your tissues) and explain which surgical technique is most appropriate for you.

 

 

Preparing for your surgery

 

You will have preliminary blood work performed and depending on your age and family history, we may require you to have a electrocardiogram before surgery. You will also get specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking and taking or avoiding certain vitamins and medications. These medications will include, but are not limited to, aspirin containing products.

 

Gluteal augmentation it is usually done on an outpatient basis, in some cases the patient will be admitted to the hospital as an inpatient, if so you can expect to stay one day.

 

 

If you smoke, plan to quit at least one week before your surgery and not to resume for at least two weeks after your surgery.

 

Carefully following these instructions will help your surgery go more smoothly. In addition, we will also be available to answer any questions you might have or any concerns that arise. Please don't hesitate to call us.

 

 

What type of anesthesia is used?

 

Dr. Gomez-Mendoza performs most gluteal augmentations under sedation (gentle, short-acting medication administered by a board certified anesthesiologist to insure comfort and security for our patients) and epidural anesthesia. Patients are under monitored anesthesia care since they arrive to the operating room till they leave the recovery area. You will receive the safest care possible. The expert care you deserve.

 

Our patients recover more quickly and with less discomfort than when general anesthesia is used.

 

 

Where will your gluteal augmentation be performed?

 

Dr. Gomez-Mendoza performs most buttock augmentations at the modern Puerta de Hierro Medical Center. Whether you choose to have your procedure done in the peaceful seclusion of our state-of-the-art Medical Center or at one of the many Guadalajara or Puerto Vallarta-area hospitals where we currently enjoy operating privileges; rest assured that you will receive the finest care available.

 

 

The surgery

 

The surgery itself usually takes one and a half to two and a half hours. The method of inserting and positioning your implants will depend on your anatomy and your surgeon’s recommendation. The incision will be made in the crease between the buttocks), the positioning of the implant may be in the Vergara’s space. During this surgery asymmetries, shape and size of the buttocks and other defects may be corrected as part of your gluteal augmentation. A temporary tube may be inserted to drain excess fluid from the surgical site.

 

Finally, the incisions will be stitched (we only use absorbable sutures placed in an intradermal running fashion so you will not see them and they do not need to be removed). This technique obviates the need for external skin sutures and circumvents the possibility of suture marks.

 

 

After your surgery

 

You will wear a compression underwear over your gauze dressings and helps to reduce discomfort and swelling.

 

Your buttocks will be bruised, swollen and uncomfortable for a day or two, but the pain should be moderate. Any discomfort you do feel can be relieved with your medications. You will wear the compression underwear around the clock for four weeks. The stitches will be absorbed and they are located intradermically so you will not see them.

 

You can expect some loss of sensation in your buttocks and skin, caused by the swelling surgery. This numbness usually fades as the swelling subsides over the next two to four weeks.

 

Healing is a gradual process. Although you may be up and about in a few hours, don’t plan on returning to work for a week. The taped dressing that is applied during surgery to provide compression and support is usually removed two to three days following butt implant surgery. At this time, you can take showers and begin to move around better. The results can be seen immediately, but the buttocks will look more natural and become softer as the muscle stretches several months after your surgery.

 

You will be instructed to avoid sex and strenuous sports for about a month.

 

 

Getting back to normal

 

Full activities can usually be resumed about four weeks following surgery. It may take up to six or eight months until the results feel as if they're part of the body and you forget about them even being there.

 

 

Your new look

 

Buttock implants, produce excellent results for patients who wish to alter or correct their body contour. If you're realistic in your expectations and prepared for the risks of buttock implants, then this procedure may be just the answer for you.

 

We will make every effort to make your scars as inconspicuous as possible, it is important to remember scars are permanent and your scars may actually appear to worsen during the first two to three months as they heal, but this is normal. Expect it to take six to nine months before your scars flatten out and lighten in color.

 


Abdominoplasty (tummy tuck)

ABDOMINOPLASTY or TUMMY TUCK (DERMOLIPECTOMY)

 

If you’re considering an abdominoplasty....

 

Abdominoplasty, commonly known as a “tummy tuck”, is a surgical procedure to remove excess skin and fat from the middle and lower abdomen and to tighten the muscles of the abdominal wall. The procedure can dramatically reduce a protruding abdomen.

 

With abdominoplasty we not only eliminate stretch marks and scars located below the navel line but we can also correct hernias, and other defects of the abdominal wall.

