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Tiny Cannulas Give Best Results

Use of microcannulas and tumescent liposuction techniques, the size and shape of the buttocks can be improved and can produce excellent, symmetric, and smooth results. In contrast, liposuction of the buttocks using large cannulas may cause irregular shape and lumpiness. Larger cannulas are somewhat old fashioned, and tend to be used by surgeons for maximum speed rather than maximum finesse and precision.

Shape is Important

The shape of the buttocks is formed by subcutaneous fat. When well proportioned, the buttocks fit into the clothing more comfortably.


The Ancient Greek had a word to describe beautiful buttocks: callipygian. The word is derived from kallos (beautiful) and pyge (rump). The Callipygian Venus is a famous marble statue of a female discovered in the Roman house of Emperor Nero, and is now displayed at the Museo Nationale in Naples.

Liposuction Surgical Technique

With the tumescent liposuction of the buttocks we at ENHANCE try to achieve smooth results with a pleasing reduction in size and bulk. Excessive fat removal should be avoided. Since the buttocks are round, it is difficult to achieve a smooth rounded result by liposuction using a large cannula with only one or two incisions. Excellent results are achieved using microcannulas (less than 3 mm diameter) with multiple tiny incisions that leave virtually no visible scars.

As a general rule, no more than 40 percent of the buttock fat should be removed by liposuction.

Liposuction will not lift or elevate the buttock to any noticeable degree. We can remove fat uniformly and thereby produce a reduction in the weight of the buttocks. By removing some of the weight of the buttock, the natural elastic recoil of skin has the potential to produce a slight elevation. In older patients whose skin has lost some of its youthful elastic qualities, there is usually very little elevation.


Some patients have a genetically determined sacral fat pad located on the lower back just above the intergluteal crease. This is regarded as a component of the buttock.

The horizontal crease below the buttocks is the line between the buttocks and the posterior thighs. The crease is formed by a meshwork of fibrous connective tissue stands (known as Luschka's ligament) that loosely connects the skin to the surface of the muscles in the buttocks. Some people may not have a horizontal gluteal crease.

A banana-shaped fat pad may sometimes be found below the horizontal crease, on the upper thigh immediately below the buttock posteriorily. Removing too much fat from the banana-bulge will produce a redundant or double horizontal crease.

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