4) Buttock augmentation is always a high risk surgery

You have probably seen negative stories in the press about Brazilian butt lift surgery. It can indeed be risky when carried out by inexperienced surgeons. This is because the fat must be very carefully transplanted to ensure it does not enter any veins, which could potentially lead to fat embolism (fat entering the heart and lungs, which could result in death).
If a surgeon is not properly trained there is a risk they could inject the fat too deeply, consequently it is essential to choose a surgeon with a high level of skill in fat grafting. If carried out properly, risk of complication is low. Ocean Clinic’s Head Surgeon Dr. Kai Kaye has performed many buttock augmentations, is a specialist in fat transfer, and lectures on the topic to peers around the world.

10 Myths about buttock augmentation

5) Recovery from a butt lift is very painful and you can’t sit down

A BBL carried out with fat alone is in fact categorised as a minimally invasive procedure, since it can be performed with very tiny incisions.

8) A BBL will always look fake.

Surgeons work with their patients to achieve the result they desire; some women want a natural look, while others favour a more extreme contrast. A very authentic appearance can be achieved by solely using a patient’s own fat, since it behaves with a natural jiggle. Furthermore, it will not only look real, it will feel real. However, to obtain the best looking results, it remains important to select a skilful surgeon in order to avoid unwanted side effects such as as lumps, bumps and asymmetry.

Buttock augmentation is just for celebrities

9) Buttock augmentation is just for celebrities

While BBL is a current favourite with celebrities, the procedure’s popularity goes way beyond the rich and famous. Last year in the USA, more than 20,000 people had a buttock augmentation with fat grafting - 10% up on the previous year (according to ASPS fgures). A further 6,000 had a different buttock procedure (such as implants). These fgures show that buttock augmentation is now more mainstream than treatments such as hair transplants, thigh lifts and upper arm lifts.

10) BBL is a very high cost procedure

Because of their association with celebrities, people often think Brazilian butt lifts must be extremely expensive, however, the surgery actually costs around the same as a breast augmentation. The exact cost will depend on the scope and complexity of your procedure as well as the skill and experience of your chosen surgeon. It goes without saying that you should get the best you can afford and don’t be tempted to go for cut price surgery abroad where clinical standards may be lower.

Have you had a lip enhancement with permanent filler?

Did it look fine initially but now you’re experiencing problems?

Late-onset complications with permanent filler injections are not uncommon and can be diffcult to treat, however an eight-year study by Ocean Clinic Marbella gives fresh hope to those suffering.

The study looked at the best way to remove the filler and reconstruct the lips. It involved 11 patients who had received Aquamid injections between 2-10 years previously (not at Ocean Clinic). It has now been published in the highly respected medical journal, Aesthetic Plastic Surgery.

Have you had a lip enhancement with permanent filler?

Common Complications with Permanent Lip Filler

Polyacrylamide hydrogel (branded Aquamid) has been in use as a permanent filler since 2001. It is considered inherently safe, however problems can occur later on after apparently successful implantation.

Migration - that is filler moving from its original position - is a common complication, which can develop even years after the injection.

People who dislike their noses often spend years debating whether they should have rhinoplasty surgery. There are various considerations; from the cost of the procedure, perceived pain and necessary downtime, to whether you’ll be happy with the end result.

Do you believe a nose job would make you feel better about your appearance but at the same time worry about something going wrong? This is totally normal. Because the nose is centre of the face, the thought of altering it can induce the biggest fears. You might think, “What if the new nose doesn’t suit me?”.
However, as the dominating facial feature, rhinoplasty also offers the biggest potential for positive transformation - of both a patient’s looks and their confdence. To assess the impact rhinoplasty surgery could have on your life, it’s helpful to look at the data. There have been a number of studies looking at patient satisfaction, as well as research into other people’s perceptions of those who have undergone surgery.

How satisfed are nose job patients?

