2) My buttocks are flat and droopy; I would like them to be more shapely and rounded. What are my options?
The best option for improvement of a flat and “droopy” buttock is micro-fat grafting. This procedure is also known as the “Brazilian butt lift”!
The procedure involves “harvesting” fat from the patient’s body, treating the fat, and carefully placing them into the deep tissues of the buttocks. This is a very technically oriented procedure, not to mention an artistic one. The fat must be placed in very minute amounts in order for the body to be able to support them. Like any type of transplant into the human body, an adequate blood supply is extremely important in or for the fat to survive.
For patients who do not have enough fat, an alternate method is the placement of a gluteal implant. The implant is composed of a “soft” hard silicone. That means that it is not a gel implant, but a solid implant which is as soft as possible without being a gel. A gel implant will likely rupture as soon as the patient sits on them or falls on them. A solid implant will obviously not rupture!
The implant, as I perform them, is placed into the layers of the gluteus maximus muscle. It must be placed correctly so as to avoid movement. Also, there are two shapes of implants: a “tear-drop” shape, which is oval in nature, and a round shape.
An implant will not always correct a droopy buttock so a careful selection of the patient is important so as not to perform an in-appropriate procedure. Additional information can be found here: http://www.buzzle.com/articles/buttock-augmentation.html
I'm skeptical about using implants in my body, is there any way I can have the size of my breasts fuller and larger without using implants?
Breast augmentations have traditionally been performed using implants. These are usually in the form of silicone or saline filled. The procedure involves placing the implant either below the chest (pectoralis) muscles, or directly under the breast tissue. Patients who have breast implants are usually amongst the most satisfied of all patients undergoing aesthetic plastic surgery. However, there are potential problems using implants. Since the implants are man-made they will rupture at some point, necessitating their removal. Also, infections, capsular contractures, improper positioning, large scars, inappropriate patient selection, and even the possibility of association with cancer are all possible pitfalls, or problems associated with implants. Not to mention that their replacement, and other associated procedures, are real possibilities in the lifetime of implants.
Micro-fat grafting for breast enhancement is a relatively new procedure. It is a very technically oriented procedure as well as artistically challenging. No longer does a plastic surgeon merely place an implant. The breast must now be sculpted. Also, in order for the fat to survive, certain precise technical procedures and philosophies must be adhered. The main advantages are that there are no implants to worry about removal at some point. Also, the entire breast can be enlarged, not only a certain portion of it. The main disadvantages are that approximately 2/3, or more, of the fat stays (if done correctly), and the amounts that can be placed are limited by the size of the breasts and the availability of usable fat from the patient.
My orientation is mainly using micro-fat grafting because I believe that natural breast enhancement is superior to anything foreign; however, there are exceptions (noted above). More information can be found: http://www.privatehealth.co.uk/articles/april-2013/fat-transfer-to-the-breasts/