A toned and slim figure is not possible without beautiful, elastic buttocks. A healthy diet, regular exercise, and athletic activities can help to keep their form. However, these activities are not always able to produce the desired results. Sometimes, despite every effort to the contrary, the soft tissues that are that cover the surface of the gluteal muscle move downwards. This is known as buttock Ptosis.
Mechanisms of manifestation and causes
- a congenital characteristic of the anatomy of the buttocks.
- age-related changes;
- Weight loss and sharp gain;
- hormonal changes.
- A sedentary lifestyle
- complications of plastic surgery
- injuries to the ligamentous muscles of the gluteal region.
As you age, the quantity of collagen and elastin fibers within the tissues decreases. Sudden changes in weight cause stretch of skin, and a decline in its tone. Also, an absence of physical activity weakens the muscles. In the event of injury that compromises the ligamentous system becomes compromised. This causes flexibility of soft tissues to increase the fascia, skin, and Subcutaneous fat layers, and they slide downwards. Ptosis of the buttocks may be bilateral or unilateral.
How do you recognize ptosis?
Ptosis that is severe can be identified visually. When the buttocks’ center is moved downwards, and the gluteal fold inclines towards the outside of the thigh. The minor changes aren’t too noticeable, and therefore, there are tests that can determine whether ptosis is present and the extent of its progression and its stage.
A ruler is utilized to assess the amount of sagging in the buttocks. Additionally, the lateral angle of the gluteofemoral is evaluated.
When measured using the help of a ruler, it’s placed under the gluteal fold. The fold’s overhang is 0.5 cm lower than the sub-gluteal groove. This is the first degree, 1 – 2 cm for that’s the second level, greater than 2 centimeters – 3 cm – the degree.
To determine the angle of the gluteofemoral in a photo as well as when an individual is standing in the position of a profile in profile, two lines are drawn. The first line is drawn through the bulging point of the buttocks. The second line is up from the midline on the rear to the hip. In ideal circumstances, the angle between these two lines does not exceed 45 deg. and an angle of up to 90 degrees is an exception of the normal. An angle that is obtuse or more than 90 degrees indicates the existence of Ptosis the degree of which is increased as the angle increases.
Development stages: check for ptosis in the buttocks with T- and M-lines
The assessment method was created in the hands of Brazilian plastic surgeon Raul Gonzalez. In the photo of the patient taken from the back, or from a mental perspective on the body of the patient standing the patient is shown two horizontal lines. M-line that runs from the middle of the back of the thigh to the highest point of the buttock. The T-line is the link between the sacrum with sciatic tubercle. It is then determined how the gluteal fold stretches into the lines and finally, the stage of ptosis can be determined.
In most cases, the fold is not visible or is not even close to the T-line crossing it.
The next stage is called proptosis. It is divided into three parts: minimal (the folded area crosses over the T-line however, it is not able to reach the M-line) as well as moderate (the gluteal fold is at the M-line but does not go over that) as well as borderline (the fold extends over the line of M).
In ptosis that is true, the gluteal fold is significantly extended beyond the M-line and tends towards the outside of the thigh.
Techniques for tightening without surgery
In the beginning stage of ptosis, try giving your buttocks an elongated shape and lift them with non-surgical techniques. An appearance lift is offered by corrective clothing: tight elastic bodysuits, shorts, grace. Some models add extra volume.
Exercise classes can strengthen muscles and aid in fighting weight gain and cellulite. If the ptosis is an aspect of your body and exercise won’t help. Physical exercise is not beneficial when there are hormonal changes and aging as well as with ligament injuries, it’s not recommended.
Massage, whether manual or via hardware microstimulation, radio wave lifting can reduce the size of the body through the elimination of excess fluid, smoothing the relief and enhancing how the skin appears. These techniques are beneficial in the case of slight sagging of soft tissue however they are not able to be able to deal with the more prominent appearances.
Surgery is effective in the third and second degree of ptosis that is true to the buttocks. The procedure of a lift or plastic surgery restores the volume lost to the buttocks and gives them a stunning form, and also tightens the skin. The corrective technique is chosen by the physician on an individual basis. The most frequently employed surgery lifting thread gluteoplasty.
Thread correction (filament lifting also known as Brazilian lifting) is a treatment for mild Ptosis that is mild. Under local anesthesia, the threads are inserted beneath the skin on the back of the buttocks by using cannulas and then fixed to soft tissues with incisions. The threads tighten layers of skin as well as subcutaneous fat to keep them in their preferred location. The benefits of this procedure include quick recovery and no scarring. The lifting effect that threads provide can last up to 5 years.
