BUTT OF COURSE
Bigger is better in the latest plastic-surgery craze. DuJour gets behind a growing trend
Good news for all you Shake Shack devotees: After so many years in vogue, thin is no longer the preferred aesthetic—at least not when it comes to the backside. “It actually started about 10 years ago, when Jennifer Lopez showed up to the Grammys in that green dress,” says Miami plastic surgeon Constantino Mendieta. You know the one: Versace with a neckline that plunged far below her navel and a sheer skirt that revealed more than it covered. And everyone wanted what she was selling. After that, he says, “The butt was no longer neglected in the area of plastic surgery.” These days, Mendieta—who literally wrote the book on butt lifts, 2011’s The Art of Gluteal Sculpting—says augmenting and shaping backsides makes up a full 85 percent of his practice.
But what Mendieta says began as a way for, mainly, black and Latina women to enhance their existing curves is now about creating the ideal silhouette for every body type and ethnicity. Today’s clients, he says, want “perky, youthful” butts like Jessica Biel’s and Pippa Middleton’s, though the number-one question Mendieta fields remains the unsurprising “Is Kim Kardashian’s real?” (“I’d have to see it in person,” he says.) Although the gym can help tone and even enlarge the butt by making gluteal muscles stronger, surgical contouring isn’t just about bypassing your barre routine for a quick fix. “Augmentation will give you a shape that dieting and exercise just can’t do,” says Manhattan plastic surgeon Steven Wallach.
The procedure itself is fairly straightforward, with two predominant implant types: silicone and fat, in which fat is harvested from other parts of the body—the back or the middle—and injected into the butt. Because your own fat “looks and feels more natural,” says Wallach, it’s almost universally preferred. “The silicone implants used in the U.S. are very solid, so when you sit on them, it doesn’t always feel so good.” The catch, of course, with using fat is that you need enough to graft. Mendieta often sends patients away for what he calls “booty camp: a month of McDonald’s, pizza, Dairy Queen. I tell them to go crazy and then come back when they’ve got a nice layer of padding,” he says. “It’s the best diet you’ll ever be on.”
The outpatient procedure lasts a few hours and commonly incorporates some liposuction around the midsection or upper legs: Removing excess fat above and beneath the glutes is what helps give the appearance of a “lift.” Recovery includes 10 days of at-home rest, a month “to feel normal,” two before you can work out, and three to six to see final results. An average of 60 to 70 percent of the fat sticks around permanently; on occasion, once “things settle down,” as Wallach puts it, patients may need a second lift to achieve optimal results. You will sit on a pillow for a good while.
With an average cost of $10,000 to $15,000, a butt lift might not run you all that much more than your annual barre bill. The price tag may be one reason why, according to the American Society for Aesthetic Plastic Surgery, buttock augmentation is one of the fastest growing plastic-surgery procedures, with an increase of nearly 60 percent over the last year alone. Mendieta says 10 percent of his buttocks patients are men, 80 percent of whom, he notes, are straight. They come from as far away as South Africa, Australia and Dubai. “I tell everybody,” he says, “the buttocks packed their bags and are on a world tour!”
New York Plastic Surgeon Recognized as Top Social Media Influencer in Aesthetic Plastic & Reconstructive Surgery
New York – April 23, 2014 – Local physician Dr. Steven Wallach is one of 100 doctors in the nation to receive the prestigious RealSelf 100 Award, out of more than 6,000 board certified specialists with a presence on RealSelf—the leading online community helping people make confident choices in elective cosmetic procedures. The award is granted to doctors who demonstrate outstanding commitment to patient education and helping millions of consumers get access to reliable, expert information about cosmetic procedures, treatments and aesthetic concerns.
Dr. Wallach is an expert contributor to RealSelf, and has posted countless answers to questions on RealSelf. Each month people from all over world ask important aesthetic-related questions, such as “how much does a breast augmentation in New York cost?”
“In 2013, these 100 doctors collectively impacted tens of millions of consumers, with nearly 20% of our total site views centered on helpful answers and information posted by this relatively small group of social influencers,” said Tom Seery, Founder/CEO of RealSelf. “The doctors who spend valuable time to engage at this level know that social media is a powerful tool as they work to build authentic, meaningful brands online, and a connection with patients before they visit the practice.”
