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Image by Jernej Graj

BUTTOCKS TECHNIQUE

GENERAL RECOMMENDATIONS​

  • The thread must end 1 cm beyond the area you want to lift

  • Adapt the depth of the thread to the tissues

  • Always make a slight over-correction

  • Smooth the skin folds as much as possible that may appear when stretching the threads

  • No massage or any friction for a week

  • In case of over-tension, you can unhook some cogs during the first week and before fibrosis

  • 4 to 6 threads per side depending on the sagging and the patient profile

NON SURGICAL LAYING SCHEME

  • According to the patient morphology:

  • Passage of 4 threads BL 8-300 in L and J on each side of each buttock.

  • You can cross over to focus on the buttock.

  • Or :Straight passage of threads BL 8-300

  • Or : Passage of Threads BL 50-350 in V inverted shape with fixing the point of V by deep suture or horizontal thread

STEPS TO FOLLOW

STEP 1: DRAWING

With the patient standing, modelize with Micropore the lifting effect desired on the buttocks.
Draw the path of the thread and its points of entry and exit.
Precision: The entry points are generally situated in the upper part of the buttock.

STEP 2: PREPARATION

With the patient reclining, disinfect the skin with Povidone iodine (Betadine), Chlorhexidine or equivalent.
Local anesthesia along the thread’s path in its input and output.
Redraw the path if necessary.
Place a sterile drape on the work surface and surrounding the treatment area.
Follow the Protocol for Infection Prophylaxis

STEP 3: ENTRY POINTS

Perform small punctures with a Nokor needle for each thread’s entry points. Perform 1 incision per thread.

STEP 4: THREAD IMPLANTATION

  • Introduce the needle perfectly perpendicular to the skin, penetrate 2 to 3 mm and then turn to be in the subcutaneous fat layer

  • If you are in the right layer, the needle will move freely within it

  • If you feel resistance, you are pushing too superficial or deeply

  • If you can see the needle, you are too superficial

  • Bring out the needle after about 10 cm, pushing and without the need for incision and then slowly pull the wire (It is possible to arch the needle if necessary)

  • Perform a hydro-dissection if you have difficulties inserting the needle

  • Pass the second strand of the thread in the desired direction. Arch the needle if necessary

 

Note: Bending the needle slightly can help to navigate the needle closer to the natural contours of the body
which means the needle exits slightly further on than it would do so otherwise, enhancing anchorage.

STEP 5: SETTINGS

  1. Upper part: Stretch each upper side strand until you see the traction appear at the entry point.

  2. Lower part: To adjust the lower part, due to the elasticity, it is necessary to pull each strand with one hand and push the tissue with the other hand. This adjustment is made on the patient when lying down then checked when standing.

  3. Finally, slightly pull the end of each strand (by 2 or 3 cogs) and cut off the excess end. The strand then settles naturally under the skin due to its elasticity.

  4. Due to the flexibility of the silicone you can easily unhook an over lifted part.

POST OPERATIVE CARE

Anti-inflammatories (Ibuprofen) if necessary.
Possible antibiotic treatment (ciprofloxacin).
Place large micropore (50mm) to support the tissues during the first days.
Prescribe a buttock compression garment.

Note: Review the Patient within one week. As oedema has diminished, if necessary, in cases of over correction, you can
unhook some cogs before fibrosis is established.

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