The Brazilian Buttock explained by Dr Luiz Toledo

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Singer and actress J-Lo has the most talked about derriere on the planet. And the term “J-Lo Bum” is used to describe a large but pert rear. The “Jo-Lo” which is more commonly known as the Brazilian Buttock Lift is a cosmetic surgery procedure that is becoming increasingly popular as the focus has recently shifted from boobs to bums for celebrities.

The emphasis on the bum and not the boob is highlighted by the increasing number of actresses competing for the best bum in the business by being photographed showing off their gluts on the red carpet at premieres.

The most recent best bum revealers – Goldie Hawn’s daughter, actress Kate Hudson, Kill Bill beauty Uma Thurman, Victoria Beckham , Kate Moss, Cameron Diaz, Denise Van Outen, Welch diva Charlotte Church, hotel heiress Paris Hilton, Mariah Carey and Beyonce Knowles. Further proof that fulsome derrieres are on the way up was Kylie Minogue’s bustle outfit.

So what exactly is the “J-Lo?” Leading cosmetic surgeon, Dr. Luiz S. Toledo, who is a member of the British Association of Aesthetic Plastic Surgeons says the procedure which is also performed on men, is desirable for those who have little definition or who want a more pert look.

In the procedure the surgeon uses a mixture of liposuction and fat grafting to get the ideal look.

Dr Toledo explains: “There are two main body types: “gynoid”, with a concentration of fat below the waistline and “android”, which concentrates fat above the waistline. Both types can benefit from this type of surgery. The gynoid type usually needs liposuction of the hips, thighs, legs, tummy and fat injection in the buttocks. The android type will usually need liposuction of the arms, back, hips, tummy and breasts. Fat is injected into the buttocks and often the inner thighs as well.”

To lift the buttock the surgeon makes an incision in the hip area and the buttock for the liposuction or liposculpture procedure. The fat is then reinjected increasing the volume of the buttock.

“In many cases simply the removal of the excess fat will bring about a major improvement in the area,” says Dr Toledo.

This operation takes from one to three hours and is carried out under local anesthetic together with a sedative. Usually patients are not required to stay in hospital unless the procedure is extensive.

After the operation an elastic girdle is worn which helps stablise the new shape and minimize swelling. This is usually worn for a few weeks. Lymphatic drainage using a light massage is encouraged in the liposuction areas about 24 hours after the operation. Mobility is essential so walking is encouraged from day two increasing the distance each day.

Walking is essential from day two, increasing the distance covered each day. This assists with swelling, water retention and the circulation. Strenuous exercise such as running and weight lifting are allowed one month after surgery.

Some postoperative procedures such as low frequency ultrasound to correct any hardened areas may be recommended and carried out under the supervision of the surgeon.

Stitches are removed between the 5th and 7th day and you can return to work after two to three weeks. Fading and flattening of the little scars can take three months and up to two years.

Risk of this surgery

Significant complications from liposculpture and fat injection are infrequent, says Dr Toledo.

Potential complications are asymmetry, rippling, and pigmentation of the skin, bleeding, infection and problems with the anesthetic. Temporary numbness of the skin and hematomas (blood accumulations) are possible mild complications. Irregularities of the skin can happen in some patients, but can be treated if necessary. More serious complications are very rare.

The results may take a few months to show because of fluid retention following surgery swelling. Sometimes the fat injection procedure has to be repeated because there is a limit to the amount of fat that can be injected in one stage. Occasionally, a secondary procedure, or “touchup” may be required to improve certain areas

Duration of the Results:
After sixth months there should be no more reabsorption of the injected fat and the result should remain stable. If the weight remains the same results should be permanent, especially when combined with diet and exercise. Cost $10-20,000 (£5-10,000, €8-16,000) Dr. Luiz S. Toledo practices in Dubai and London. Tel: +9714 2699717 www.luiztoledo.com Email