Buttock augmentation

The buttocks have a fundamental role in the female and male silhouette, the set formed by the prominence of the buttocks and the sinuosity created between the waist and the hip are the main characteristic of the female contour and these curved lines and with rounded volumes is the main difference in the posterior contour with respect to the male body that presents straight lines and square volumes.

The shape of the buttocks:

Their morphology depends on age, sex, weight, constitution (bone structure) and race. In women with normal body mass index most of the volume of the buttocks is provided by the amount and distribution of fat, while in men this area has little fat and its volume is mainly muscular.

The important role of the buttocks:

The female buttocks cannot be denied an important role as a sexual attractiveness for the male sex and the greater the more differentiated from the male: that is, more curvilinear and rounded. The buttocks play the same role in the back of the body as the breasts play in the front. The most relevant characteristics of both coincide: projection and rounded shapes, essential attributes of femininity.

Butt Augmentation for Men:

In the case of men, an increase in volume is usually sought, maintaining the male proportions and without totally correcting the trochanteric depressions, although there are patients who also request an increase and correction of the lateral depressions characteristic of the male sex.

Butt Augmentation: The Alternatives

There are basically two alternatives for buttock augmentation: Butt implants and the injection of the patient’s own fat or lipoinjection. In very thin patients in whom fat deposits are minimal, silicone implants are preferred. When the patient has sufficient fat deposits, liposuction can be done with gluteal lipoinjection, obtaining as an additional benefit the improvement of the contour in areas neighboring the buttocks. This technique is known as lipostructure.

Injections of liquid silicone, biogel or other foreign substances sometimes called “biopolymers” can leave extremely unwieldy sequelae and are not recommended.

Buttock implants:

The buttock implants used for augmentation are constituted by a smooth or textured silicone elastomer membrane filled with silicone gel of high cohesiveness with the consistency and resistance necessary for the region. They occur in the oval and round bases and in low or high projection.

Choice of implant:

Different types of implants can be chosen. There are round and oval prostheses, high or low profile and each of these prostheses have their indication.

Oval implants can be very effective for selective augmentations if we use the intramuscular technique that allows us a lot of variability in placement to correct specific defects.

The choice of implant varies according to the sex of the patient and what we want to achieve.

Butt implants for men:

In men, having less subcutaneous fatty tissue, the differences between oval or round prostheses become more evident, being a precise choice: oval implant if we want to maintain male characteristics while preserving trochanteric depression and more athletic buttocks; round if we want to obtain some feminine characteristics.

Butt implants for women:

In women it depends on the amount of adipose tissue: round prostheses offer greater projection but if the adipose tissue is very thin it is better to place low-profile oval prostheses so that the prostheses are not visible during movement.

The size of the prosthesis can be chosen depending on the patient’s pelvis and her wishes.

Butt implant placement:

As for the placement technique there are three techniques described: the submuscular (below the muscle), the intramuscular (inside the muscle) and the subfascial (below the muscle fascia and above the muscle). We recommend only the intramuscular technique.

Planning butt augmentation surgery:

First visit, expectations, measurements.

After making a first complete visit where the patient will be asked all the background and habits. It is important to perform a complete examination of the entire posterior contour of the patient.

The most important factors to assess are: the projection, the gluteal groove, the firmness of the tissues, the quality of the skin and above all the anterior the posterior contour.

Factors to be assessed in the posterior contour of the patient: the different areas of the posterior vision of the body must be evaluated together:

  • Excessive fatty deposits on the hips seem to decrease the projection of the buttock.
  • The cartridge cases give the feeling of excessively heavy buttocks.
  • Lack of waist and excessive fat deposits in the sacral area also visually decrease gluteal projection.

Thus, in the first visit, those factors that associated with the buttock implant or the filling with fat can improve the results will be assessed, as well as those cases that will not be tributaries of an augmentation with prosthesis.

Postoperative care:

  1. In the hospital

The patient should be in the room on his back or side avoiding upside down placement that can cause irritation of the sciatic nerve by blood secretions and edema (inflammation).

When the patient is on his back, he should be placed in the Fowler position with flexion of the torso and knees with pillows placed in the sacral region and in the upper part of the thighs thus avoiding compression on the buttock especially on the implant.

We usually leave the drainage for 48 hours thus avoiding blood collections that can irritate the sciatic nerve and cause significant pain in the postoperative period.

Hospital admission is 48 hours from admission. During this period the patient carries an epidural catheter with analgesia.

