DR. MATTIA COLLI SURGEON
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GLUTEOPLASTY REVERSE – LIPOSTRUCTURE

ELIMINATE AND REDISTRIBUTE EXCESS FAT BY SHAPING THE BUTTOCKS

REVERSE GLUTEOPLASTY – LIPOSTRUCTURE

The lipostructure of the buttocks is an ideal method of cosmetic surgery to focus attention on the upper pole of the buttocks, eliminating all the excesses and accumulations of fat that create a volumetric disorder and allowing you to radically change the vision of the “B” side: the body increases the curves, the clothes finally follow the harmony of the new lines and you feel pervaded by a completely new security in movements and appearance. The lipostructure surgery of the buttocks also allows to completely eliminate the stubborn fat cells that do not respond to the methods traditionally used to induce weight loss, especially at the level of the hips.

 

Entering a workplace becomes an opportunity to show in addition to one’s culture and professional skills, a new awareness of beauty; any woman will be able to caress the dream of going back in time recovering that youthful freshness that allowed her to be happy in front of a mirror and self-confident in interpersonal relationships, seductive and provocative, why not, on an elegant evening.

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The buttocks play an extremely important role in the harmony and shape of a body. The anatomical group consisting of the projection of the buttocks and the lumbar curve defined by the type of waist and the hips constitute the main sensual characteristics of the female “B side”.

There are fundamental differences between a female and a male body observed from the back: the female body is characterized by curves, is harmonious, well made, attractive overall and surrounded by round volumes, while the male one is characterized by straight lines and square volumes. The prominence and projection, which draw the volumes of breast and butt, constitute the exclusive characteristics of a woman’s body.

Dr. Mattia Colli performs an innovative and latest generation lipostructure technique of the buttocks universally recognized as the safest and most efficient: the method involves a softening of excess adipose panniculus with a solution that protects the blood vessels, strongly reduces bleeding, and guarantees the precision of the surgical act.

The lipostructure of the buttocks is not to be considered a liposculpture treatment – liposuction of the body because it modifies and shapes different anatomical areas around the buttock and fills it. Thanks to the experience gained and recent techniques it can be performed with safe and admirable results even in people of regular weight; even in these categories of people in fact there are some body areas that are difficult to modify and not very responsive to diets and sports activities.

The final result has no visible scarring. This allows patients who perform a lipostructure surgery of the buttocks to visibly manifest a radical change in the areas of the buttock treated and to obtain a very high degree of satisfaction.

The achievement of expectations is the result of the relationship that the Surgeon and the patient establish from the first visit: dr. Mattia Colli plans surgeries with reliable and real results; in the event of not being able to promise the desired result, the surgeon will reserve the right to resort to the help of additional techniques to achieve the goal.

The satisfaction and appreciation for the results obtained is constantly monitored even in the years following the liposuction of the buttocks. In fact, the displacement of the fat from the excess areas inside the buttocks to give roundness and slight projection, is permanent. . Having  patient testimonials on their experience and their satisfaction is what makes Dr. Mattia Colli, a doctor with whom you can deal directly to clarify any doubts and motivations.

The patients, who meet Dr. Mattia Colli, come from all over the world. To reduce waiting times you can get an online consultation. An online consultation will give the patient the opportunity to meet the surgeon and establish the confidence needed for a successful lipostructure of the buttocks.

LIPOSTRUCTURE OF THE BUTTOCKS

WHY CHOOSE DR. MATTIA COLLI

The shaping of the buttocks with the simultaneous elimination of the fat on the sides and hips and its subsequent grafting is one of the main objectives of the liposculpture of the buttocks: this technique makes it possible to harmonize and enhance one’s buttocks, sculpting the shapes and slightly redefining the projection.

Exhibiting and perceiving the new B-side designed and sculpted in the structure by a thin waist gives elegance and admiration, increases self-esteem and security.

From Dr. Mattia Colli the probes and small cannulas used for the lipostructure of the buttocks are of the highest quality with CE mark and of the latest biomedical engineering: in them the holes are not positioned at the apex but in a lateral neighboring position, in order to clearly reduce possible traumas on the vessels and guarantee a fast and immediate recovery.

