Q. Hi. I have always had a big perked bum, but over the last year it has flattened and become misshaped. What would be my option of surgery?? Thanks .
A. There is a significant amount of variation in size, shape as well as level of buttocks. This may have variable effect on body proportion and its beauty. There is a definite racial, familial and genetic link with body as well as buttocks contour. Women from Afro-Caribbean origin are known to have larger and protuberant buttocks projection. The Arabic women from Middle East represent with a very unique body/buttocks proportion. The size, shape and level of buttocks is a matter of personal preference which can be influenced by racial trends (black women may prefer large bums). Arabic men and women from the middle east may have predilection for wider and bigger hips, there may be geographical influences which could be compounded by famous celebrities like Jennifer Lopez creating a big wave of ’Brazilian Jelo bumps’ The concept of ‘Beauty from Behind’ is becoming more and more relevant because of increasing popularity of beach holidays and globalisation of cultural acceptance of wearing revealing clothes in day to day life. Hence, it is impossible to set up globally acceptable criteria for ‘Bootylicious’ beautiful buttocks. There is no doubt that well-toned hour glass shape body with straight confident posture is always desirable. The pre requisite to achieve this comprises of regular muscle toning and maintaining normal body mass index by observing optimum diet and nutrition. Obesity and massive weight loss will adversely affect body/buttocks proportion. It is needless to say that as we mature in our age our buttocks are going to lose their tone and will continue to sag southwards. It is also very interesting that excessive deposition of fat and sagging of the adjoining areas e.g. Flanks (love handles) and outer aspect of the thighs (saddle bags) will distort the shape of the buttocks. This will make the buttocks appear ‘pseudo square’ rather than the desirable rounded shape. There are many misconceptions amongst the general population regarding aesthetics of the buttocks; this may lead to either ambiguous requests for a particular procedure or requesting completely inappropriate procedures. There are following procedures to be considered for buttock contouring: 1) Liposuction into flanks to improve the definition of waistline, with a view of correcting love handles along with liposuction to the outer thighs for correction of saddlebags. This procedure is advisable for ‘pseudo square’ buttocks. 2) Buttock lift – this procedure is designed to remove redundant excess skin and lift the buttocks. This is quite a common procedure when there is sagging of buttocks following massive weight loss or because of ageing. 3) Buttock Augmentation – there are 3 methods of buttock enhancement, each method has its own advantages and limitations; a) Fat Grafting: if a person has got excess fat in other areas of the body e.g. abdomen, flanks, outer and inner thighs then fat can be harvested from these areas and injected into the buttocks. There is always a possibility of variable degree of fat graft loss hence we need to be prepared for additional fat grafting procedures if required. b) Buttock Enhancement can be done by using biodegradable synthetic material such as Macrolane. Macrolane is made up of hyaluronic acid. This product gets absorbed into human body over a period of 12-18 months. Hence one would require a top up injection every year. It is a procedure worth considering when a patient is in the process of making a long term definitive decision. c) Buttock Enhancement can be done using silicone implants. This procedure is done by inserting implants either within the muscle or in front of the muscle through a cut made just above the crease between the two buttocks. This procedure is known to have more complications in comparison to breast enhancement using silicone implants. However it gives a more long lasting solution in comparison to other techniques. During the initial consultation, we will discuss with you your concerns regarding buttock aesthetics. The examination consists of measurement, photographs, followed by detailed discussions of the options. This can also be helped to a certain extent by using the “morphing software “. We would like to advise you to surf through the relevant sections on our website, including photo –gallery to allow you to develop a better insight into the procedures, our website address is www.vadodariaplasticsurgery.com. You may want to contact us by e-mail on info@vadodariaplasticsurgery.com or by giving us a call on 02089308663/02089303976.
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| Mr. Shailesh Vadodaria
10 Harley Street
London
W1G 9PF
Tel: 0208 997 3976
Web: www.vadodariaplasticsurgery.com |