During the first day of admission the patient remains in bed.

From the day after surgery the patient begins ambulation to facilitate the accommodation of the prosthesis and extend a little the muscles that will be contractured. The patient continues until the day of discharge with the epidural catheter and is reinforced with oral medication.

  1. At home

The patient can sit, shower and even sit normally in the service. After going to the bathroom it is advisable to clean with soap and water and then apply an antiseptic on the wound.

You can drive from 10 days and start light exercises from the month. The patient should avoid heavy exercises, strength in the muscles of the buttock and great flexion of the trunk during the first two months to prevent the space created for the gluteal prosthesis from widening more than the account.

Increase of calf

Augmentation of calf by prosthesis

Calf augmentation, or placement of implants and prostheses in legs, is a surgical procedure aimed at improving the size and shape of the calf for the following reasons:

  • The most frequent indication is aesthetics. The presence of discrete hypoplasias with no known cause is frequent or can also be seen in bodybuilders who despite exercise cannot develop the mass of the calf muscle as a result of a strong fascia at this level. Sometimes patients simply think their legs are too thin.
  • Correct an increase in the volume of the legs after certain diseases such as polio or congenital cases of unilateral atrophy of the calf.

By inserting an implant in each of the legs, we can significantly increase the volume of that area.

Types of calf implants:

A calf implant is a silicone wrapper filled with silicone gel.

Prostheses are evolving more and more and the current trend is to place two-dimensional prostheses or shaped prostheses adapted to the characteristics of the calf or leg and filled with a cohesive gel.


Abdominoplasty also called abdominal lipectomy or tummy tuck is a surgery that involves the removal of excess fat and skin. In addition, in most cases the repair of weakened or separated muscles is required, creating a smoother and firmer abdomen.

Many of us struggle to have a flat, well-toned abdomen through exercise and weight management. Sometimes with these methods we do not achieve our goals. Even people with a normal, well-proportioned body weight can develop a flabby, hanging abdomen.

Among the most common causes of this are:

  • Pregnancies.
  • Aging.
  • Significant weight fluctuations.
  • Inheritance.
  • Previous surgeries.

Indications and types of abdominoplasty:

It is indicated when there is an excess of skin and fat at the abdominal level. There are several techniques depending on what the main problem is:

  • The minilipectomy allows to stretch especially the lower abdomen area and correct the separation of the anterior rectus muscles of the abdomen. It is very common after pregnancies. If there is a previous scar of cesarian can be corrected and perform the stretch taking advantage of the fact that the patient already had a scar. It is sometimes accompanied by liposuction of the upper abdomen and flanks.
  • Lipectomy with transposition of the navel in thin people. Very common after pregnancies with great abdominal dilation and after large weight losses. In this case, the skin is stretched, the dehiscence or separation of the anterior rectus muscles is corrected and the navel transposition is practiced.
  • The Saldaña technique: This technique is indicated in people who have an abdominal skirt but also have an excess of fat and allows us to combine liposuction of the entire abdomen with the stretching of the skin. With this we achieve really surprising results with very high levels of safety in this type of surgical combinations that were not previously performed for fear of serious complications in the closure of the wounds.


It is not indicated if you have an obesity problem, if the excess volume is as a result of an increase in abdominal fat or if your main problem is abdominal muscle distension.

Sometimes despite not having a dehiscence of the anterior rectus muscles of the abdomen and being with a normal weight we have an excess of abdomen not related to internal fat but with distension of the muscles of the abdomen (almost always after pregnancies without posterior strengthening of the muscles). This last condition is not surgical and can benefit from a type of gymnastics called hypopressive.

Abdominal fat:

The fat of the abdomen is deposited mainly in two sites, under the skin and inside the abdominal cavity where the viscera and abdominal organs are housed. In women these deposits occur mainly under the skin, while in men they are often located within the abdominal cavity in the omentum which is an apron covering the intestines and in the epiploic appendages which are sachets of fat attached to the intestines.

The fat that is under the skin can be reduced with diets, exercises, or liposuction, the fat that is inside the abdomen is treated with diets and exercises. Although this type of arrangement of internal fat is more typical of men as I have already said, we also find it in women. In these cases where the predominant fat is internal liposuction or abdominal lipectomy does not make sense.

What we can't expect from a tummy tuck:

A tummy tuck is not a substitute for weight loss and does not allow you to have a muscular abdomen. Although the results of a tummy tuck are technically permanent, significant weight fluctuations can greatly reduce a positive result.