LIPOSTRUCTURE OF THE BUTTOCKS: TO WHOM IS IT RECOMMENDED?

LIPOSTRUCTURE SURGERY OF THE BUTTOCKS IS RECOMMENDED TO ALL PATIENTS WHO:

  • wish to have an image of their youthful B-side, well defined and that returns in the new harmony of the body a slender and curvilinear shape, permanently eliminating bulky areas
  • they want to enjoy their own admiration and that of others
  • realize the dream of pleasure and pleasure, naked or dressed in dream clothes
  • consider self-esteem fundamental to succeed

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THE CHARACTERISTICS OF THE PATIENT SUITABLE FOR THIS SURGICAL PROCEDURE OF LIPOSTRUCTURE OF THE BUTTOCK ARE:

  • good health (blood tests and ECG)
  • limited or diffuse fat accumulations present from adolescence or developed later
  • difficult and tiring metabolism of adipose tissue
  • loss of youthful form of one’s buttock
  • realistic expectations

The patients suitable for the intervention of lipostructure buttocks are not only people of excessive body weight but also those of normal weight who have excesses of adipose tissue in specific and circumscribed areas around the buttock and that obscure both the shape and projection.

The patient who has elastic skin and a certain thickness will be able to make a modeling of the structure of the upper buttocks compared to those who have thin and sagging skin; in this last case the surgeon, in a completely transparent way, will describe a particular technique in which the elimination of fat and its re-insertion after processing will take place on a deep plane, to avoid superficial depressions and depressions that are the cause of an incorrect pre-operative assessment of the buttock lipostructure surgery.

The trust that our patients place in our abilities always rewards us with the surgical results performed; very often several surgical methods of lipostructure of the buttocks are combined, to achieve the desired result (for example, the request of some patients to eliminate the sagging skin on a very delicate area in the lower part of the buttocks, in the presence of a pre-operative evaluation of soft and poorly retracting skin, must also include a skin traction intervention or insertion of prostheses to the buttocks to obtain a perfectly round profile).

LIPOSTRUCTURE OF THE BUTTOCKS – WHAT TO KNOW BEFORE THE LIPOSTRUCTURE OF THE BUTTOCKS

PREPARATION FOR LIPOSTRUCTURE SURGERY OF THE BUTTOCKS

Before the lipostructure of the buttocks, all the blood tests and ECG listed and proposed during the first visit must be carried out. In all clinical cases, tailor-made garments are designed with special traction lines, made exclusively for each patient. Numerous pre-operative images will be made for the planning of an increasingly personalized therapeutic path.

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Any pharmacological therapies in place (in particular with cortisone, contraceptives, anti-hypertensives, cardioactives, anticoagulants, hypoglycemic agents, antibiotics, tranquilizers, sleeping pills, stimulants), homeopathic and phytotherapeutic therapies and possible allergies to antibiotics and drugs in general must be reported.

At least two weeks before lipostructure surgery of the buttocks, the intake of medicines containing acetylsalicylic acid (aspirin type) is avoided and the simultaneous intake of oral anticoagulants should be avoided and, in any case, the continuation of these therapies must be agreed with the attending physician. With regard to the simultaneous intake of substances such as low molecular weight heparin, the suspension or not should be properly discussed with the surgeon.

The day before buttock liposuction surgery, a thorough cleansing bath should be performed, polish removed from fingernails and toenails, and depilation from the areas to be treated.

 

INTERVENTION TECHNIQUE FOR LIPOSTRUCTURE OF THE BUTTOCKS

The lipostructure of the buttocks is carried out using very fine probes and very small cannulas of the latest generation that instead of presenting an opening at the apex, very traumatic for the tissues as blood vessels and noble tissues are torn, have a greater number of holes on the sides; this allows to extract a greater amount of fat in a short time, preserving the vascular tissues and improving the prestige of surgical dexterity on the desired result.

