Beauty is in the eye of the beholder-but there are very common likes., especially when it comes to butts.Our  team of surgeons at Cirumed Marbella share a great passion for Body buttock surgery involving (Brazilian butt lift).
In the Brazilian butt lift, the patient’s own fat is used to reshape the buttocks.
Patients requesting Brazilian butt lift surgery commonly ask for an “hourglass” shape.

“It is not at all about buttock size,” says Dr. Alexander Aslani, Director of Cirumed Clinic Marbella and Head of the Department of Plastic, Aesthetic and Reconstructive Surgery of Hospital Quiron Malaga.

“When performing Brazilian butt lift surgery, most of all we want to alter the shape.”

So how can one evaluate the optimal outcome regarding shape?
“To evaluate how we have performed, we use the so called hourglass-index. In summary, reduction of volume in the waistline is equally important to volume increase in the buttock area,” says Dr.Aslani.

“In  detail, we compare two parameters before and after the procedure:

  1. The waist, defined as the circumference in the space between the 12th rib and the upper crest of the iliac bone.
  2. The butt (gluteal circumference) at the point of greatest width and projection). The point of greatest width can vary depending on the buttock shape. In so called A-shaped buttocks the point of greatest circumference will be at the level of the hips, in C-shaped buttocks it will be at the level of the midbuttock.

Categorizing the shapes is a guidance, mixed shapes are very common.
A nice hourglass shape will usually have an index (smallest circumference waistline/largest circumference butt) of around 0,7-0,6.

Case 1 shows an example of what we define as an excellent outcome regarding the hourglass index. The point of minimum circumference of the waist is further reduced with liposculpting, and the point of greatest width is just above the level of the hips, widened with large volume fat grafting in this area.
Before the procedure, the waist-to-butt ratio (“hourglass index”) scores 0,85. After the procedure, the liposculpture has refined the waist and we have enhanced the buttock with fat grafting. Now , the hourglass-index is 0,62, which is an excellent value.

Case 1 LEVANTAMIENTO-BRASILEÑO-MALAGA-DR (1) Case 1 LEVANTAMIENTO-BRASILEÑO-MALAGA-DR (2) Case 1 LEVANTAMIENTO-BRASILEÑO-MALAGA-DR (3) Case 1 LEVANTAMIENTO-BRASILEÑO-MALAGA-DR (4) Case 1 LEVANTAMIENTO-BRASILEÑO-MALAGA-DR (5)

Case 2 is another great example how reshifting of tissues can change the shape.
Before surgery, the patient had an hourglass index of 1. The pouchy fat deposits at the level of her love handles made the waistline as wide as the sideway projection of the buttock, which is aesthetically not beneficial.
Brazilian butt lift surgery resulted in a drastic improvement of the index.
Instead of being 1, the hourglass index is no 0,62, which is a massive change.

Case 2BRAZILIAN-BUTT-LIFT-MARBELLA-CIRUMED-ASLANI-1-1024x576 (5) Case 2BRAZILIAN-BUTT-LIFT-MARBELLA-CIRUMED-ASLANI-1-1024x576 (1) Case 2BRAZILIAN-BUTT-LIFT-MARBELLA-CIRUMED-ASLANI-1-1024x576 (2) Case 2BRAZILIAN-BUTT-LIFT-MARBELLA-CIRUMED-ASLANI-1-1024x576 (4) Case 2BRAZILIAN-BUTT-LIFT-MARBELLA-CIRUMED-ASLANI-1-1024x576 (3)

“Most of our patients travel from out of town to have this surgery with us,” says  Dr.Aslani. “So, we felt the need to find an easily workable parameter  to evaluate how we have performed. The hourglass index enables us to work even with patients provided by the patient. It is easily understandable for patients and very workable for the reviewing physician.

See more before and after results of Brazilian butt lift surgery on our homepage www.cirumed.es
For more information on Brazilian butt lift surgery in Spain contact Cirumed Clinic Marbella  on +34 607307515 or email on contact@cirumed.es.