Buttock Pre-Op, Operation & Post-Op Procedures

  1. Do not take aspirin products, non-steroidal anti inflammatory drugs such as Advil, Ibuprophen, Motrin, Aleve and other prescription drugs, multi-vitamins, vitamin E, anti-aging medications, herbal pills, or products containing these drugs for two weeks prior to surgery and for two weeks following surgery. You should take blood pressure medication in the morning of surgery with sips of water. All other medications (cholesterol, hormones, diabetes etc.) can be skipped.
  2. Do not eat or drink anything from midnight on the day of the surgery for all anesthesia procedures (no coffee, chewing gum, saltines, etc.).
  3. Wear clothing that has a button or zipper front and avoid clothing that pulls over the head.
  4. Do not wear makeup or contact lenses.
  5. Be sure to have a family member or friend drive you home after the surgery and stay with you for the remainder of the day. If you have sedation or general anesthesia, you will not be allowed to leave alone. You must have someone accompany you. A taxi cab driver is not allowed to pick you up, unless you are accompanied by a relative/friend. We will provide you with limousine information, should you require a driver.
  6. Schedule a post-operation follow-up appointment.
  7. Fill prescriptions Dr. Byun has given to you prior to surgery. Most patients will receive IV Antibiotics during surgery. Prescription for pain medications can be used only as needed should pain increase after surgery. Tigan (big pink pill) is a rectal suppository. Use this only in the case of severe nausea.
  8. Buy a reusable ice pack from your local pharmacy (i.e. Walgreens) and a box of clean gauze. You will use them for eye and face areas. The first 48 hours makes the most difference.
  9. If you are a smoker, stop smoking two weeks prior to surgery and two weeks following surgery. Do not wear a nicotine patch or chew nicotine gum because they constrict the blood vessels and deliver less amount of oxygen to the surgery areas.
  10. If you consume alcohol, and are a “social drinker”, meaning you allow yourself one or two glasses of wine, or an occasional beer, on one or two occasions weekly, you need to stop any alcohol intake, 48 hours prior to surgery.

    If you are inclined to have more than “the occasional drink”, meaning your body is conditioned to alcohol intake on a daily basis, or five times, or more, weekly, you need to stop any alcohol consumption 5 days prior to surgery.

    You will be receiving a pre-op phone call the day prior to surgery to give you any instructions, additional information, or answer any questions you may have with regard to your scheduled procedure.

We have provided a sample copy of an Operative Report. The procedure is subject to change per the patients needs.

Buttock Augmentation

PREOPERATIVE DIAGNOSIS: Hypolastic gluteal muscle, bilateral

POSTOPERATIVE DIAGNOSIS: Hypolastic gluteal muscle, bilateral

OPERATION: Buttock augmentqaiton with gluteal implants, bilateral

ANESTHESIA: GENERAL

Indications for surgery: The patient is a ___year old female who would like to improve the contour of the buttock area. She works out, but she cannot get the volume at the gluteal region where implant augmentation was requested.

Procedure:
After, the induction of general anesthesia, she was placed on the OR table in a prone position. Pressure points were guarded, and a 5 cm incision left and right along the sacral region was opened as a curvilinear incision making a V shape. The area was injected with 0.25% Lidocained with epinephrine. A total of 50ml were injected. Subcutaneous dissection was carried out first, and then the gluteal fascia was opened bilaterally. The silicone implants was measured by the moulage kit. These silicone implants were inserted in the supragluteal muscle plane. Good symmetry was appreciated. No tethering of skin was noted. The incision of a V shape along the sacral region was closed down to the fascia so that the scar will be prevented from widening, and this was done using 3-0 Vicryls bilaterally. The skin was closed using a 4-0 Vicryl in a running fashion. A bulky dressing was applied. Tape was applied to stabilize the placement of the implant where the symmetry was found to be satisfactory intraoperatively, and a garment was applied to atabilize the area. The patient tolerated the procedure well, extubated, and transferred to the recovery room in a good standing.

BUTTOCK IMPLANT

Do not bend at the knee, this will stretch incision at the tail bone area. Don’t squat down, again this will cause tension at the incision line. A “donut” will be needed for sitting when using the bathroom. Clean incisions as directed in the first page of this packet. Keep compression garment on for the first 48 hours, then you may shower. After your shower, immediately put clean/laundered compression garment back on. At your follow up visits, Dr. Byun will determine how long the garment will be needed. Clean gauze may be used to cushion any irritated areas from garment. Expect swelling and pain as your body heals and be sure to consult with Dr. Byun before resuming any activities.

