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AAI 77: Non-Surgical Butt Lift Revolution

June 25, 2024

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In this episode, Dr. Teri Fisher delves into the intricacies of butt lifts, focusing on the exciting new advancements in non-surgical gluteal enhancements. He begins by discussing the limitations and complications associated with traditional surgical methods, such as the Brazilian butt lift, highlighting the downtime and risks involved.

Instead, Dr. Fisher emphasizes the growing popularity of using non-invasive treatments like hyaluronic acid fillers to enhance the gluteal region. This method is particularly effective for filling in hip dips, which many women prefer to smooth out for a more contoured silhouette. While men also seek these treatments, they are more commonly requested by women.

The procedure generally involves multiple sessions to achieve the desired volume, given the larger areas being treated compared to facial enhancements. Dr. Fisher explains that while a minimal amount of filler is sufficient for facial areas, larger volumes, up to 100 mL per side, are needed for the glutes. Multiple treatment session are often necessary, spaced six to twelve weeks apart.

A significant breakthrough in this field is the introduction of Revanesse Contour XL, a new packaging of hyaluronic acid filler that significantly reduces the cost and increases the practicality of these procedures. Instead of using numerous small syringes, Contour XL offers 10 mL syringes, making it much more feasible to achieve the necessary volume for gluteal enhancements.

Dr. Fisher highlights the immediate and gratifying results of these treatments, although he cautions that typically a couple of sessions are needed for optimal results. He also notes that, while the Revanesse Contour XL is approved for facial use, its application in gluteal enhancements is considered off-label. Despite this, many practitioners safely use it for this purpose.

For those interested in exploring non-surgical butt lifts or other aesthetic treatments, Dr. Fisher encourages them to reach out via his website or Instagram for more information.

Key Insights

  • Dr. Fisher discusses the increasing popularity of non-invasive gluteal enhancements using hyaluronic acid fillers, over traditional surgical procedures like the Brazilian butt lift.
  • These non-invasive enhancements, often performed to fill hip dips and lift the butt area, generally require a series of treatments due to the larger volume of filler needed compared to facial treatments.
  • Revanesse has released a new product called Contour XL, a 10 mL syringe of hyaluronic acid filler, tailored for large volume areas like the glutes, making the procedure more cost-effective and practical.
  • The procedure offers immediate and gratifying results for both practitioners and clients, although full desired results typically need multiple sessions spaced 6 to 12 weeks apart.
  • It’s essential to note that the use of Revanesse Contour XL for gluteal enhancement is off-label, as it is officially approved for facial use, despite being utilized safely by many practitioners for other areas.

Episode Transcript

Dr. Teri Fisher: Hey there and welcome to this episode of the podcast. Today we are talking about butt lifts. Yes, gluteal enhancements. And I’m also highlighting a new product that is on the scene. Well, it’s an old product, but it’s packaged in a new way that has a ton more of hyaluronic acid, which makes it very appropriate for hip enhancement, butt enhancement, areas that typically take a lot of hyaluronic acid filler.

Today I first want to talk about the butt lift or the gluteal enhancement itself. And then I’m going to talk a little bit about the particular product that is making it so much easier for us to do this.

Now, there are lots of different procedures out there when it comes to enhancing the gluteal region. A very common one is the Brazilian butt lift, but there are a number of complications with that. It’s a surgical procedure and it’s not as easily done simply because there is downtime with the surgical procedure.

What is becoming more and more popular is using non invasive treatments, relatively non invasive treatments, like a filler to fill the areas of the hips or the butt where somebody wants to have some enhancement. Specifically, this is often done in an area where there are hip dips. So that’s just below the hips where the contour of the hip goes in a little bit. A lot of times women will like to have this filled out a little bit so that the contour of the hip is accentuated because it goes in and then it goes out smoothly around the gluteal region without having a hip dip. As well, oftentimes women like to have the butt region enhanced so that it has a little bit of a lift and this is another thing that can be done through the use of filler. This is not to say that men don’t have this done as well. It certainly can be done as well, but it does tend to be more common with women.

Now the way this is done, is it’s typically done over a series of treatments because we are dealing with bigger volumes when it comes to enhancing the gluteal region. So you can imagine if you’re enhancing someone’s lip, oftentimes one mL of filler or even a half a mL, half a syringe of filler, is more than sufficient to be able to create a nice accentuated lip.

