Plastic Surgery Blog

How Long Do Buttock Augmentations Last?

A lot of my patients ask me if buttock augmentation using fat (Brazilian buttock lift) is a permanent way to increase the size of their buttocks. The answer is yes. Once the fat is injected deep into the gluteal muscles and tissue, the majority of the fat cells will develop their new blood supply and survive. However approximately one-third of the fat cells will not survive and shrink over the first few months following a fat transfer procedure. Therefore, since we end up losing about 30-40% of the fat, it’s important to over-correct at the time of the buttock augmentation surgery. This means that some patients will occasionally need to gain some weight prior to surgery to ensure a good result. It’s also very important not to sit or sleep on the buttock for the first few weeks following a fat transfer procedure. After a buttock augmentation procedure, it takes about three months before we know for certain how much of the fat has survived. Once a patient reaches the three month period after a Brazilian buttock lift, whatever fat they have in the buttock is permanent. If they decide to lose some weight, the fat in the buttock can decrease, but so will the fat in the rest of their body (arms, legs, etc.). Also if a patient gains weight after a buttock augmentation surgery, the buttock size will increase as well.

How is Buttock Augmentation Performed?

Buttock augmentation can be performed in one of two ways: gluteal implants or fat transfer to the buttock. Fat transfer to the buttock, also known as Brazilian buttock lift, is by far the most popular and more natural technique. I have been performing this procedure for over six years now in the Los Angeles area and patients seem to be quite happy with the results. Basically, the procedure involves liposuction of a number of areas (usually the abdomen, love handles, back and thighs) then transferring or injecting that fat into the buttock for augmentation. The Brazilian buttock lift is a great way to not only enhance the buttock, but also to reshape the hips, waist and lower back as well. Most women benefit from this gluteal reshaping as well as the increase in size of the buttocks. The surgery takes between two and three hours and is performed under general anesthesia (asleep). Most patients will take off about one to two weeks from work to recover. During the recovery from buttock augmentation it’s important to avoid direct sitting, as your body’s weight can injure the newly transferred fat cells in the buttock. It takes a few months to see your final results and allow for the swelling in the buttock area to resolve.

The other less popular option for buttock augmentation involves the insertion of silicone implants under the gluteal muscle. These implants do not feel as soft and natural as fat, but may be the only option available in very thin patients who may otherwise not be candidates for a fat transfer procedure (Brazilian buttock lift). Buttock implants have a higher complication rate and tend to look unnatural compared to a fat transfer procedure.

Is Liposuction Right For Me?

Living here in Southern California looking good is a big part of our every day lives.  Unlike many other regions of the country Southern Californian’s pride themselves on looking good and living a healthy lifestyle.

For many of my patients living a healthy lifestyle and exercising doesn’t correct some of the imperfections that may be bothering them.  Sometimes a simple plastic surgery procedure like liposuction can correct an issue that may be bothering a person.

For many that live the healthy lifestyle but just can’t shed those extra pounds around the mid section or other body areas a simple plastic surgery procedure like liposuction or a tummy tuck can help achieve your goals.

Regardless of the reason, nature doesn’t have to win.  Liposuction Beverly Hills has become a safe choice for men and women looking to rid themselves of stubborn fat deposits. If you are close to your ideal weight, liposuction can sculpt your body to give you the finishing touches on the look you’ve worked so hard to achieve.

Learn about liposuction surgery

Liposuction is not an alternative to weight loss, nor can it achieve the dramatic results of a tummy tuck (abdominoplasty). You will still have to maintain a healthy diet and exercise. Liposuction is an effective way to contour the body and remove fat deposits that you are having difficulty with losing.  Liposuction is sometimes called liposculpture because of its contour-enhancing capabilities.

A popular procedure with both men and women, liposuction is commonly performed on the stomach, hips, or thighs, but can be performed on almost any part of your body plagued by unwanted fat deposits, from your neck to your arms to your ankles.  You can view our liposuction before and after photos to see some of our patients results.

Liposuction permanently changes the contours of the treated areas. Your body has a fixed number of fat cells—once removed, your body does not replace them. You can still gain the weight back, but your results may encourage you to maintain your shape with a healthful diet and regular exercise. Now you can let nature work for you instead of against you.

The recovery time for this procedure is reasonable. You can expect a few days of discomfort, which is controlled with medication. Some swelling lasts longer—the final results are visible in two to three months. Our patients tell us that the reasonable period of downtime they experience with liposuction is well worth it.

Brazilian Buttock Lift Surgery in Beverly Hills

Many patients are interested in improving the shape and size of their buttocks. Most people just want to have a larger butt. However, I think it’s more important to create a nice shape and nice curves. Size is not as important as buttock shape. Also the lower back, hips and waist are critically crucial to the body’s overall appearance. The overall amount of fat injected depends on the available fat on a person’s body. You can’t predict how many cc’s of fat you can inject either.I don’t promise a certain amount of volume- that is up to the patient. I as a surgeon can control shape, not size.

If you have any questions about Brazilian buttock lift surgery, please call us at 310-461-3855

Beverly Hills Breast Augmentation with Silicone Gel Implants

Many patients have been asking about the new cohesive silicone gel implants that were approved by the FDA a few weeks ago. These form stable, firm silicone implants have an anatomic or teardrop shape and can give a very natural result. These implants have a very low rupture rate and a low capsular contracture (scar tissue). However due to their shape, they can rotate inside the body which can be problematic. These silicone implants are indicated for specific patient body types, so be sure to ask your plastic surgeon about this particular breast implant as it may not be for every patient.

These implants are safe and have been well studied by the implant manufacturers and the FDA for several years. If you have any questions about these new silicone breast implants or about breast augmentation in general, please contact our office at 310-461-3855 to schedule a complimentary consultation and learn more about this procedure.