Since its founding in 2006, RealSelf has created the world’s largest community for learning and sharing information about cosmetic surgery, dermatology, dentistry, and other elective treatments. Dedicated to helping people make suitable and empowered decisions, RealSelf features consumer reviews, Worth It Ratings, pricing information, and thousands of before and after photographs. The site also includes safety information and Q&A with more than 6,000 board-certified doctors. http://www.realself.com
Dr. Steven Wallach, was a guest expert on Sirius XM Radio’s “The Doctor Show,” to talk about Cosmetic Surgery to get you a beach Body with world-renowned Plastic Surgeon Dr. Sherrell J. Aston. This informative series highlights experts in the field of aesthetic plastic surgery to share their insights on what’s trending in the field. During the show listeners called in from all over the country. Some of the topics discussed were: breast augmentation, breast lifting, facelifting, Botox, facial fillers, liposuction, and tummy tucks. You can click to hear The Doctor Show on the link below.
We all carry with us reminders of the person we used to be. It’s just a lot more literal for some than others. People who lose a massive amount of weight are often surprised at how unhappy they still are with their bodies. The fat is gone, but all that skin that held it in place? It didn’t go anywhere.
It’s a less explored part of extreme weight loss. The body may be lighter, but it’s now weighed down with folds of sagging skin, causing a wild amount of emotional and physical (think: chafing) pain.
More extreme weight-loss patients are choosing to remove the loose skin through cosmetic surgery, and a recent study showed that the bodies and minds of those who do end up faring much better.
Dr. Steven Wallach, was a guest expert on Sirius XM Radio’s “The Doctor Show,” to talk Facts & Fiction with world-renowned Plastic Surgeon Dr. Sherrell J. Aston. This informative series highlights experts in the field of aesthetic plastic surgery to share their insights on what’s trending in the field. During the show listeners called in from all over the country. Some of the topics discussed were: breast augmentation, fillers, liposuction and facelifting. You can click to hear The Doctor Show on the link below.
Steven Wallach trained at Albert Einstein in general surgery and plastic surgery, then completed a burn fellowship at Einstein and a fellowship on the West Coast with Bruce Connell, one of the fathers of American plastic surgery. He returned East to set up shop, where most of his work is face-lifts, nose jobs, and breast reduction and enhancement. One of Wallach’s specialties is performing simultaneous abdominoplasties and breast augmentations.
“Smartlifting” is the latest attempt to put a prettier face on the face-lift. Trademarked by Cleveland-based plastic surgeon Richard D. Gentile, MD the procedure repurposes the Nd:YAG, a long, narrow laser designed to melt fat in laser-assisted lipo. After incisions, Gentile inserts the device under the skin to help separate it from underlying tissues and seal off blood vessels. The result, he says, is a 50 percent faster operation with increased sculpting and an added laser tightening effect. But New York City plastic surgeon, Steven Wallach , MD who read the study Gentile prepared for Cynosure, Nd:YAG’s manufacturer (independent trials have not yet begun), is skeptical. “If the device does what it would in lipo – melt fat- it’s counterintuitive,” Wallach says. “facial surgery today is about restoring youthful fullness.”
I wish. Unless you don’t eat or talk or laugh or cry – or you’ve overdone it with the BOTOX® – you’re exercising your facial muscles all day long, says Steven G. Wallach, MD, assistant clinical professor of plastic and reconstructive surgery at Albert Einstein College of Medicine in New York City. Your skin sags as you age because of multiple factors: The skin thins, connective tissue fibers under the skin stretch out, and facial fat loses volume – and as that same fat descends, it deepens the nasolabial folds around the nose and mouth, and causes jowls along the lower jawline. There are ways to prevent sagging, starting with using sunscreen every day, which helps stop the degrading effects of UVA/UVB rays…
Made from botulinum toxin (yes, the same poison that causes botulism when ingested), an outpatient injection of Botox into the frown lines, crow’s-feet or forehead creases paralyzes facial muscles, smoothing them out, says Steven Wallach, M.D., a New York City plastic surgeon. Sometimes a local anesthetic is used, although many patients go without it.
Pros: “This is a good way to reduce wrinkling,” says Wallach. In addition, there are no telltale signs of healing, the way there are with lasers. Patients see results in two days to two weeks.
“Retin-A bulks up the skin so the chemicals can penetrate as evenly and effectively as possible,” says Steven Wallach, M.D., a New York City plastic surgeon who conducts pre- and postop skin-care seminars (“Basically ‘Everything You Ever Wanted To Know About Plastic Surgery but Were Afraid to Ask,’” he says with a laugh”) for aestheticians at leading Manhattan day spas like Frederic Fekkai Beaute de Provence and the Avon Centre.