At Dr. Mattia Colli’s, buttocks lipostructure surgery is performed with the most modern anesthesiological techniques that allow abandoning full anesthesia and projecting towards deep sedation: the patient does not feel any painful stimulus and the mind is completely dissociated in a world of dreams, illusions and pleasant imaginations. The risks related to general anesthesia, in which numerous drugs are administered and autonomous respiration is governed by artificial machinery, are thus completely eliminated. Sedation, on the other hand, allows you to maintain your natural breathing. All this allows you to have a recovery and a return to social life much faster.

By Dr. Mattia Colli the patient is protected from risks and possible fears; patients are reassured by the fact that they do not feel any pain and that they get the required results.

LIPOSTRUCTURE OF THE BUTTOCKS – BEFORE AND AFTER SURGERY

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LIPOSTRUCTURE OF THE BUTTOCKS – MEDICAL SURGICAL EXAMINATION

The surgeon visits the patient highlighting the areas of fat accumulation around the buttocks to be shaped and the excess ones to be eliminated.

Subsequently, it verifies the degree of elasticity of the skin: based on the changes required, the surgeon must evaluate the degree of skin retraction in order to explain in a completely transparent way to the patient what result can be obtained; in fact, dr. Mattia Colli listens to the patient in detail in order to develop an operating program of the highest professionalism where the characteristics of the desired result are indicated. The surgeon, in addition to exposing in detail all aspects of the intervention, responds to all the doubts expressed by the patient.

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The skin with reduced elasticity due to a rapid weight loss or natural aging, with stretch marks and skin folds, is still led to obtain good surgical results if the manual skill of the Surgeon takes place on a deep plane (therefore more difficult technically for those who work); a total emptying or a radical volumetric change will surely require a pre-operative program with the addition of another skin traction surgery (“reverse” buttock lifting) or the insertion of a buttock prosthesis.

The lipostructure of the buttocks requires a certain amount of reintegration, on average 180 cc – 220 cc of processed adipose tissue (i.e. cleaned of inflammatory and bloody debris) and should not be understood as an intervention to radically change the weight on the scale but the way to change the shape and perspective of the buttocks.

If the patient’s expectations regarding the result sought by the liposuction of the buttocks are not realistic, the procedure will absolutely not be realized.

LIPOSTRUCTURE OF THE BUTTOCKS – ANALYSIS OF THE AESTHETIC UNIT – HIGHLY PERSONALIZED PLAN
The liposuction of the buttocks involves a well-detailed pre-operative program and studied on HD photographs with particular lights that enhance the body reliefs. The areas of body modeling are identified by the surgeon and decided together with the patient in the pre-operative visit. In the planning of a lipostructure intervention of the buttocks, frontal and lateral vision is fundamental to define the volumes of projection and shape that are sought during the operative act: a highly personalized study will be carried out to search for the harmonic and sensual form agreed and sought.

Importantly, there is no one-size-fits-all idea of beauty, but cultural, ethnic influence and background influence the principles of aesthetics. For this reason, the Surgeon decides to divide the body into 11 aesthetic units, in order to create a highly personalized pre-operative program aimed at analyzing each individual unit in as much detail as possible; only in this way will it be possible to reach and create a desired profile, specific to each patient.

ZONE 1 – PRESACRALE AREA OR “V-ZONE”

The dimples created by the two posterior iliac spines and the tip of the intergluteal groove define an equilateral triangle that can be easily drawn just before the operation. When the V-zone is flat or slightly introflexed (fat-free) compared to the profiles of the large gluteus muscles, the butt appears much more pronounced and projected. On the contrary, if this area is rich in adipose tissue and the muscles are not very trophic, the butt appears flat, flat, without definition and profile, from the sacred all this area forms a single set without character. The V-zone is very important for the profile of the body, to create what is called an “S-curve” at the level of the lumbosacral junction. The technique to increase and define this area involves a liposuction and then a fat grafting at the level of the buttocks in its upper pole.
 

