0 00:00:00.525 --> 00:00:01.175 Hello 1 00:00:01.175 --> 00:00:03.525 I'm Lim Jongmin, Plastic surgeon at SOON Plastic Surgery 2 00:00:04.075 --> 00:00:08.525 Today, I'm going to talk about buttock enhancement 3 00:00:08.525 --> 00:00:12.676 (Reasons behind why buttock sags) 4 00:00:13.226 --> 00:00:17.326 As many people think, the elasticity of the skin decreases 5 00:00:17.326 --> 00:00:20.726 which could also result in sagging of the buttock 6 00:00:21.426 --> 00:00:24.926 That may be the case in general, but it is not always 7 00:00:25.376 --> 00:00:28.176 Gaining a lot of weight at the buttock 8 00:00:28.176 --> 00:00:32.727 can cause sagginess And even if you lose a lot of weight 9 00:00:32.727 --> 00:00:35.727 can also cause sagginess at the buttock 10 00:00:35.977 --> 00:00:39.277 Actually, you need to have some fat 11 00:00:39.927 --> 00:00:42.727 around the bottom to give you that plump buttock 12 00:00:43.077 --> 00:00:48.177 But too much or too little of that is one of the cause 13 00:00:48.177 --> 00:00:52.328 (Types of buttock enhancement) 14 00:00:52.328 --> 00:00:55.978 It's kind of vague to say that it's a type of butt enhancement 15 00:00:56.228 --> 00:00:58.928 In the past, it was used with things like thread 16 00:00:59.378 --> 00:01:02.878 to lift the skin 17 00:01:03.278 --> 00:01:06.428 Because the buttock is a part where all the weight is put on 18 00:01:06.428 --> 00:01:10.429 And because it kept moving, it was less effective 19 00:01:10.679 --> 00:01:14.729 After that, a lot implants were used 20 00:01:15.429 --> 00:01:19.379 This procedure was to fill the volume at the top of the buttock 21 00:01:20.079 --> 00:01:25.479 to give an overall voluminous look to it 22 00:01:26.229 --> 00:01:30.080 But when it came to implants it caused a lot of problems 23 00:01:30.080 --> 00:01:34.230 such as discharge inside the skin and continuous pains 24 00:01:34.230 --> 00:01:40.230 And the third method I'm going to explain is using the elasticum thread 25 00:01:40.630 --> 00:01:44.730 Elasticum has been applied relatively recently 26 00:01:45.380 --> 00:01:49.431 It's an elastic band made in Italy that doesn't melt 27 00:01:49.731 --> 00:01:54.131 It covers all the outer part of the buttock 28 00:01:54.131 --> 00:01:59.931 and by bringing everything to the middle, implants are not needed 29 00:02:00.181 --> 00:02:05.681 With just the inner tissues, it can result in a firm buttock 30 00:02:06.181 --> 00:02:09.932 It's a procedure that's designed 31 00:02:10.132 --> 00:02:15.632 so that you don't feel weird in terms of pain or durability 32 00:02:15.632 --> 00:02:19.832 (What method does SOON perform for buttock enhancement?) 33 00:02:19.832 --> 00:02:23.882 Yes, firstly we perform buttock enhancement using elasticum 34 00:02:23.882 --> 00:02:28.733 If there's enough fat tissue in the buttock 35 00:02:28.733 --> 00:02:31.933 using elesticum would be enough 36 00:02:31.933 --> 00:02:35.883 as it gathers it all together resulting in a firm lifted buttock 37 00:02:36.683 --> 00:02:38.983 There are times when the tissues are a little insufficient 38 00:02:38.983 --> 00:02:44.283 where it lacks overall volume and causing the top part of the buttock to sink 39 00:02:44.683 --> 00:02:50.984 In that case, by using the elasticum for the lift 40 00:02:51.184 --> 00:02:55.284 and fat transplants are also performed at the same time 41 00:02:55.284 --> 00:02:59.484 (Who do you recommend buttock enhancement?) 42 00:02:59.734 --> 00:03:02.434 Such a case is ambiguous 43 00:03:02.434 --> 00:03:06.785 Actually, it is for those who are not confident with their buttock 44 00:03:07.135 --> 00:03:11.285 Most patients that visit me would be people that went through some sort of diets 45 00:03:11.635 --> 00:03:14.885 As I said before, if you lose weight drastically 46 00:03:15.185 --> 00:03:18.685 One would experience sagginess from lack of the volume in their buttock 47 00:03:19.185 --> 00:03:23.635 There are times when there is some fat left on the sides 48 00:03:23.635 --> 00:03:28.486 Then, we proceed liposuction and use the fat that we pulled out 49 00:03:28.836 --> 00:03:34.236 by performing a fat transplant where it is lacking. And for the sagging part 50 00:03:34.536 --> 00:03:38.486 We would perform a lift using the elasticum 51 00:03:38.486 --> 00:03:41.386 But depending on the patients condition 52 00:03:41.386 --> 00:03:44.987 we make a lot of different combinations 53 00:03:44.987 --> 00:03:50.687 So it's hard to say that we only use one type of method 54 00:03:50.687 --> 00:03:54.887 (What are the recovery period?) 