For this reason we recommend postponing the tummy tuck if you plan to do substantial weight loss or if you are a woman and are considering pregnancies in the near future. A tummy tuck also fails to correct stretch marks, although some can be removed if they are located in the areas of skin that will be removed.

¿Es el tratamiento más adecuado para mí?

Is the treatment best suited for me?

Abdominoplasty is a good option for you if:

  • You enjoy good physical health and have a stable weight.
  • You have realistic expectations.
  • You don’t smoke.

What you can expect during your appointment:

You will be asked several questions about your health, your expectations, and your lifestyle.

Be prepared to comment:

  • Why do you want to have surgery? What are your expectations and what do you hope to obtain?
  • Conditions, Drug allergies.
  • Treatments and medications.
  • If you drink alcohol or drugs regularly.
  • Previous Surgeries.

Preparing for Surgery:

  • Before surgery we will ask you for a laboratory analysis, an ECG and a chest x-ray.
  • If you smoke it is important to stop smoking at least 20 days before.
  • Avoid taking aspirin or derivatives 20 days before surgery.
  • The Plastic Surgeon will explain in detail the risks associated with the Surgical Intervention.
  • We will give you written consent explaining the potential risks or complications. It is important that you read and fully understand this booklet.


  • You will leave the operating room with a bandage and 2 draining tubes so that blood does not accumulate.
  • You will get out of bed before 12 noon.
  • The next day we will give you the first cure. Hospital discharge is usually given in 1 day.
  • After surgery you should wear a compressive girdle for a minimum of one month.
  • On the day of discharge you will receive specific instructions on how to care for the wounds and what you can do.
  • Stitches are removed between 7 and 10 days.
  • During the first 8-10 days you will take medications that we will recommend.
  • Much of the success of any surgery depends on postoperative care. Following medical instructions is vital to achieve the results that the doctor and patient have considered.
  • Remember that recovery time varies depending on your own physical condition. Patients usually need 1 to 3 weeks before returning to normal activities.
  • You should sit up and walk as soon as possible, in order to prevent the formation of venous thrombi in the legs. This exercise should be done slowly.
  • The dressing that has been placed after surgery should be used continuously for 1 week.
  • Drains, if any, are removed after 2-4 days. There are patients who do not want to leave with the drains on and in these cases they will require more days of hospitalization until they can be removed.
  • Sutures are removed after 7-12 days.
  • The feeling of tightness and swelling will gradually decrease during the postoperative period.
  • You will receive antibiotic medication in order to prevent the development of any infection, as well as analgesic medication to control postoperative discomfort.


  • After surgery and when the doctor discharges you, you should go home and have a person to take care of you during the first days of convalescence.
  • You should not take aspirin, acetylsalicylic acid, or any medication that contains this compound, due to its anticoagulant effect.
  • It is advisable to limit any type of activity for up to two weeks after the intervention.
  • The patient should completely refrain from lifting heavy things, children or pets.
  • It is preferable not to wet the treated area until the doctor recommends it.
  • You should not sleep in a prone position (face down) for the first four weeks after surgery or for as long as your doctor tells you to.
  • Do not sunbathe directly for the first two months after surgery.
  • At the end of two weeks the surgeon can authorize you to return to your normal activity.
  • During the three months following the operation, the patient must limit their sports activities.
  • Scars on the navel and abdomen improve significantly over time.
  • The full result can be seen up to one year later.
  • Your surgeon will recommend wearing a girdle for 1 month, 24 hours, and then another month only at night.


Liposuction, also known as liposculpture, is a technique that allows you to lose weight and remodel specific areas of the body by removing fat deposits, which improves the proportion and image of the body.

Despite having good health and doing a reasonable level of exercise some people have a disproportionate body as a result of localized fatty deposits. This disharmony is usually due to personal characteristics, rather than a lack of weight control or exercise. Sometimes if we try to reduce the volume of specific areas of the body with a diet or exercise we get a thinning of areas that we do not want with which the lack of harmony continues.

Liposuction surgery may be used to treat the accumulation of persistent fat in certain parts of the body, including:

  • Abdomen and waist.
  • Thighs, hips and buttocks.
  • Arms, neck and back.
  • Inside the knee.
  • Chest.
  • Cheeks and chin.
  • Legs and ankles.

In some cases, liposuction is performed alone, in other cases it is combined with other plastic surgery procedures such as breast reduction or augmentation, or a skin tightening surgery of the abdomen.