In 2015, a group of researchers analysed 2,326 reviews posted by people who had undergone rhinoplasty on the website RealSelf. Past research into patient satisfaction had been based upon data and opinions from surgeons. Study author Ibrahim Khansa MD, said: “The website allows patients who have undergone a plastic surgical procedure to rate their experience as “worth it” or “not worth it”, and to provide reasons for their rating.
Since patient entries on the website are not surgeon-initiated, and can be anonymous if the patient desires; they do not carry the inherent bias of surgeon-initiated questionnaires.” The results of the study, which involved reviews from 2,032 females and 294 males, found the overall satisfaction rate was 83.6% (although females were more likely to be satisfed then males).

The top reasons for satisfaction among females were: the nose feels more natural (29.7%), nose is smaller (18.3%) and surgeon was honest (18.2%).

For men, they reported being satisfed that the nose feels more natural (36.5%), surgeon was honest (22%) and tip rotation is good (12.1%).

Vaginal labiaplasty has been in the news a lot recently. The procedure is rapidly growing in popularity, with the American Society for Aesthetic Plastic Surgery reporting a 49% increase in labiaplasties performed in the US.

Meanwhile the National Health Service in the UK has registered a fve-fold increase in labiaplasties (also know as labial reduction surgery) in the last 10 years.

So what exactly is labiaplasty and why are more women seeking out this treatment?

A labiaplasty is a broad term for a variety of techniques used to remove excess labial tissue - the flaps of skin either side of the vaginal opening. It can be carried out to reduce the size of the labia minora (inner lips) and/or labia majora (outer lips) for both aesthetic and functional reasons.
Labiaplasty is sometimes combined with other intimate surgeries, namely vaginoplasty (tightening of the vagina) and hoodectomy (unhooding of the clitoris).

Why would you want labiaplasty?

There are a number of reasons women choose to have labial reduction surgery:

  • Labia makes sport, such as cycling or horse riding uncomfortable
  • Labia is low-hanging and protrudes from underwear/bikini
  • Labia has torn and requires repair
  • Labia has stretched as a result of childbirth or age
  • Labia is chaffng and causing discomfort
  • Labia is inhibiting sexual enjoyment

What does a ‘normal’ vagina look like?

Vaginas come in all shapes and sizes and it is completely normal to have ‘uneven’ labial folds, where one is larger than the other, or for the inner lips to protrude out.

However, where the labia becomes particularly large or stretched – either as a result of normal development, labour or age - it can cause both physical and psychological distress.

In this case, a labiaplasty can be performed to reduce the size of the labia and help address the patient’s concerns.

Big booties are big news, with a more voltuptuous female fgure back in vogue. The trend has led to an increased interest in buttock augmentation surgery.

Often referred to in the media as the Brazilian butt lift (BBL), there are many misconceptions about this procedure. Here, we endeavour to bust the myths and present the facts.

1) You have to have implants in your buttocks

While implants can be used, Brazilian butt lifts are more commonly carried out using only a patient’s own fat. Using liposuction, fat is removed from elsewhere on the body; usually the abdomen, love handles, back, or from the outer and inner thighs.

The fat is transplanted into the buttocks in order to give them a fuller shape. Meanwhile, removing fat from around the outside of buttocks and from the waist gives the illusion of a more accentuated backside. As such, great results are achievable with no implants.

2) Thin women can’t have a BBL

Because Brazilian butt lifts are primarily carried out with fat, you might think lean women would be unable to have this surgery. However, in these cases, silicone implants can be used to supplement the lack of available fat. Even in thinner individuals, some donor fat can usually be found and this can be used to smooth over the implant and add shape.

Furthermore, simply sculpting with liposuction around the buttocks can make your bottom appear bigger and give you a more desirable figure.

Brazilian butt lift (BBL)

3) A buttock augmentation just gives you a bigger butt

Actually, butt lift surgery is about so much more than simply gaining a bigger bum. BBL aims to resculpt your entire silhouette, this includes your waist, hips and thighs, to achieve a classic hourglass figure.

