Surgical

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Everyone wants a high, round, full, and sexy behind. Brazilian Butt Lift. However, because of age, genetics, pregnancy, weight loss, or weight gain, many women and men are left with a flat, square, or saggy derrière. Fortunately, there is a way to correct this… 

Originating in South America, the “Brazilian Butt Lift,” is one of the newest and most popular aesthetic surgery procedures now being performed.

The “Brazilian Butt Lift” or gluteal lift/augmentation is a procedure designed to improve the shape and appearance of the gluteal region. This surgery uses a combination of liposuction and fat grafting (i.e. fat injections with the patient’s own fat) to produce a fuller, firmer, more youthful-appearing buttocks. 

Dr. Rott and the Timeless Surgical Team have a special interest in this procedure Dr. Rott is a master at sculpting sensuous, sweeping curves. 

Surgical Procedure

First, excess, unwanted fat is harvested from the patient’s flank, lumbar region, and occasionally the upper thighs using liposuction techniques. This part of the procedure not only provides the fat necessary for later injection, but also allows the plastic surgeon to sculpt and contour a beautiful silhouette around the buttocks. Before the actual surgery, Dr. Rott will determine the optimal site from which to harvest fat, taking into consideration the patient’s stature, current shape, and desires.

Next, the collected, processed fat is placed in special cannulas and injected through two small incisions (less than 1-cm) into the superior-medial buttocks, just above the gluteal muscle. Studies utilizing magnetic resonance imaging (MRI) to investigate fat survival following gluteal augmentation have shown that proper handling and placement of the fat in a supramuscular plane (i.e. above the muscle) is important to avoid cellular damage and ensure long-term, predictable graft survival. This part of the procedure allows Dr. Rott to precisely place volume where it is needed to give the illusion of a “lift” while forming a sexy, well-proportioned buttocks without the scars and extra surgery traditionally needed. It is at this part of the procedure that Dr. Rott excels; his aesthetic eye and ability to think in three dimensional contours ensures the final result will be beautiful and well-proportioned from all angles.Finally, the small incisions used to perform the entire surgery are closed and special, compressive garments are placed on the patient. 

The entire procedure takes approximately two hours and is performed on an outpatient basis, meaning the patient goes home the same day. 

MINIMALLY INVASIVE, DELIVERING IMPRESSIVE RESULTS.

The VASERlipo® System is designed to optimize every step of the body sculpting procedure. Contained in one easy-to-maneuver unit, it requires a minimum amount of space and can produce impressive results.

New Opportunities for Your Talent.

The VASERlipo System enables removal of small volumes of fat for precision contouring or larger volumes for rapid debulking. Fat treated and removed during a VASERlipo procedure is also optimized for a subsequent fat transfer procedure.

Proven Results.

The ultrasound energy preserves connective tissue and maintains fat cell viability. VASERlipo can be conveniently performed in your own office or as an outpatient procedure at a surgery center or hospital.

Target New Markets.

VASERlipo applies to a wide array of patients, including post-baby, the emerging male market, and those wanting awake, in-office procedures or VASER Hi-Def®sculpting. 

Using Your Own Fat for Breast Enlargement 

Wouldn’t it be wonderful if you could take fat from unwanted places on your body and put it somewhere else? Someplace that could use a little boost? 

Women have been saying this for years, and now it is a reality with autologous fat transfer.Fat can now be removed from unwanted areas on the body and injected into other areas to help shape and contour problem spots. 

One of those areas is the breast. Traditional surgery for breast augmentation can leave breasts looking stiff and unnatural. Now, there is another alternative. One that has the added benefit of removing fat from other areas of the body. 

Breast augmentation through fat transfer has many advantages over the traditional breast augmentation using saline or silicone implants. 

The results are natural looking and feeling. And because it is natural, there is no risk of allergic reaction. This is fat from your own body, so your body recognizes that. As you gain or lose weight you will gain or lose volume, just as you would with your natural breasts. 

Autologous fat transfer is often called lipo-injection. Unwanted fat is usually taken from the stomach or thighs. This is done with a syringe or a procedure which is similar to typical liposuction. 

The fat is then treated and injected into the breast. All of this will be done using a local anesthesia. The anesthesia will last 18-36 hours. Most patients require only Tylenol for pain when they leave the center. 

This type of breast augmentation is often used for women who would like to regain volume after child birth or women who would like to gain one or two cup sizes. 

If more volume is desired, the procedure can be repeated. Because of the gentle nature of the surgery, recovery time is minimal and allows for repeat procedures to be done soon after the first. 

This type of breast enlargement requires no incisions. There will be no scarring to hide as there is with traditional breast augmentation. Breast enlargement using fat transfer is not for everyone. Women without a significant store of fat or who are looking for a large increase in size may want to opt for a more traditional breast implant procedure. 

Timeless Surgical can help you decide what type of breast augmentation is right for you. 

The goal of aesthetic treatment is to make you look brighter and more youthful.  

As we age our face loses volume which results in wrinkles, hollow areas, and facial sagging. In addition, dark circles form under the eyes, cheeks begin to sag, and the folds between your nose and the corners of your mouth become more noticeable. Frown lines form and lip lines appear too.  