ZONE 2 – THE FLANK

The flank includes the area between the twelfth coast and the iliac crest. This area creates an intense, strong and radical modification of the body profile. This “body contouring surgery” changes the vision and appearance of the entire buttock and life: if zone 2 is not properly shaped and sculpted, the buttocks have a not fully satisfactory appearance, without a superior profile and without a lateral character.
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ZONE 3 – TRANSITION BETWEEN GLUTEUS MAXIMUS & MEDIUS

Zone 3 is bounded above by the edge of the upper iliac crest and below and medially by the upper edge of the gluteal large muscle. This area represents the passage between the gluteus large muscle and the middle. If the passage between the large gluteus muscle and the middle gluteus muscle is harmonious, the side wall of the butt appears continuous, fresh and characterized by symmetrical roundness. Zone 3 strongly influences the shape of the contour of the butt. The technique to increase and define this area involves a liposuction and then a fat grafting between the large and middle muscle of the buttock.
 

ZONE 4 – THE LUMBAR AREA

Zone 4 is defined by the lumbosacral junction and laterally by the lumbar muscles. The adipose tissue in this area is very fibrotic and has a strong adhesion to the skin. This zone participates in the formation of the “S-curve” in the definition of the profile. The technique to define this area involves a very particular liposuction, dedicated to the laceration of adipose tissue very resistant to its elimination.

 

ZONA 5 – THE LATERAL LEG

This area is defined above by the large trochanter and medially by the lateral edge of the fascia lata and laterally by the edge of the vasto-lateral muscle. This area is essential to shape the shape of the buttocks as it is responsible for its contour. The technique to define this area involves liposuction and is typically used to reduce and shape areas of genetic accumulation (“Culotte de Cheval”).

 

ZONA 6 – THE GLUTEAL MUSCLE

The deep part of the buttocks is defined with a detailed and highly personalized program of muscle hypertrophy dedicated to developing the muscles of the middle and large buttock.
 

ZONA 7 – THE INTERGLUTEAL SPACE O “J-SLING” ANATOMY

Zone 7 is the space created by the union of the inner gluteal fold where it comes into contact with the inner thigh. It is good to distinguish the inner fold of the buttock from the sub-gluteal fold. Although the two anatomical portions seem to constitute a single structure, they are completely different and the line that divides them is at the level of the ischial tuberosity. There is a fat pad between the coccyx and ischial tuberosity; this adipose panniculus is a dense and fibrous structure. Precisely this “fat pad” outlines the separation wall, defining and creating the inner fold of the buttock. In many women the presence of this excessively large fat pad closes the inner fold of the buttock characterizing a “sausage” appearance, swollen, with a profile far from a slender and linear model.
 

ZONA 8 – THE MIDLATERAL BUTTOCK OR “C-POINT”

This area is appreciated by palpating the edge of the large trochanter. This area defines the “C-point” of the shape of the buttocks, that is, it gives the buttocks a round appearance, dictated by the right and harmonious angles with the previous areas; it is configured as a transit area producing a different vision of the buttocks as a whole. The technique to increase and define this area, provides in cases where the fat is too voluminous a lipostructure, while in those patients characterized by an accentuated thinness, provides for a graft of processed adipose tissue.

ZONA 9 – THE POSTERIOR LEG OR “BANANA ROLL”

Defines the area below the gluteal groove. This area is referred to as the “banana roll” because of the physiological or nonphysiological presence of a panniculus of excess adipose tissue at the junction with the posterior thigh. The technique to define this area involves lipostructure in the patient with elastic skin of a certain thickness, while a possible “reverse facelift” will have to be considered for the patient with sagging skin of reduced skin  trophism and elasticity.
 

ZONA 10 & 11 – THE LUMBAR MUSCLE &  THE LATISSIMUS DORSI MUSCLE

This part is defined with a detailed and highly personalized program of muscle hypertrophy, which tends to volumize the muscles.
 

LIPOSTRUCTURE OF THE BUTTOCKS – INFORMED CONSENT

When the patient has clarified all doubts and decides to have liposuction-lipostructure of the buttocks, he or she is guided in filling out the informed consent document, drafted according to his or her clinical case.
 