A buttock augmentation gives you a bigger butt

The changes should be visible from both the front and back. In addition to gaining volume in your buttocks, they will be reshaped to achieve the look you desire - whether that’s a curvier, peachier bum or one that appears to have a higher profle from the side. Issues with asymmetry can also be addressed.

On the plastic surgery review site realself.com, most people rate their buttock augmentation surgeries very highly. In fact, 88% of people give their butt augmentation surgeries a “worth it” rating.

At Ocean Clinic Marbella we use water jet-assisted liposuction which is extremely gentle and reduces swelling and bruising. Pain and recovery time is minimal and you will be able to sit using the special pillow we provide (although long periods of sitting are to be avoided). You are likely to feel fatigued for a few days but after that you will be able to return to work (unless you have a very physical job). Buttock augmentation with implants is more invasive and has a longer recovery time, with at least two weeks off work required.

6) You’ll ruin your results if you gain/lose weight

Some people are deterred from getting a Brazilian butt lift because they feelthe results will be temporary and will be easily lost should you gain or lose weight. Actually, once additional fat cells have been transplanted to your bottom, that’s where they will remain. These fat cells can increase or decrease in size according to your diet and exercise but they won’t disappear. One of the great things about a butt lift with fat transfer is that the fat in your backside behaves normally.

It means that your buttocks will grow or decrease consistent with changes in your overall body weight, keeping you in proportion.

7) Having liposuction will make your skin sag

Patients often worry that removing fat from one part of their body to transfer to their buttocks will leave them with sagging skin. However, the amount of fat taken from any one location is not usually enough to leave loose skin. Fat will often be taken from multiple sites across the body via tiny incisions, so the fat loss is very even. The skin in these areas will snap back into place during the recovery process, over the following few weeks.

If you have lost a fair amount of elasticity in a certain area, such as your tummy following pregnancy, your surgeon will advise not to have liposuction there. Alternatively, you might want to consider combining your BBL with another procedure like a tummy tuck.

In the patients treated by Ocean Clinic’s Head Surgeon Dr. Kaye and his team, migration was seen in the mucosa, which is the membrane lining of the lips and also in the facial skin around the lips.

The filler was visible as yellowish accumulations; lumps and bump, leading to general unevenness and asymmetry of the lips. This was exacerbated by fbrosis (excess scar tissue forming around the filler).

These problems resulted in not only an undesirable aesthetic but also pain, tenderness and - in two patients - infection. One patient also suffered with a burning sensation in their upper lip.

Fixing Issues with Permanent Lip Filler

Because it is not possible to aspirate the filler (remove through suction) in cases where it has diffused different skin layers, surgery is the only option. Dr. Kaye used a lip reduction technique known as the ‘bikini reduction’ - so called because of the shape of the incisions (see below diagram).

Says Dr. Kaye: “Through the bikini access, the gel and the surrounding scar tissue were removed by sharp scissor dissection.

Complete dissection of muscle and mucosa had to be performed to excise the majority of the polyacrylamide gel. Because the product extended in most cases into the mucosa and musculature, leading to volume loss after removal, individual modifcations of the described technique had to be performed to give the upper lip the favorable shape of an M and the lower lip the shape of a W, while maintaining a good volume relationship between the lips.

Because the product extended in most cases into the mucosa and musculature, leading to volume loss after removal, individual modifcations of the described technique had to be performed to give the upper lip the favorable shape of an M and the lower lip the shape of a W, while maintaining a good volume relationship between the lips.

In order to restore volume to the lips and create the best aesthetic result possible, fat was taken from patients’ abdomens and transplanted into their lips, in eight out of the 11 cases.

The results

Dr. Kaye and his team removed as much of the Aquamid deposits as possible from all 11 patients, however residues of the gel close to the mucosa had to be left in eight cases to avoid compromising the blood supply.

The majority of the patients declared themselves to be satisfed or very satisfed with the aesthetic result one year after the initial operation.