It takes just a few seconds to calculate the age of person by looking at his or her face. One way to improve volume loss is to inject fillers into areas of your face that have lost volume due to aging.

When addressing concerns such a loss of volume, wrinkles, and facial sagging, the approach that will yield the best result is to treat to full facial correction using multiple syringes of filler.  

During a cosmetic consultation,  we determine a treatment package approach keeping in mind the best filler based on an individual's skin, filler history, lifestyle and budget. 

If your facial skin sags, you may think you need a skin tightening procedure or even a facelift to correct the problem, when in fact, what you may actually need is a procedure that replenishes the volume that created the sagging in the first place.  

One of Dr. Rott's favorite procedures is the liquid face lift. The liquids are injectable fillers that can be injected into facial areas that have lost volume. 

After treatment the skin is more elevated and the patient looks 5 to 9 years younger in just 2 to 4 weeks.

JUVEDERM, JUVEDERM VOLUMA & BELOTERO®

Juvederm, and Belotero are fillers that restore the youthful contours of your face in three dimensions. 

When injected, these fillers enhance volume, erase wrinkles, and augment lips. 

The active ingredient in each of these products is hyaluronic acid, a protein prepared from a similar protein that occurs naturally in our skin. In its natural state, hyaluronic acid surrounds collagen, a structural protein that resembles a rope in length, flexibility, and hardness.  By coating collagen and other structural proteins, hyaluronic acid acts as a cushion for our skin

JUVEDERM VOLUMA, is currently the only filler approved by the FDA in the U.S. to correct volume loss in the cheek area. Results can last up to two years and there is a noticeable reduction in jowling, cheek lines, nasolabial folds and tear troughs.

The natural occurrence of hyaluronic acid is one of the reasons this substance is used as a filler. In fact, hyaluronic acid is used worldwide more often than any other material. It seldom causes allergic reactions and can be molded into place like putty or clay. It looks natural after injection and its effect can be reversed by simply injecting hyaluronidase, an enzyme that breaks down hyaluronic acid.

The four brands of hyaluronic acid differ in several ways. One is how the strands are cross-linked. Proteins have long strands and sometimes parts of one strand become attached, or cross-linked, to one or more other strands. When protein strands become cross-linked their effects last longer than if they were free strands. The brands of hyaluronic acid also differ in how they are manufactured and in the size of the particles.  

All fillers approved by the FDA to fill the nasolabial folds (the lines that run from each side of the nose to the corners of the mouth)and Restylane is also approved for the lips. Fillers can also be used to augment the cheeks, reduce under eye dark circles and eye troughs, upper lip wrinkles, marionette lines (frown lines from the mouth to the chin), augment thin lips and hide other wrinkles.  Other applications are for use in acne scars, hollow temples and earlobes.

How do I know if I need injectable filler?

If you want to look less tired, reduce wrinkles or improve the shape of your face, you may benefit from filler treatment.  Fillers improve the cosmetic appearance of smile lines, frown lines, cheek wrinkles, thin or wrinkled lips, under-eye hollows or dark circles, and scars. It can also result in a more lifted look, and reduce the appearance of jowls and sagging.

Pregnant women or persons with allergies to filler ingredients should not receive injectable fillers.

How does the treatment work?

When injected, these fillers enhance volume, erase wrinkles, and augment lips. The active ingredient in each of these products is hyaluronic acid, a protein prepared from a similar protein that occurs naturally in our skin. In its natural state, hyaluronic acid surrounds collagen, a structural protein that resembles a rope in length, flexibility, and hardness.  By coating collagen and other structural proteins, hyaluronic acid acts as a cushion for our skin.

The natural occurrence of hyaluronic acid is one of the reasons this substance is used as a filler. In fact, hyaluronic acid is used worldwide more often than any other material. It seldom causes allergic reactions and can be molded into place like putty or clay. It looks natural after injection and its effect can be reversed by simply injecting hyaluronidase, an enzyme that breaks down hyaluronic acid.

Although uncomfortable, we find most of our patients find the procedure to be much more tolerable than they imagined.  The hyaluronic acid filler contains anesthetic (except for Belotero) and most of our patients tolerate the procedure well.  The filler is injected slowly into each of the treated areas. For additional comfort we blow cold air onto the target area during injection. We often use cannulas (blunt tipped applicators) to minimize discomfort and brusing.  If we treat your lips, which may be more sensitive, we may use additional anesthetic. 

What benefits can I expect?

Achieving improvement that looks natural is an important part of Dr. Rott's mission at Timeless and Beautiful.

You can expect a more youthful facial appearance that is consistent with the way you look now and your age range, as the lost volumes of key areas described above are filled with hyaluronic acid.  The transformation may be profound or subtle, but looks natural and is safe. Family and friends often notice a change but may not be able to identify it. 

The benefits of hyaluronic acid fillers are temporary. You can expect your improvements to last 4 to 12 months with Juvederm, 6 to 15 months and 4-6 months with Belotero. Maintenance usually consists of one to two visits per year for touch ups.