LIPOSTRUCTURE OF THE BUTTOCKS – CLINICAL INVESTIGATIONS

The patient must carry out the clinical examinations prescribed by the Surgeon to certify and demonstrate the suitability of the state of health for the total safety and tranquility of the patient, which must always be the first concern of the operator. In the event that any pathologies are discovered or the examinations record abnormalities, it will be the surgeon’s concern to inform about the state of health and to be able to plan the liposuction of the buttocks with other anesthesiological techniques to avoid any risk related to them.
 

LIPOSTRUCTURE OF THE BUTTOCKS – HOSPITALIZATION OF THE PATIENT

The patient is hospitalized in the morning, fasting from midnight the night before. The pre-operative program is again reviewed and validated, as well as the clinical examinations (double check). The patient is then prepared in a dedicated room and then transferred to the operating block.
 

LIPOSTRUCTURE OF THE BUTTOCKS – ANESTHESIA

Dr. Mattia Colli has decided to abandon general anesthesia with its dangers: surgical interventions are performed with the most modern anesthesiological techniques of deep sedation (local anesthesia + intravenous anesthesia), so that fear and the sensation of pain are completely canceled while the unconscious is invaded by dreams and pleasant images.

Local anesthesia occurs by introducing anesthetic into the anatomical areas of the hips, so as to effectively eliminate the sensation of pain. The insertion of this solution, called tumescent, also takes place with a vasoconstrictor (adrenaline) to avoid bleeding, because it reduces the blood supply in the area to be treated allowing the operating surgeon to work at his best and in a delicate way, managing to eliminate a greater amount of fat.

Another advantage is to have an immediate return to social life without having to endure classic situations of fatigue, dizziness and exhaustion typical of the disposal of general anesthesia drugs.

LIPOSTRUCTURE SURGERY OF THE BUTTOCKS

The surgeon initially sculpts the gluteal contour and dedicates the final part of the lipostructure of the buttocks to the volumetric increase.

The lipostructure of the buttocks involves an initial phase in which very small incisions are made necessary for the introduction of fine probes and thin cannulas. The length of such incisions is usually 3 – 4 mm and never exceeds one centimeter; they are carried out in anatomical areas aimed at being as hidden as possible and at the same time easy to eliminate fat at the level of the hips and in volumetrically bulky and annoying areas. Normally the incisions of the lipostructure of the buttocks do not leave visible or noticeable scars.

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Lipostructure surgery of the buttocks requires extreme skill and knowledge of anatomy, especially if fat is shaped in deeper areas, where fat cells are more voluminous and close to vessels and nerves. A deep modeling allows a greater elimination of fat and a better surgical result: the patient will be able to caress and palpate the anatomical areas treated and will hardly recognize depressions to the touch, typical of those who work in superficial anatomical portions and of less surgical difficulty.

Once the fat has been eliminated and collected in sterile bags, it is cleaned: processing the aspirated adipose tissue with methods that preserve the vitality of the tissue itself and that eliminate all the inflammatory components is of absolute importance. Dr. Mattia Colli is famous all over the world precisely because scientific research always supports his surgical techniques used: centrifugations or backward methods of fat processing have been abandoned using only the most innovative and aimed at making the fat to be transplanted totally alive, so that it can survive the transplant into the buttocks and take root permanently.

After the processing of the adipose tissue, characterized by the removal of the oil from the aspirated fat (harmful inflammatory signal that must be totally eliminated), and of any blood residues, the Surgeon will provide for the last phase of modeling by re-introducing the clean fat to volumize and make the sculpture of the buttocks more harmonious.

Fat grafting will be carried out at different depths (different anatomical planes) depending on the areas to be treated; this requires very high knowledge of anatomy: a superficial subcutaneous level (subQ level) is identified, divided in turn into three planes (superficial, intermediate and deep), a suprafascial plane, a subfascial plane and if the Surgeon deems it necessary, the graft will be carried out exceptionally also in an intramuscular plane.