The shape of the patients’ lips were observed by two independent plastic surgeons after one-year postoperatively and no dynamic asymmetries were detected. The patients who had fat transfer to the lips continued to have satisfactory volume.

Concludes Dr. Kaye: “Volume reduction and restoration of a harmonic relation between the upper and lower lips can be achieved using a modifed bikini technique. “Autologous fat grafting to the lips is a useful tool to correct volume defcits and asymmetries and can often be performed successfully within a single-stage operative session.”

Would you like a bigger penis? According to research, nearly half of men would. If you’re one of them, the good news is you can get one - without any invasive surgery.

All-natural penis enhancement can be carried out using a patient’s own body fat, in the same way it is now being used to enhance women’s breasts and fll wrinkles. It is a minimally invasive procedure, requiring only tiny incisions to remove the donor fat. The fat is then injected into the penis to provide signifcant extra girth. Read on to fnd out more.

How does all-natural penis enhancement work?

All-natural penis enhancement primarily offers patients the opportunity to increase the girth of their penis through transplantation of their own fat. Fat s taken from another part of the body, such as the abdomen, inner thigh or love handles. It is removed via water jet-assisted liposuction; a gentle method which results in minimal trauma to the donor site and only requires very tiny incisions.

The fat is processed before being injected directly into the shaft of the penis, under the skin, to provide added thickness and bulk. Fat can also be injected into the head of penis (glans penis) to make it appear fuller and harder.

Injections in the penis might sound painful, but a local anesthetic is used. Additionally, the fluid used as part of the liposuction process contains the anesthetic lidocaine, which ensures minimal discomfort. Both procedures are carried out in a single appointment and you will be able to return home afterwards. Your penis will be initially swollen but this will subside over the next week to 10 days.

How much width can you gain?

The surgeon will be able to advise you how much extra girth you can expect following examination. It depends on your anatomical endowment and how much fat can be injected, but this will usually be between 20-50 ml.

Typically, a penis enhancement carried out with fat will result in a long term gain of around 20% in circumference - around one to two centimetres. Patients may also experience a small increase in length due to the weight of the fat, but the primary aim of penis enhancement with fat is circumference growth.

Is an all-natural penis enhancement safe? What are the drawbacks?

The procedure is totally safe providing it is carried out by a skilled surgeon. Using your own fat means there are no issues with your body rejecting it. The main downside to transferring fat to the penis is that not all of the fat will gain a blood supply and survive (vascularise). Consequently, there is a risk that fat distribution might be uneven or that hard fat nodules will form.

To avoid this, it is essential to only transfer high quality, intact fat cells. We achieve this by using water jet-assisted liposuction, which does not damage fat cells as it removes them. Careful processing of the fat makes sure it is free of contaminants and ensures the highest level of cell survival.

The other consideration when opting for penis enhancement with fat is that the texture and tone of the penis will be softer, however this is less noticeable when the penis is erect.

How long will an all-natural penis enhancement last?

Penis enhancement with fat can provide a permanentchange, since the fat which gains a blood supplybecomes permanent tissue. However, it is important to understand that the result you see immediately after the procedure will change. Not only will there be initial swelling, not all fat will survive. In general, around 50% of the fat injected into the penis will go on to become permanent tissue. It is possible to have subsequent top-up procedures, building on and maintaining the results for a lifetime.

Is all-natural penis enhancement worthwhile?

You will certainly be able to see the results of your procedure, which may make you feel more confdent with your clothes off. The added girth may also increase your ability to pleasure sexual partners. According to research, the majority of women report receiving more pleasure from a man’s penis width and not length.

A further study found women preferred an erect penis of 6.3 inches in length and 4.8 inches in circumference for a long term partner.

To fnd out more about all-natural penis enhancement or surgical penis lengthening procedures, contact Ocean Clinic Marbella

What do other people think of nose job patients?