Liposuction is not a treatment for obesity or overweight, it is not a substitute for regular exercise and good nutrition. It is also not an effective treatment for cellulite, the dimpled skin that usually appears on the thighs, hips and buttocks.

People with fat deposits in certain areas of the body are the best candidates for this procedure.

The first visit:

On the first visit the doctor will ask you:

  • Why do you want to have liposuction surgery and what do you hope to get?
  • Medical conditions, allergies to medications and medical treatments, previous aesthetic treatments (surgeries especially if there is a previous liposuction, infiltrations, etc.).

In addition to taking a complete medical history, it will also explain the possible results of liposuction and the potential risks or complications.

With the help of a mirror we will jointly evaluate the areas of lipodystrophy that bother you and that may be susceptible to liposuction, as well as the natural areas of the body that are adhered in depth and that must be respected to maintain the natural lines of your body. It will also explain the different existing liposuction techniques, their applications, advantages and disadvantages, and which is the most indicated in your particular case.

Preparing for Liposuction Surgery:

Before liposuction we will ask you for a series of tests that will include laboratory tests, ECG and sometimes a chest x-ray.

It is important to stop smoking or greatly reduce consumption.

Avoid taking anti-inflammatory drugs such as aspirin and derivatives because they can increase bleeding.

The day of surgery:

Once admitted to the clinic, you will be prepared to go to the operating room.

Liposuction can be done under local, local anesthesia + sedation, or general anesthesia.

Risks of liposuction:

  • Your plastic surgeon and/or staff will explain in detail the risks associated with liposuction surgery.
  • They will give you the informed consent forms where the risks and possible complications are explained in detail.
  • t is important that you read and fully understand the informed consent brochures that we will provide you before signing them.

Liposuction: steps of the procedure

The first step in liposuction is pre-surgical marking. It consists of drawing with a marker with the patient awake and together with it the areas to be treated. Areas of lipodystrophy (accumulations of fat), body depressions (areas of adhesion, lack of volume), previous scars, cellulite, asymmetries, etc. are indicated. It is very important since it is agreed again with the patient what was agreed in the consultation.

Anesthetic options include local anesthesia, intravenous sedation, and general anesthesia. Your doctor will recommend the best option for you.

Liposuction is performed through small incisions, little visible.

First, the areas of lipodystrophy are infiltrated with a solution containing adrenaline in order to keep the bleeding that can occur during liposuction to a minimum. Once infiltrated, sequential liposuction of each area to be treated is carried out until the desired symmetry is found. Finally, the incisions are closed with simple stitches and a custom girdle is placed depending on the area that has been treated.

To see the results you will have to wait for the inflammation to disappear. This period is variable depending on each person but is usually not less than three months.

It is important that you keep your weight stable during the first year and especially during this period you should maintain a healthy diet and do regular exercise within your means.


Once the procedure has been completed you must wear a compressive girdle for a minimum period of 1 month. This girdle helps control inflammation and facilitates the adhesion of the skin around the new contour.

In specific cases where liposuction has been extensive or the skin has excessive laxity, your surgeon may recommend the use of a second phase girdle for 1 more month.

We will give you specific instructions that may include:

  • How to care for the skin and incisions.
  • Medications to be applied or taken orally to aid healing and reduce the chance of infection.

Sometimes secondary procedures may be necessary for a good result to reduce excess skin.

Laser Liposuction

SlimLipo is a laser liposuction procedure that is designed to reduce the side effects and recovery time associated with traditional liposuction. The system uses laser technology with a suitable wavelength to liquefy fat and tighten the skin in specific areas of the body. SlimLipo can reduce fat and skin laxity to improve the appearance of the abdomen, hips, thighs, flanks, buttocks, arms, neck and chin. Because the procedure is less invasive than standard liposuction surgery it translates into less pain and offers excellent results for patients.

Patients are increasingly informed about the benefits of advanced, minimally invasive procedures such as laser liposuction.

We have enhanced traditional liposuction with SlimLipo, our body contouring laser that uses optimal wavelengths to selectively treat problem areas of fat.


  • Elimination of excess fat in localized anatomical areas (buttocks, cartridge cases, inner thighs, knees, ankles, arms, abdomen, neck and jowls).
  • Removal of fat and treatment of difficult contraction skin, such as the abdomen after pregnancy.
  • Retouching of previous traditional liposuctions whose results are not satisfactory.