Dr.William Bruno

silicone breast augmentation patient- Dr.William Bruno

silicone breast augmentation patient- Dr.William Bruno

What is a Brazilian Buttock Lift?

Brazilian buttock lift

Brazilian buttock lift patient of Dr.Bruno

A buttock augmentation can best be achieved using a patient’s own fat by way of a fat transfer. This is commonly referred to as a Brazilian buttock lift. Patients need to have enough of their own fat in order to be a good candidate for this procedure. Patients who are too thin may need to gain weight prior to surgery in order to have a good result. The fat can be removed from a variety of areas by way of liposuction- the most common areas being the abdomen, love handles, lower back and thighs. Some of the fat will shrink after a fat transfer to the buttock but the majority of it will survive and become permanent. It takes about four months after surgery to determine how much of the fat has actually survived. If a patient’s body weight then fluctuates up or down, the fat in the buttock will also go up or down accordingly.

The procedure takes about two to three hours to perform and patients will usually take off about one week from work to recover. It’s important not to sit directly on the buttock for about two weeks after a fat transfer. The longer you can go without directly sitting on your buttock, the higher the survival of fat cells and therefore the better the outcome. Most patients will use pillows and cushions if they do need to sit at work or to drive. Patients will also sleep on their stomach or on their side during the first few weeks after surgery.

A surgical garment is worn after the liposuction and fat transfer to the buttock in order to control the swelling and improve the contour. Some patients will often times wear a girdle such as Spanx during the post operative period as well. The garments are usually worn for about four to six weeks.

A Brazilian buttock lift is a great way to reshape not only the buttock, but also the lower back, waist and hips. Patients who have a square shaped buttock can be transformed into a rounder, fuller buttock with a better waist to hip ratio.

For more information on Brazilian buttock lift surgery, Call us at 310-461-3855 to schedule a consultation.

Thank you,


Tummy Tuck and Brazilian Buttock Lift Surgery

Brazilian buttock lift tummy tuck patient

Brazilian butt lift and tummy tuck patient- Dr.Bruno

Many patients ask if they can combine a tummy tuck procedure at the same time as a Brazilian buttock lift surgery. This can be done however patients must realize they can not sit for a few weeks and they can not sleep on their stomach (due to the tummy tuck). Patients are limited to a side only position during this time period which can be challenging for some patients. If you are interested in this combination of procedures, please call our office for more information at 310-461-3855

Thank you,


Brazilian buttock lift patient photo

Here is a patient who underwent a fat transfer to the buttock (Brazilian buttock lift) approximately four months ago. 540 cc of fat was injected per side. Notice the reshaping and the contour creation of the hip area. The results at this point are felt to be permanent- whatever initial atrophy of the fat cells which has occurred resolved. As this patient gains or loses weight, the fat cells in the buttock will increase or decrease accordingly.

For any questions about this procedure please call our office at 310-461-3855.

Thank you,


Brazilian buttock lift photo

540 cc of fat injected per side- Brazilian buttock lift patient- Dr.William Bruno

Why Choose Male Breast Reduction

There has been a large increase in the number of males opting for the male breast reduction procedure.  Most report are showing the number of male breast reduction procedures doubling from the number being performed five years ago.

Many men find that Gynecomastia (male breast tissue) embarrassing and uncomfortable.  Typically men having this surgery performed are older representing about 30% of the cases performed.  But there is a growing number of young boys having the procedure done as it can be very embarrassing looking so much different than other boys their age.

The NHS provides the operation but many men find there are too many forms and guidelines.  Plastic surgeons now see that attitudes towards cosmetic surgery are changing and it’s being accepted.

For men the stigma of having plastic surgery is lessening and it is becoming more widely accepted to have male breast reduction and other male cosmetic procedures performed.  These procedures are significantly helping men regain their confidence and making a huge improvement in their lives.

Many men that suffer from Gynecomastia are labeled with obesity but many are suffering from this condition due to hormone imbalances or side effects from medication.



How to Choose A Plastic Surgeon in Beverly Hills

You body is very important. Before opting to have anything done or altered on it, it is paramount that you choose the right person to do the job. Getting a plastic surgeon in Beverly Hills is not hard, but there are several important things that you should highly prioritize before choosing a specialist.

One of the best ways of choosing a good plastic surgeon is by getting recommendations from family and friends. You should ask around to find out if anyone you know knows a good professional. If you know someone who has also had the same procedure that you want done to him or her, you should inquire and get details about who the professional is. This, however, should not be the sole basis of getting a plastic surgeon. Each patient is unique and not everything turns out the same way.

Checking the credentials of a plastic surgeon is of paramount importance. This is meant to increase your odds of getting good services. The specialist should be certified by the American board of plastic surgery. This is to ensure that the expert is well equipped and fully capable of providing the desired services in the proper manner.

There are several places where you can find such information. These include directories and other places such as hospitals, the surgeon’s office and professional societies. It is also equally as important to look for information on any training that the specialist may have also received.

After all this has been verified the next step is to schedule an interview. This is the part where you should be very keen and thorough so as to determine whether the professional chosen is the right person for the job. This is where you get all the important information regarding things like his or her personality, opinions on the procedure you want to have, the fees and the way that the plastic surgeon will handle you as a potential patient.

The cost should also be factored in before choosing a surgeon. The price should be affordable. That is why it is important to compare prices and have rough estimates of reasonable costs for the procedure. You should ask any financial questions that are meant to minimize the burden on you. A good surgeon will always ensure that you get your value for money and that you are satisfied. After everything is done and you are satisfied then you can confidently hire the surgeon to take care of your needs.