After the lipostructure surgery of the buttocks the patient will be bandaged with special dressings and demedicated after about 24h; subsequently  the patient will wear the tailor-made garment and progressively will be followed in its post-operative course for small changes.

LIPOSTRUCTURE OF THE POST-OPERATIVE BUTTOCKS

After removal of dressings it is normal to see the treated anatomical area swollen and edematous. The patient is prescribed all the pharmacological treatments dedicated to them, from antibiotic to anti-edema prevention.

Dr. Mattia Colli does not use standard belly or storage shorts, but the patient has a tailor-made garment that will progressively accompany the post-operative period: where the treated area begins to deflate, the garment will be tightened  according to the decisions of the Surgeon; this choice highlights how much attention is paid to the smallest details.

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The final result of the lipostructure of the buttocks, thanks to the modern techniques applied, is evident before 6 months, the time in which the treated adipose panniculus reabsorbs all the edema and the tissues normalize definitively: 80% of the final result is already appreciable around 1 – 2 months.

In the post-operative period, the patient should not apply prolonged pressure on the treated areas this is used to try to favor a greater attachment of the grafted adipose tissue. For this purpose, sleeping in a supine position is strongly discouraged; the preferable position would in fact be the one on one side or prone (belly down).

Although in the common view grafted fat is seen as waste material, in reality it is a real living organ, so to ensure that its graft survives and does not die with consequent volumetric reabsorption, care must be taken not to press the anatomical area where it has been re-inserted for too long a time: pressure exerted constantly in the anatomical district where it has been re-inserted does not allow the neoformation of blood vessels that bring new sources of oxygen and nourishment.

The results of the lipostructure surgery of the buttocks are permanent if the patient maintains a healthy diet or practices movement; in many cases the surgeon prescribes particular lifestyles to follow that the patient must maintain to prolong the benefits of lipostructure – liposuction of the buttocks.

Adipose tissue is a well-developed organ in adult patients, so once fat cells are eliminated and moved, they do not develop or reform. However, an incorrect high-calorie diet consequently leads to a volumetric increase in the fat cells left in other areas, so if the patient performs a remodeling of the waistline and does not follow the advice of the surgeon , he or she may manifest an unpleasant accumulation in, for example, the arms.

LIPOSTRUCTURE OF THE BUTTOCKS – RESULT

The lipostructure surgery of the buttocks is one of the main requests by patients who turn to Dr. Mattia Colli, precisely because the results obtained reflect the realistic expectations of patients and offer admiration and envy of third parties.

IS THE LIPOSTRUCTURE OF THE BUTTOCKS DIFFERENT BETWEEN MEN AND WOMEN?

There are obvious morphological differences not only in skeletal structure, but also in muscular architecture and that of the troublesome, bulky fat deposits. The main basic difference lies in the diameter of the pelvis, which is relatively wider in women than in men. Man Ray plays on this very idea in his work “Violon d’Ingress,” in which he portrays the model Kiki de Montparnasse. Due to a physiological enlargement, the inter-trochanteric line (distance between the two hips) is wider than in men. Usually, men have a more developed gluteus maximus muscle that reaches about 8 to 9 cm, while in women it is around 6 to 7 cm. In addition, considering two normal-weight subjects at the same time, the woman has more adipose tissue than the man.

Within the moral limits of each past era, even in primitive art it is evident how each sculptor and painter went in search of curvilinear sex-appeal and volumetric prominence of the posterior contour for their statues or figures.

The Venus Callipigia or “Aphrodite with the Beautiful Buttocks” is a marble example of the highest quality, in which the sculptor molds Venus as she is gazing at her own derrière, in the fullest admiration of herself, pleased with her physical features.

The body lines between men and women are essential to ignite and stimulate “inter-sexual relations”. The most important sensual elements of a woman’s body somehow recall the idea of procreation: the breasts for breastfeeding and the pelvis for childbirth. Coincidentally, they are defined by lines of curves and projection.

 

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