 

If you’re considering body contouring, this information will help provide a basic understanding of what an abdominoplasty can and cannot achieve. Because fatty deposits and loosen skin affects each individual patient differently no amount of written information can replace a personal consultation with Dr. Gomez-Mendoza and his team.

 

The following information is strictly the opinion of Dr. Gomez-and his associates and pertains to his personal technique of abdominoplasty and other body contouring procedures as performed by him.

 

 

Who are the best candidates for abdominoplasty?

 

The best candidates for abdominoplasty are those bothered by large fat deposits or loose skin and stretch marks that will not respond to diet or exercise. This surgery is especially beneficial to women who, through multiple pregnancies, have stretched their abdominal muscles and skin beyond the point where they can return to their previous state.

 

Abdominoplasty can enhance your appearance and your self-confidence, but it will not necessarily change your looks to match your ideal.

 

In your initial consultation we will evaluate your health, determine the extent of fat deposits in your abdominal region, and carefully assess your skin tone. If for example, your fat deposits are limited to the area below the navel, you may require a less complex procedure called a partial abdominoplasty, also known as a mini-tummy tuck, which can often be performed on an outpatient basis. You may, on the other hand, benefit more from partial or complete abdominoplasty done in conjunction with liposculpture to remove fat deposits from the hips, for a better body contour. Or maybe liposuction alone would create the best result.

 

So partial abdominoplasty is done on an outpatient basis, and complete abdominoplasty require an inpatient basis.

 

 

How do I prepare for my abdominoplasty?

 

Abdominoplasty and all body contouring procedures must be individualized for each patient; Dr. Gomez-Mendoza will evaluate your body, including your skin, and with your assistance, make recommendations as to the specific procedures that will most likely help you achieve your aesthetic goals. A detailed history of medical conditions that could affect your surgery will be obtained including use of medications, vitamins, etc.

 

You will be given detailed written instructions on how to prepare for your surgery including guidelines on eating and drinking, smoking, and avoidance of certain vitamins and medications. If you smoke it’s especially important to stop (and also to avoid second-hand smoke) for at least two weeks prior to surgery because of the deleterious effect of smoking upon the healing process. Carefully following these instructions will help your surgery go more smoothly. In addition, we'll also be available to answer any questions you might have or any concerns that arise. Please don't hesitate to call us.

 

 

Where will your abdominoplasty be performed?

 

Dr. Gomez-Mendoza performs most abdominoplasty procedures at the modern Puerta de Hierro Medical Center, or at one of the many Guadalajara or Puerto Vallarta-area hospitals where we currently enjoy operating privileges. Whether you choose to have your procedure done in the peaceful seclusion of our state-of-the-art Medical Center, or an area hospital; rest assured that you will receive the finest care available.

 

 

What type of anesthesia is used?

 

Dr. Gomez-Mendoza performs most body contouring procedures, including abdominoplasty, under sedation some patients refer to this as "twilight" type anesthesia (gentle, short-acting medication is administered by a board certified anesthesiologist to insure comfort and security for our patients) and regional anesthesia. Patients are under monitored anesthesia care since they arrive to the operating room till they leave the recovery area; ensuring that you receive the safest care possible. The expert care you deserve.

 

Our patients recover more quickly and with less discomfort than when general anesthesia is used. But you may select general anesthesia if you want.

 

 

About the surgery....

 

Complete abdominoplasty usually takes two to five hours, depending on the extent of work required. Partial abdominoplasty may take an hour and a half to three hours.

 

Most commonly, the surgeon will make a long incision from hipbone to hipbone just above the pubic area. A second incision is made to free the navel from surrounding tissue. With partial abdominoplasty, the incision is much shorter and the navel may not be removed, although it may be pulled a little bit down as the skin is tightened and stitched. Next, the surgeon separates the skin from the abdominal wall all the way up to your ribs and lifts a large skin flap to reveal the vertical muscles in your abdomen. These muscles are tightened by pulling them close together and stitching them into their new position. This provides a firmer abdominal wall and narrows the waistline. The skin flap is then stretched down and the extra skin is removed, a new hole is cut for your navel, which is then stitched in place. Finally, the incisions will be stitched (we only use absorbable sutures placed in an intradermal running fashion so you will not see them and they do not need to be removed). This technique obviates the need for external skin sutures and circumvents the possibility of suture marks.