However, when it comes to the gluteal region, as you can imagine, it’s a much bigger area and for you to see the results that many people want, you need to be using more volume of filler. What does that mean? Well, it means that we need to use a number of syringes of whatever filler we are using. Oftentimes, this has been Sculptra, and Sculptra is a regenerative type of product that encourages the body to stimulate the production of collagen. And so this, in addition to filling up the area that we’re trying to fill up, it actually causes the body to regenerate some of that tissue.

More recently, we have been using hyaluronic acid fillers for this as well. This is very exciting because this is the same types of fillers that are used in a face, in a cheek, in a jaw, etc. It’s hyaluronic acid filler and we can simply freeze or numb the area, and then inject the hyaluronic acid. Now, as I mentioned, because this involves larger areas, you need more volume. What does that mean in practice? Well, it means that typically the treatment is done over a number of sessions. So in other words, if we are doing a hyaluronic acid treatment for a butt lift, we are looking at doing approximately a hundred mLs, up to a hundred mLs per side, and that’s in one session. Typically a person doing this type of treatment would require multiple sessions approximately six to 12 weeks apart.

Now, when we do this, we often will use some freezing, as I mentioned, to numb the area. Then we’ll use a cannula and we can deposit the filler in certain areas. Now, when we’re talking about volumes, just to give you an idea, when we do a cheek, we may do a half a syringe, a half a cc on one side of a cheek, and maybe the other half on the other side of the cheek. Maybe a full syringe, if there’s a lot of deficit there and we’re spacing it out. So that means that we’re talking volumes in the neighborhood of one to two mLs to three mLs to four mLs if we’re doing more parts of the face.

And when we’re talking about the glutes, we’re talking about 100 to 200 mLs in one session. Here’s where it gets interesting. The way the economics of this work is that it would be very, very cost prohibitive to do that type of procedure using the filler that we typically use on the face where they are sold by the one or 1.2 mL syringes. What’s interesting now, is that Revanesse, the company that makes filler, Ultra, Contour, and a variety of other ones, they have now come out with a packaged type of filler that is the same as their Revanesse Contour that we use on the face, but now they’ve created Contour XL. This is 10 mL in one syringe. Now we are talking higher volumes, which make it very appropriate for gluteal enhancements.

So when we’re talking now about a hundred cc’s per side of a butt lift during one treatment, then we’re talking about 10 syringes instead of a hundred syringes. And this makes it much more practical. It also brings the cost down and makes the procedure much more practical from a cost perspective.

This is really really exciting. This is a really rewarding and really fun procedure to do as a medical practitioner because the results are instantaneous. We can see the results and it’s very rewarding and very gratifying for the client as well because they see the immediate results as well.

Keep in mind though, that typically it does take a couple of treatments to get to the full result that we’re trying to go for. And we don’t want to overdo or do too much in one sitting. So that is where we’re at with this. Things are always changing when it comes to aesthetics. And I think this is a wonderful development when it comes to gluteal enhancements again, because this is relatively non invasive. It’s not completely uninvasive because we are using a needle and a cannula, but it is relatively non invasive, particularly compared to surgical procedures. And that also means that, by and large, there is much less risk as well when doing this type of procedure.

One thing that’s very important to note about using Revanesse Contour for gluteal enhancement is that it is off label. What that means is that Revanesse, the company, has had approval for Contour to be used in the face, but it has not officially had approval for it to be used in the glutes. That doesn’t mean it’s not safe in the glutes. It just means they haven’t done the research study to specifically target that particular area. And so while the indication, the official indication for the Contour XL is still for the face, it is being used in various different areas by multiple practitioners. This is not uncommon. And I just want you to know that, however, that technically speaking, it’s an off label use of the filler in this type of packaging of the XR syringe.

So, if you’re interested in checking that out, feel free to get in touch with me. I’m always happy to discuss any of the treatments that I talk about on this platform. You can always look me up on my website or on Instagram at Dr. Teri Fisher. Hope you have a wonderful week and I’ll talk to you very soon.

Anti-Aging Insights Podcast Cover

Anti-Aging Insights Podcast

with Dr. Teri Fisher

Weekly interviews, insights, and inspiration to navigate the world of anti-aging and aesthetic medicine.