55 00:03:55.087 --> 00:03:58.487 After the elasticum lift 56 00:03:58.887 --> 00:04:02.637 At first, there's a feeling of tightening around the hips a little bit 57 00:04:02.637 --> 00:04:08.438 It feels like as if someone is pinching 58 00:04:08.788 --> 00:04:12.988 But by one or two weeks, you'll get use to it and it'll be okay 59 00:04:13.438 --> 00:04:16.188 But when you had a fat transplant with lifting 60 00:04:16.538 --> 00:04:20.188 Just getting the procedure done by the elasticum 61 00:04:20.188 --> 00:04:25.989 It may hurt a little, but there's no problem sitting and lying down 62 00:04:26.839 --> 00:04:30.939 But with the fat transplant, we recommend the patients to avoid any pressures 63 00:04:31.189 --> 00:04:34.389 If there's too much pressure 64 00:04:34.689 --> 00:04:37.989 There's a tendency for the fat to drop slightly 65 00:04:38.789 --> 00:04:41.940 So there's more cautious when it comes with fat transplants 66 00:04:41.940 --> 00:04:46.190 (What are the precautions before and after the procedures?) 67 00:04:46.190 --> 00:04:52.540 Preoperative precautions are similar to general surgical precautions 68 00:04:53.490 --> 00:04:57.140 Like anticoagulants or some things that can make the blood thin 69 00:04:57.140 --> 00:05:00.240 or medication that interferes with the hemostasis 70 00:05:00.240 --> 00:05:06.241 Or other medicines, herbal medicines. Find out what you take 71 00:05:06.541 --> 00:05:12.241 and discontinue under consultation. There's also a must-have medicine 72 00:05:12.541 --> 00:05:15.641 Like thyroid medicine or high blood pressure medicine 73 00:05:16.091 --> 00:05:19.241 And people who have diabetes 74 00:05:19.391 --> 00:05:22.692 needs blood sugar control. You need to discuss it beforehand 75 00:05:23.342 --> 00:05:28.242 After the surgery, until the stitches are removed 76 00:05:28.242 --> 00:05:30.292 Try to avoid getting wet 77 00:05:30.642 --> 00:05:34.392 And If there's too much pressure 78 00:05:34.592 --> 00:05:37.742 In case of fat transplantation, the rate of fat adherence may decrease 79 00:05:37.742 --> 00:05:41.493 There's nothing to be particularly careful about, except what I told you 80 00:05:42.193 --> 00:05:44.893 Things that patients say it's uncomfortable are 81 00:05:44.893 --> 00:05:48.543 using the bathroom after the procedure 82 00:05:48.843 --> 00:05:53.043 sitting and getting up from the bathroom could be uncomfortable 83 00:05:53.343 --> 00:05:58.443 As there is a chance that it could get infected, so if you were to pay a little attention to that 84 00:05:58.743 --> 00:06:01.844 there's nothing special to be careful of 85 00:06:01.994 --> 00:06:06.144 (After the procedure, are there no pain when sitting down?) 86 00:06:06.694 --> 00:06:08.794 No particularly 87 00:06:08.794 --> 00:06:12.544 It might have this tightening sensation 88 00:06:12.544 --> 00:06:15.244 like as if someone is pinching 89 00:06:15.694 --> 00:06:19.895 But with that, after a week or two 90 00:06:20.395 --> 00:06:22.495 you'll get use to it and it'll get better 91 00:06:22.995 --> 00:06:27.245 (Does the buttock enhancement method change depending on different races?) 92 00:06:27.245 --> 00:06:30.795 In general, Westerners have a wider pelvis 93 00:06:31.045 --> 00:06:34.795 they also have more fat and muscle mass 94 00:06:35.145 --> 00:06:38.846 So, just with elasticum lifting 95 00:06:38.846 --> 00:06:42.796 it is enough for most Westerners 96 00:06:43.096 --> 00:06:47.746 instead, the shapes that don't look pretty such as areas connecting to the thigh 97 00:06:48.196 --> 00:06:53.246 or if there is excessive fat, liposuction is performed at the same time 98 00:06:53.646 --> 00:06:58.447 But for Asians, especially young women 99 00:06:58.997 --> 00:07:04.997 are almost short of fat than having excessive amount 100 00:07:05.397 --> 00:07:09.997 So, even if was to lifted 101 00:07:10.297 --> 00:07:14.047 It doesn't fill up the parts that are lacking or sagging 102 00:07:14.347 --> 00:07:21.048 That's why you have to collect fat from here and there, and put it in 103 00:07:21.398 --> 00:07:26.248 If you are too thin, there is no place to collect such fat 104 00:07:26.548 --> 00:07:30.198 Actually, there are cases where it can't be proceed 105 00:07:30.198 --> 00:07:34.398 (Last words) 106 00:07:34.398 --> 00:07:36.899 Today we learned about buttock enhancement 107 00:07:37.249 --> 00:07:41.099 Next time, I'll be back with more interesting and useful information 108 00:07:41.399 --> 00:07:42.349 Thank you