![\"Macrolane\"](\"https:\/\/www.lmaclinic.com\/lma\/wp-content\/uploads\/2021\/08\/Smartlipo25.jpg\")
<\/figure>\n\n\n\nMacrolane:<\/p>\n\n\n\n
Rear view: Women want perfectly pert curves and they’re resorting to surgery to change the shape of their bottom from flat to super-curvy and high<\/p>\n\n\n\n
According to Mendieta, a Harvard-educated surgeon who learned his \u00adtechniques in plastic surgery-obsessed \u00adBrazil, there\u2019s been a steady rise in numbers of women seeking a curvier bottom, like that of Miami\u2019s famous resident J-Lo.<\/p>\n\n\n\n
He also says five per cent of his Thong Lift clients in Florida are from Britain, and he expects demand to grow.<\/p>\n\n\n\n
But as top plastic surgeon Rajiv Grover, president\u2013elect of BAAPS, explains, these could be risky.<\/p>\n\n\n\n
More…Treatment of the week: The organic microdermabrasion is the facial equivalent of a dip in a plunge-pool<\/p>\n\n\n\n
How to… Run a marathon<\/p>\n\n\n\n
\u2018Implants have a tendency to move and, if they get infected, they have to be surgically removed.\u2019<\/p>\n\n\n\n
So instead, Mendieta uses grafts of fat \u00adliposuction-ed from the thighs or stomach, purified and then painstakingly injected \u2014 using a large needle \u2014 into the layers of muscle of the buttocks, changing their shape from flat to super-curvy and high, like Beyonce\u2019s behind.<\/p>\n\n\n\n
\u2018Buttock enhancement is instinctively attractive to men,\u2019 he says. \u2018Women are wearing tighter clothes and, if you wear a thong bikini on the beach, nothing is left to the imagination.\u2019<\/p>\n\n\n\n
Previously, the standard way to create a rounder, higher bottom was with silicone implants, similar to those used for breast enlargement.<\/p>\n\n\n\n
Prize asset: Kim Kardashian and Jennifer Lopez are known for their shapely derrieres, now more and more women are having surgery on their buttocks<\/p>\n\n\n\n
The difference between this is and other sorts of fat augmentation is that the surgeon injects fat between layers of muscle, so there is more blood supply to the fat and less of it dies.<\/p>\n\n\n\n
The scars left by the incisions needed to inject the fat are hidden, says Mendieta, \u2018in the grand canyon where the thong goes\u2019, hence the name of the procedure.<\/p>\n\n\n\n
If patients are very slim, he sends them away to gain enough fat for the procedure.<\/p>\n\n\n\n
Because the fat belongs to the patient, there is no risk of rejection. The procedure will take several hours and can be done under a local anaesthetic.<\/p>\n\n\n\n
Grover says there are advantages to fat transfer over other procedures, such as injections of a new thick hyaluronic filler called Macrolane, which has been promoted in the UK as the best way to create a rounder bottom.<\/p>\n\n\n\n
\u2018Macrolane<\/a>\u00a0is temporary and, in some patients, may only last six months,\u2019 he warns. By contrast \u2014 and this may or may not be an advantage \u2014 fat is permanent.<\/p>\n\n\n\n REAR ADMIRABLE<\/p>\n\n\n\n The type of fat that accumulates around the hips and bottom may offer protection against type 2 diabetes<\/p>\n\n\n\n \u2018Fat also contains stem cells which can turn into new tissue, so fat transfer creates new collagen which improves the skin\u2019s \u00adtexture and thickness.\u2019<\/p>\n\n\n\n But he warns the procedure is not \u00adrisk-free. \u2018It needs to be done by a very experienced surgeon, in a hospital, in \u00adsterile conditions with good aftercare \u2014 if you get an infection it could cause a very large abscess.\u2019<\/p>\n\n\n\n Grover also points out that fat transfer is never 100 per cent predictable and some transferred fat will die.<\/p>\n\n\n\n \u2018Fat transfer is most successful when used in small quantities, as it needs to be \u00adsurrounded by healthy tissue so it develops its own blood supply. Without that it will die and be re-absorbed by the body.<\/p>\n\n\n\n Macrolane:<\/p>\n\n\n\n \u2018If this happens unevenly, you could end up with one buttock larger than the other. There will also be bruising and swelling that can last for months.<\/p>\n\n\n\n \u2018You will have serious hips for some time after the procedure.\u2019<\/p>\n\n\n\n But will British women really be flocking to have fatter bottoms? Dr Ayham Al Ayoubi, a Harley Street cosmetic doctor, says: \u2018I have seen a 50 per cent increase in demand for Macrolane in the bottom, though it is normally South American or Afro-Caribbean women wanting it done, as the look is desirable in their cultures.<\/p>\n\n\n\n \u2018But Macrolane is a bit disappointing as it doesn\u2019t last as long as we hoped and it is an expensive treatment. I have seen a greater demand for bottom lifting \u2014 as opposed to buttock enhancement \u2014 and I achieve that with a laser to tighten the skin, a little bit of Macrolane filler and some radio frequency to smooth the skin, which gives amazing results.\u2019<\/p>\n\n\n\n Mendieta insists his Thong Lift is \u2018about having a shapelier bottom, not a bigger<\/p>\n\n\n\n bottom\u2019, but visitors to his website (buttsbymendieta.com) might disagree. Before-and-after pictures show a \u00adstartling transformation from a Keira Knightley rear view, to something approximating a couple of beach balls in a thong.<\/p>\n\n\n\n Macrolane:<\/p>\n\n\n\n Cosmetic surgeon Angelica Kavouni, who has performed buttock enhancements in the UK, says: \u2018I have done fat transfers, but never on this scale \u2014 these bottoms are huge.\u2019<\/p>\n\n\n\n To harvest enough fat to transfer on this scale, patients would have to be a size 14, she warns. \u2018What I usually see are size six or eight girls who want big bottoms \u2014 this is unrealistic.\u2019<\/p>\n\n\n\n …..maybe the Bridget \u00adJones among us may soon be asking: \u2018Does my bum look big enough in this?\u2019<\/p>\n\n\n\n To read more about Smartlipo ,\u00a0click here<\/a><\/p>\n\n\n\n View all posts by Dr Ayham Al-Ayoubi, click here<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"![\"Kim](\"https:\/\/www.lmaclinic.com\/lma\/wp-content\/uploads\/2021\/08\/Dr_Ayham_Al-Ayoubi_Kim-Kardashian_buttocks-implants-1024x512.jpg\")
<\/figure>\n\n\n\n![\"Macrolane\"](\"https:\/\/www.lmaclinic.com\/lma\/wp-content\/uploads\/2021\/08\/Macrolane1.jpg\")
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