 

Dressings will be applied, and a temporary tube may be inserted to drain excess fluid from the surgical site.

 

In partial abdominoplasty, the skin is separated only between the incision line and the navel. This skin flap is stretched down, the excess is removed, and the flap is stitched back into place with the same kind of sutures described before.

 

 

After your surgery....

 

You’ll wear a support (compression) garment over your gauze dressings.

 

For the first few days, your abdomen will probably be swollen and you are likely to feel minor pain and discomfort which can be controlled by medication. Depending on the extent of the surgery, you may be released within a few hours or may have to remain hospitalized for one to two days. And though you may not be able to stand fully straight at first, you should start walking as soon as possible.

 

It may take you weeks to feel like your old self again, if you start out in top physical condition with strong abdominal muscles, recovery from abdominoplasty will be much faster.

 

Almost all our patients return to work after two weeks. You will wear the compression garment around the clock for four to eight weeks.

 

Your scars may actually appear to worsen during the first two to three months as they heal, but this is normal. Expect it to take six to nine months before your scars flatten out and lighten in color.

 

It's important for you to keep in mind that healing — of any form — is a gradual process during the initial phases of recovery, you'll experience minor pain and discomfort along with swelling and bruising around the operative areas in some cases. This is normal. It's also not unusual to feel depressed in the days following surgery. Again, keep in mind that this is normal and will subside as you begin to look and feel better.

 

Full recovery usually takes three to four weeks.

 

Abdominoplasty, whether partial or complete, produces excellent results for patients with weakened abdominal muscles or excess of fat and skin. And in most cases, the results are long lasting, if you follow a balanced diet and exercise regularly.

 

 

Are there any risks?

 

When an abdominomplasty is performed by a qualified plastic surgeon certified by the Board of Plastic Surgery, complications are infrequent and usually minor.

 

While Dr. Gomez-Mendoza and his team make every effort to minimize risk, individuals vary greatly in their anatomy, their healing ability as well as in their reactions to surgery and anesthesia. Complications that may occur include minor haematoma (a small collection of blood beneath the skin), infection, poor healing and reactions to medications. You can reduce your risks by closely following the advice of your surgeon concerning your pre-operative and post-operative care. There are not risk free surgical procedures.


Liposculpture

LIPOSCULPTURE

  

If you’re considering a liposculpture...

 

Liposculpture is the most refined reshaping of the body by liposuction and uses smaller diameter tubes called “cannula” to suction the fatty deposits than the usually used in liposuction.

 

If you’re considering a liposculpture, this information will help provide a basic understanding of the technique and what can and cannot achieve. Because each individual patient is unique no amount of written information can replace a personal consultation with Dr. Gomez-Mendoza and his team.

 

The following information is strictly the opinion of Dr. Gomez-Mendoza and his associates and pertains to the tumescent technique of liposculpture of the body and facial liposculpture procedure as performed by him.

 

 

What is a tumescent liposculpture?

 

There are many alternative techniques to perform a liposculpture but the tumescent technique is one of the best techniques at present time that can reduce postoperative bruising, swelling and pain. Because blood loss is minimized during tumescent liposculpture, use of the technique avoids the possibility that a blood transfusion will be needed. In some patients we recommend this technique with the addition of a reciprocating cannula (a power assisted cannula); the reciprocating motion facilitates the movement of the cannula especially in areas with fibrous tissue. The fibrous tissue has always been a problem in the buttocks, "saddlebags" (upper sides of thighs in women), back and the male breast (gynecomastia). The reciprocating system moves through these areas faster, with less trauma resulting in less work and strain for the surgeon and less pain and a faster recovery in patients. This cannula is not ultrasonic and no heat is generated by the instrument, so there are no risk of burning the overlying skin like it happens sometimes with the ultrasonic technique.

 

In the tumescent technique, areas of excess fat are injected with a large amount of liquid, local anesthetic and other medications before liposuction is performed. The liquid causes the compartments of fat to become swollen and firm or “tumesced”. The expanded fat compartments allow the liposculpture cannula to travel smoothly beneath the skin as fat is removed. The incisions for the cannula are between 2 and 4 mm so the scars are not noticeable after a while.

 

 

Who is candidate for tumescent liposculpture?