You might think you’ll look dramatically different after a nose job, but will other people even notice? A recent study set out to measure how perceptions about a person changed following Rhinoplasty surgery. Through a web-based survey, 473 participants were asked to view pictures of patients before and after rhinoplasty. The survey participants, who were unaware of the 13 patients’ surgery status, were instructed to rate the person in each photo for attractiveness, perceived overall health and perceived success (a scale of 0-100 was used).

The images of patients post-rhinoplasty were better perceived on all fronts.

They were rated to be on average:

  • 14 points more attractive
  • 10 points healthier
  • 9 points more successful

Study author Lisa Ishii MD said: “These fndings propose that patients experience an improvement in social interactions stemming from the positive effect of rhinoplasty surgery on observer perceptions.”

It’s not just health and success that can be inferred from our appearance; we make many different judgements about a person’s attributes within seconds of seeing their face. Research we have previously written about demonstrated how we unconsciously assess people for traits like trustworthiness, intelligence and friendliness.

As such, changing facial features actually can have a positive effect on a patient’s social interactions. Furthermore, people considered to be attractive receive signifcant social benefts, such as fnding it easier to get jobs and promotions and even getting more lenient court judgments.

How will the surgeon know what nose will best suit my face?

If you’d like a nose job but worry the surgeon will make it too small or too curved, making it look out of proportion, it’s helpful to understand how surgeons plan a rhinoplasty procedure. First and foremost, they listen to your aesthetic desires, then they assess you physically to see what’s possible.

Additional to this, they are guided by mathematical formulas, which help them ascertain the perfect proportions for your nose in relation to your face.

Measurements taken into consideration include the width of your nose, the length and projection of your nose, the shape of the septum, how much columella at the end of your nose is on show, as well as the size and rotation of the nasal tip (the amount the nose is turned up).

All of this ensures your new nose will blend seamlessly with your face and enhance your other features. The aim with rhinoplasty is always subtlety, and small tweaks can make a big difference. If you don’t tell people you’ve had rhinoplasty, people are often unable to put their fnger on why you look better.

Because it’s not always obvious, patients often opt to keep their surgery a secret, but Ocean Clinic Marbella patient Kara Caradas (pictured below) spoke out to Society Magazine about her experience.

“I felt absolute confidence in my surgeon and his team and honestly couldn’t fault anything,” she said. “It was better than I could have imagined and I was thrilled with the results.”

“People worry about plastic surgery, as there’s so much that could go wrong, but choosing Dr. Kaye was the best decision I’ve ever made.”

What happens during the procedure?

Labiaplasty can typically be performed under local anaesthesia only or combined with a sedation (twilight sleep) and takes from 1 hour (labiaplasty only) to 2 hours (combined with other intimate procedures. The surgery is performed either with a scalpel or laser and there are two main techniques:

Trim / Edge method: this involves taking away excess labial skin in one continuous incision along the length of the labia. It is quicker and simpler to perform but leaves a longer scar, which might take longer to heal.

Wedge method: this is a longer, more diffcult operation, which involves a shorter incision across the labia rather than along its edge. Because it preserves the edge of the labia it can produce a more natural looking result, but is not indicated in every case.

When carrying out labiaplasty, care must be taken not to remove too much tissue and expose the very sensitive tissue of the clitoris, which could result in discomfort or loss of sensitivity. In addition, the surgery must not impair the function of the labia minora, which is keeping the vagina moist.

How long is recovery?

The surgery is done on an outpatient basis, which means you return home shortly after the surgery. Patients have little post-operative discomfort and are usually back to work in two days without diffculty. The incisions are sealed with dissolvable stiches and heal quite quickly because the vagina is a very vascular area. Sexual intercourse and exercise can normally be resumed within 2-4 weeks.

Will I be happy with the results?

A recent study of vaginal labiaplasty carried out by Albany Medical Center concluded that the procedure carries high satisfaction levels.
The review included data from 19 articles and nearly 1,950 women and found that the women had a satisfaction rate of 94 to 100%. It also found that complication rates were low.

How much does it cost?

The cost will vary depending on the exact requirements of your treatment, but labiaplasty typically costs between €1,500 to €2,000.