Advantages of laser liposuction:

SlimLipo offers a laser-based enhancement over traditional liposuction.

You will benefit from smaller incisions, less blood loss and less bruising, all of which result in a faster recovery and you may also notice an improvement in the skin.

The main advantages provided by Lipolaser are the most natural aesthetic results, with an adaptation of the skin to the new silhouette much better than with the conventional liposculpture technique. The Dual Aspire 925/975 Laser provides fat dissolution and skin contraction in a unique procedure. In addition, the skin retraction effect prevents sagging and facilitates the homogeneous adaptation of the skin to the new contour, the laser prevents bruising and, therefore, the recovery is much shorter and lighter.

Additional advantages of laser liposuction.

Lipolaser offers additional advantages over the conventional method:

  • Fast recovery.
  • Reduction of side effects, such as bruising and inflammation.
  • Compatible with lipotransfer for volume corrections.
  • It allows to correct difficult areas not accessible to the conventional technique: twins, anterior face of knees, bra rolls, upper portion of the stomach or areas of intense flaccidity.

How does SlimLipo work the contour of the body?

Laser liposuction with SlimLipo effectively treats areas of the body where there is unwanted fat, such as the abdomen, arms, flanks, thighs, neck and axillary fat.

The SlimLipo laser uses dual wavelengths of 924 nm and 975 nm to selectively target fat with fewer side effects and better results.

Selective photothermolysis releases lipids contained in adipose tissue to facilitate aspiration. The result is less tissue trauma, significant fat removal, and controlled tissue heating through laser-assisted lipolysis.

Pectoral Implants

Indicated for those men who want a greater volume or definition of their pectorals or to correct congenital or acquired asymmetries after interventions or trauma. It can be associated with liposuction for greater definition of the chest area.

At the present time, in the case of pectoral prostheses, there are only two accessible options in Europe, anatomical prostheses manufactured by Silimed or custom prostheses made to order. In both cases they are silicone prostheses: either highly cohesive silicone gel or solid silicone.

Silimed prostheses are offered only in three sizes, all with a quadrangular shape and textured surface.

If anatomical implants have been chosen, apart from choosing one of the three available sizes, we can assess the possibility of varying the orientation of the prostheses in order to adapt to the current relief of the pectoral muscle or slightly vary the thoracic shape. In the case of custom implants, the versatility is greater.

The initial consultation:

At the first visit, your surgeon will discuss with you the surgery, possible outcomes, and what your expectations are regarding it. You will be physically evaluated and your chest measurements will be taken in order to select the most appropriate implant volume for you, according to the anatomical characteristics of your body, chest measurements and height. Clearly discuss all of your expectations with your surgeon. Be frank with him, mention if you smoke, take any kind of medications, vitamins or other drugs.


The intervention is performed under general anesthesia through an incision in the axillary hollow of about 4 cm. The placement of the prosthesis that we perform is submuscular without disinserting the muscle (the prosthesis must be completely covered by muscle) The intervention can last between 1 hour to 1 hour and a half. Once the intervention is completed,  drains are left for a minimum of 24 hours.

Where indicated, pectoral implant surgery may be supplemented with other body contouring procedures such as liposuction of the torso and lateral thoracic regions. However, it is important, as in any implant surgery, not to communicate the surgical spaces to avoid unwanted contamination or seromas.

Your new look:

For most patients, pectoral surgery can be highly rewarding. The decision to undergo this procedure is yours alone and perhaps many would not understand it. The important thing is that you feel safe about it.

An improved body image can give you greater self-confidence and more confidence in dealing with others.



You have ever had the feeling that one part of your body has too much volume but in other areas you lack volume. Have you ever wanted to reduce waist fat and put it on your breasts or anywhere else? Thanks to a procedure called lipofilling it can be achieved.

Lipofilling is a surgical procedure that allows to increase the volume of a part of the body by transferring fat obtained by liposuction.

Indications of lipofilling:

It is indicated in breast and buttock augmentation, for facial and hand rejuvenation, correction of fatty tissue depressions at the body level (due to aging or liposuction), for facial lipodystrophies and for breast reconstruction.


The intervention is performed under local anesthesia – sedation or under general anesthesia but only occasionally requires hospital admission.

Ideal candidates:

The ideal candidates for lipofilling are:

  • Adults who exercise regularly and are within 30% of their ideal weight.
  • Non-smokers.
  • Healthy people.

Lipofilling does not treat obesity and is not a substitute for regular exercise and good nutrition.