Surgery can provide a longer-lasting impact. The doctor who performs the operator selects the method of lifting depending on the structural characteristics of the buttocks and the extent of displacement of the tissue. There isn’t universal surgical access. A lift can be done through a midline upper, lateral, or lower incision. During the procedure, extra soft tissues are removed and the skin and muscles are slackened and fixed. The procedure of surgical lifting is often done in conjunction with the thigh lift and liposuction.
Gluteoplasty – an enhancement and correction of the form of the buttocks using silicone implants. Implants are oval, round as well as teardrop-shaped (anatomical). Oval or round endoprostheses are selected when it is required to boost the volume. anatomical implants can be used to correct deformity, asymmetry, and other imperfections in appearance. Gluteoplasty, along with surgical lifting, is coupled with liposuction or hip refining.
Swelling and bruising following blepharoplasty.
Following any surgery, swelling and bruises are created. This is a normal reaction of the body due to the damage caused to soft tissues and blood vessels. In the event of vascular damage bloodstream, the fluid moves into the interstitial spaces. As it accumulates it can compress the lymphatic vessels and venules which hinders the flow of fluid through them.
The primary edema gets larger. It requires time to dissolve it. After blepharoplasty, the excess fluid that has accumulated that is accumulated in the lower and upper eyelids can be transferred to the adjacent parts of the face. like creating swelling on the cheekbones.
The swelling and bruises that occur after blepharoplasty.
How long will swell and bruises last following the procedure?
Dynamics by days
- 1-2 days. The eyelids begin to swell right following surgery. In the initial hours, the edema grows and is at its highest at the end of two days. In some instances, there is the possibility of hematomas spreading to the zygomatic region.
- 3-4 days. The swelling decreases over the next 3-4 days. Blue bruises become yellow, brownish, and greenish. They appear pale and decrease in size.
- 5-7 days. The swelling will subside after 5-7 days.
- 8-10 days. Minor bruising and swelling can occur. The patient is able to return to his normal routine.
- 10-20 knocks. The face appears normal however there is some fluid left in the tissues. This can be evident by an eyelid that appears slightly asymmetrical.
- 20-60 days. Complete healing and regeneration of the eyelid tissue after upper, lower, and circular blepharoplasty, and even the residual edema is completely eliminated.
This is true even If you don’t suffer from vascular, urinary, or any other pathologies that trigger puffiness as well as simultaneously, you adhere to the advice of plastic surgeons. Additionally, the procedure can be affected by factors such as:
- age. The elder you get, the more time it takes for your body to recover
- The thickness of subcutaneous fat. The thicker it is and the thicker it is, the more water gets stored in it, and the swelling decreases;
- The thickness of the skin – the thinner the skin the greater the swelling appears;
- procedure and size of the procedure – the greater the number of operations, the deeper and deeper the incisions made for access, the greater the edema, and the more prolonged the recovery.
- The swelling of the eyelids can last longer as there is less blood supply within this area.
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What can you do about the edema that occurs following the procedure?
In order to allow the excess fluid in the area of the lower and upper eyelids to evaporate as fast as is possible, you must follow the following guidelines:
- You can rest on your back and sleep on an elevated pillow, with your head and shoulders up;
- Do not exercise or do anything that causes you to bend for two weeks.
- Avoid procedures that are accompanied by saunas and baths and sunburn hot baths, heating from the stove or the fireplace;
- Avoid swimming in swimming pools or bodies of water.
In addition to the general, there are daily suggestions:
The first day following surgery, the physical activity was virtually zero. Apply cold, dry compresses to the eyelids. Treat the eyelids with antiseptics, and take antibiotics, anti-inflammatory medications, and prescription pain relief medications recommended by your physician.
In the afternoon on the 2nd day, you are able to take a shower and wash your hair. Your eyes should be shielded from the effects of water. Avoid activities that cause dryness of the cornea. Don’t play with your TV, don’t use a computer, and try to blink less frequently.
The 7-10th day is when you can put on your contact lenses, begin reading and working on a computer without straining your eyes.
The 11-14th day is when you can begin applying hypoallergenic cosmetics to the eyes.
On the 15th to 60th day, you are able to begin sleeping in an optimum position. You can then get back to your normal activities and moderate thermal processes.
Additionally, you should follow the prescriptions of your doctor which he will provide during postoperative examinations. For instance, a doctor could prescribe antiseptic or allergy eye drops as well as antiseptic or absorbable eye ointments.
If the swelling doesn’t disappear for a long period of time
The duration of edema following blepharoplasty is longer because of the unique particulars that the patient has, the presence of diseases caused by microcirculation issues as well as the particularities of the procedure operation, or the failure to follow medical guidelines. If there is a problem with microcirculation, the physician can prescribe diuretics and herbal treatments for physiotherapeutic procedures, such as ultrasound therapy and microcurrent therapy, darsonvalization massage.