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Q. i had fat tranfer to my butt and its red and some parts are swollen i went to the hospital and its not infected.Do you think maybe is dead fat and if it is what should i do?
A. Thank you for your email. I have following suggestions for you. 1) Please contact your surgeon 2) Please contact your GP for further help. You may wish to send me good quality photos for my initial comments. You may wish to arrange a detailed consultation to allow me to examine you and give my opinion.Please contact my office on 0208 997 3976 between 9.00 am and 5.00 pm or by ehmail on info@vadodariaplasticsurgery.com for further guidance. Mr.Shailesh Vadodaria FRCS (Plastic surgery) Consultant Plastic Surgeon
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| Mr. Shailesh Vadodaria
10 Harley Street
London
W1G 9PF
Tel: 0208 997 3976
Web: www.vadodariaplasticsurgery.com |

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Q. Can I get fat transferred from my stomach to my hips?
A. Thank you very much for your enquiry, it is possible to transfer fatty tissue from your stomach to your hips but this is quite a specialized treatment and it would really really be best to see you in person to discuss the best way forward for you in person. To schedule a consultation please ring us on 01844-214362 or email us at info@aurora-clinics.co.uk. Many thanks for your email, we really look forward to hearing from you if you do decide to schedule a consultation. Best wishes yours sincerely, Adrian Richards Plastic and Cosmetic Surgeon Surgical Director of Aurora Clinics
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Mr. Adrian Richards
The Gatehouse
82 Billing Road
Northampton
NN1 5DF
Phone: 0800 328 5743
Web: www.aurora-clinics.co.uk |

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Q. Hi, do you perform fat transfer for hollow eyes? If so how much is this procedure. Thanks.
A. Many thanks for your enquiry!Eyes and eyelids can look older from puffiness (‘bags’) but also from hollowness which can produce a ‘sunken’ appearance. In fact many experienced cosmetic surgeons now take out less and less fat from baggy eyelids as occasionally one can produce a hollow look, sometimes not appearing until some years after surgery. I myself prefer, where appropriate, to utilise any spare or protruding fat and redistribute the fat for a more even, rejuvenated look – on close inspection a naturally youthful and healthy eyelid and surrounding tissue is often seen to have plenty of volume, mainly from fat, but with even distribution and less sagging of the tissue layers. Redistributing natural orbital fat in the lower eyelid can help to soften any deep crease and even darkness. In the upper eyelid, there is usually less fat around to need dealing with. One can use both fillers or your own fat transferred to plump up hollow eyes; a ‘volumetric’ improvement; however because of the very thin skin of the eyelid, fat transfer must be undertaken absolutley meticulously to avoid unneveness or irregularity showing through the skin.The precise nature of the best procedures for any such patient benefits from idividually tailoring for that particular patient’s needs and wishes, at consultation.I would of course be delighted to assist you; costs available on request.best wishes
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Mr. Tariq Ahmad Spire Cambridge Lea 30 New Road, Impington, Cambridge, CB24 9EL Tel: 01223 864 678 Web: www.cosmeticsurgeoncambridge.co.uk |
Q. I wanted to get fat from my tummy and get it injected into my butt. Can you do that and if so how much would it cost?
A. Thank you for your email. Buttock enhancement with multistage fat grafting is a recognised procedure. If you have fat deposits on your abdomen then it can be harvested and used as fat graft for buttocks enhancement. I have following suggestions to help you further: 1) Please send me good quality photos for my initial comments. 2) You may wish to arrange a detailed consultation to allow me to examine you and give my opinion. 3) Please visit our website: www.vadodariaplasticsurgery.com to allow you to develop better insight into the procedure. Please contact my office on 0208 997 3976 between 9.00 am and 5.00 pm or by ehmail on info@vadodariaplasticsurgery.com for further guidance. Mr.Shailesh Vadodaria FRCS (Plastic surgery) Consultant Plastic Surgeon
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| Mr. Shailesh Vadodaria
10 Harley Street
London
W1G 9PF
Tel: 0208 997 3976
Web: www.vadodariaplasticsurgery.com |