 

Any person who is candidate for traditional liposuction is also a good candidate for the tumescent technique. Although the technique can be used on any area of the body, it is commonly used on areas that require enhanced precision, such as the double chin, neck, arms, anterior abdominal wall, hips, lateral thighs and calves.

 

Individual who have large areas of excess fat may also be good candidates for tumescent liposculpture.

 

 

Anesthesia

 

For almost all the patients the best option is the anesthetic contained in the solution and combined with a sedation (gentle, short-acting medication administered by a board certified anesthesiologist to insure comfort and security for our patients). Patients are under monitored anesthesia care since they arrive to the operating room till they leave the recovery area; ensuring that you receive the safest care possible. The expert care you deserve.

 

This way our patients recover more quickly and with less discomfort than when general anesthesia is used.

 

In some cases even the tumescent solution itself may serve as the sole means of anesthesia providing sufficient comfort during the procedure like in a cooperative patient with a double chin.

 

 

Where will your liposculpture be performed?

 

Dr. Gomez-Mendoza performs most liposculpture procedures at the modern Puerta de Hierro Medical Center, or at one of the many Guadalajara or Puerto Vallarta-area hospitals where we currently enjoy operating privileges. Whether you choose to have your procedure done in the peaceful seclusion of our state-of-the-art Medical Center, or an area hospital; rest assured that you will receive the finest care available.

 

 

After surgery

 

The long-acting effects of the anesthetic solution help to provide pain relief after the procedure and decrease the need for additional pain medication. You will leave the operating room wearing a compression garment and you will wear it for three to four weeks. For the first day or two after surgery, most patients experience moderate swelling in the treated areas, as well as some fluid drainage from the incision sites.

 

Light activity is usually resumed the first day after liposculpture and you may shower as frequently as you wish; normal activity can be resumed within the first week.

 

 

Your new look

 

You will be able to see a noticeable change almost immediately after surgery, before the swelling sets on, but more improvement can be seen after three weeks, when most of the swelling has subsided. After about four months, any persistent mild swelling will disappear and the final contour will be visible.

Patients are usually very pleased with the results of the procedure.

 

By eating a healthy diet and getting regular light exercise, you can help to maintain your slimmer figure or leaner physique.

 

 

How do I prepare for my liposculpture?

 

Liposculpture must be individualized for each patient. Dr. Gomez-Mendoza will evaluate your body or face, including your skin, and with your assistance, make recommendations as to the specific procedures that will most likely help you achieve your aesthetic goals. A detailed history of medical conditions that could affect your surgery will be obtained including use of medications, vitamins, etc.

 

You will be given detailed written instructions on how to prepare for your surgery including guidelines on eating and drinking, smoking, and avoidance of certain vitamins and medications. If you smoke it’s especially important to stop (and also to avoid second-hand smoke) for at least two weeks prior to surgery because of the deleterious effect of smoking upon the healing process. Carefully following these instructions will help your surgery go more smoothly. In addition, we'll also be available to answer any questions you might have or any concerns that arise. Please don't hesitate to call us.

 

 

Are there any risks?

 

When a liposculpture is performed by a qualified plastic surgeon certified by the Board of Plastic Surgery, complications are infrequent and usually minor.

 

While Dr. Gomez-Mendoza and his team make every effort to minimize risk, individuals vary greatly in their anatomy, their healing ability as well as in their reactions to surgery and anesthesia. Complications that may occur include minor haematoma (a small collection of blood beneath the skin), infection, poor healing and reactions to medications. You can reduce your risks by closely following the advice of your surgeon concerning your pre-operative and post-operative care. There are not risk free surgical procedures.

 


Thigh liposculpture

Pubic and Thighs Liposculpture and Lifts

 

Women may have unsightly large fat deposits in her pubic region and inner thighs, which causes a bulge in clothes. These deposits may have been present since birth or acquired with weight gain or puberty. Usually the fat can be eliminated by liposuction - this is called pubic or thigh liposculpture. Aging or weight gain may cause the pubic, vaginal regions, and inner thighs to descend, resulting in an aged appearance. These areas can be rejuvenated and lifted by excising excess skin and removing excess fat in the affected areas. The liposculpture and lift procedures may be combined with a tummy tuck or a body contouring liposculpture.

 

Please take the time to read the general aspects of these surgeries at the FEMALE GENITALIA ENHANCEMENT and LIPOSCULPTURE sections.