  1. MEDICATIONS
    Use the pain pills and anti-nausea we provided, as needed. You can skip if you don’t need them. If you were prescribed an antibiotic, start taking this immediately following surgery and continue until bottle is finished. Dr. Byun will usually give you a one week course. Discontinued use could make you vulnerable to infection. Do not take blood thinners, aspirin, ibuprofen, multi-vitamins, vitamin E, anti-aging medications, herbal pills, and products containing these drugs for two weeks prior to surgery and for two weeks following surgery since they increase bleeding. Continue taking any other pills for blood pressure, cholesterol, birth control and hormone pills as part of your regular routine.
  2. BANDAGES
    Leave all external bandages on for 48 hours following surgery. The term external bandages refer to bandages that are not directly applied to the skin then reapply them as instructed per surgery.
  3. SWELLING
    Post Operative swelling is normal and peaks about 48-72 hours after the surgery. The majority of the swelling will go down within the first two weeks. Swelling is a part of the healing process, so it is normal for the surgical areas to be swollen for a few months after the procedure as the body heals. You can apply re-useable ice packs to the surgical areas for the first 24-48 hours to help reduce swelling in these areas.
  4. BLEEDING
    Small amount of bleeding from incisions is part of the healing process and is normal. Expect bleeding from the incisions 24-48 hours after the procedure. If bleeding continues after this 48-hour period, apply gentle pressure to the area using clean gauze and call our office.
  5. SHOWER
    You must shower 48 hours following surgery. At this time you may also remove external bandages (ace wrap, epi-foam, and gauze) as directed by the instructions below pertaining to your particular procedure. BAndages/tape applied directly to the skin, if any, especially those covering incisionsmust not be removed. At this time it is also important to allow soapy water and shampoo to run gently through the incision areas. Baby shampoo is recommended as regular shampoo may sting your incisions. Following your shower, re-apply clean/laundered ace wraps, epi-foam, compression garments, and binders as necessary depending on your particular procedure. Fresh gauze can be placed on incision sites if they are irritated by wraps, foam or garments. For patients who have undergone a procedure to the face: when applying shampoo or conditioner be mindful of the incisions along the hairline. Massage the scalp gently taking extra care to not irritate incisions. Also try to avoid snagging suture incisions with a comb or brush.
  6. EXERCISE
    An increased heart rate and blood pressure increases swelling and compromises the healing process, so relax and take it east for the first two weeks following surgery. It is a MUST that you consult Dr. Byun before returning to regular physical activities. With each follow-up as the weeks go by, Dr. Byun will inform you on which activities are suitable for you at that time. Generally however, for the first two weeks light walking and movement is acceptable, while bending forward (as that increases blood pressure in the head and may cause bleeding), stretching the surgery area, and any activities that will raise your heart rate should be avoided.
  7. SLEEPING
    Cover your pillow with an old towel or pillowcase as there will be dripping of blood from the incision in the first 24-48 hours after surgery. This is completely normal. For two weeks, sleep using two pillows to elevate your head, neck and shoulders for face related procedures. Should you have any sleeping difficulty, Tylenol PM is the recommended sleep aid. If the problem still exists, we advise that you call our office for a prescriptive drug, after speaking with Dr. Byun.
  8. DRIVING
    Try not to drive for one week following surgery. If you must drive however, you may not while taking pain medications. Remember, your safety comes first.
  9. SMOKING/ALCOHOL
    If you smoke, do not smoke for two weeks after surgery. Do not wear a Nicotine Patch or chew Nicotine Gum as this constricts your blood vessels and inhibits healing. Do not consume alcohol for at least ten days after surgery as this also raises blood pressure and causes late bleeding. If this will be a problem Dr. Byun can prescribe a medication to help you quit smoking prior to your procedure.
  10. NAUSEA/PAIN
    Nausea is a common side effect. It is recommended by Dr. Byun to take Zofran, which was prescribed to you, as soon as you arrive home and one pill before you go to bed. Along with anesthesia, the pain medication may cause nausea. Therefore, you should stop or decrease the amount of pain medication intake. In order to decrease the nausea created by the pain medication, make sure to take it after meals.