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Q. how much is it for fat transfer to face and lower lid blephorplasty
A. Hi – my current prices are best found by calling my clinic on 01415520828. The cost will be the full cost of a lower lid blepharoplasty and half the cost of a minor fat transfer, as a second procedure carries a reduced cost. You could email enquiries@labelleforme.co.uk instead if you prefer
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Mr. Taimur Shoaib
La Belle Forme Clinic
24-26 Wilson Street
Glasgow G1 1SS
Tel: 0141-552 0828
Web: www.labelleforme.co.uk |

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Q. I would like the artefill procedure done how much will it cost and how soon can i get it done.
A. I don’t use permanent fillers, because they can cause long term complications, sometimes several years later and I have seen devastating complications (eg permanent scarring and facial paralysis from removing infected filler) from permanent fillers. So, the only permanent filler I will use is something from your own body. I usually use fat injections to plump out the face and if you would like more information on this, please feel free to call 01415520828 or email enquiries@labelleforme.co.uk and my staff can book you in for an appointment to see me. Hope this helps
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Mr. Taimur Shoaib
La Belle Forme Clinic
24-26 Wilson Street
Glasgow G1 1SS
Tel: 0141-552 0828
Web: www.labelleforme.co.uk |

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Q. I have had some fat transfer procedures to fill the gap from a missing pectoral muscle due to Polands Syndrome. Unfortunately I am too thin to take any more fat. Would you recommend a filler? Are you able to carry out the injections?
A. Thanks very much for your enquiry, the options of your Polands Syndrome are either custom-fitted implant or possibly synthetic filler such as macrolane. Unfortunately, we do not perform either of these treatments here at Aurora Clinics but there are a number of surgeons who do perform macrolane treatment. I think it would be worthwhile scheduling a consultation with them and you can locate them with a Google search. I do wish you the best of luck if you do decide to go ahead with treatment. Best wishes yours sincerely, Adrian Richards Plastic and Cosmetic Surgeon Surgical Director of Aurora Clinics
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Mr. Adrian Richards
The Gatehouse
82 Billing Road
Northampton
NN1 5DF
Phone: 0800 328 5743
Web: www.aurora-clinics.co.uk |

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Q. I had a fat transfer to an area under my eyes a couple of years ago and recently the area has become slightly lumpy although not massivly noticable im concerned that this will be come worse. Is there anything that can be done to treat this?
A. Thank you very much for your enquiry, firstly I’m sorry that you have got lumpiness under your eyes following your fat transfer to the region some years ago. Unfortunately, this can occur following fat transfer treatment and I would suggest that you schedule an appointment with either the surgeon who performed your procedure or another surgeon to discuss the best way forward for you. The surgeon will be able to advice you as to the best way forward for improving the appearance of this region. Many thanks for your enquiry, I do wish you the best of luck if you do decide to schedule a consultation. Best wishes yours sincerely, Adrian Richards Plastic and Cosmetic Surgeon Surgical Director of Aurora Clinics
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Mr. Adrian Richards
The Gatehouse
82 Billing Road
Northampton
NN1 5DF
Phone: 0800 328 5743
Web: www.aurora-clinics.co.uk |

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Q. Would like ah tummy tuck nd fat put into ma bum, had a baby 4moths ago hw soon can I have surgery?
A. Thank you for your email. Please note that if you become pregnant following tummy tuck, then your skin, soft tissue and muscles will stretch again hence it is prudent to consider this factor in deciding the appropriate timing of tummy tuck. It is possible to consider fat grafting to buttocks at the same time since I prefer to perform liposuction at the time of tummy tuck anyway. I have following suggestions to help you further: 1) Please send me good quality photos for my initial comments. 2) You may wish to arrange a detailed consultation to allow me to examine you and give my opinion. 3) Please visit our website: www.vadodariaplasticsurgery.com to allow you to develop better insight into the procedure. Please contact my office on 0208 997 3976 between 9.00 am and 5.00 pm or by email on info@vadodariaplasticsurgery.com for further guidance. Mr.Shailesh Vadodaria FRCS (Plastic surgery) Consultant Plastic Surgeon
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| Mr. Shailesh Vadodaria
10 Harley Street
London
W1G 9PF
Tel: 0208 997 3976
Web: www.vadodariaplasticsurgery.com |

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