 Hi everyone, Dr. Saul here in Beverly Hills. Today we're going to do a little tutorial about BBL, Brazilian Budlet. I know there's a lot of information out there. We're going to just add a little bit more out in the web so you guys can make a very knowledgeable decision when you decide to do a BBL. It can be safe in safe hands. That's number one question is if you go to someone that does them, that knows where the fact should go, it is a safe procedure. But let's start with our tutorial today. When you look at the box, it's not just the butt, but we look at the 11 aesthetic unit which makes the butt. In order to make it beautiful we have to look at all the 11. When I see a patient there's four major evaluations I make. I look at the asymmetry. Remember that no one's buttock is the same. Just like breasts, buttocks are different. The right and the left are different. We'll look at the mid-lateral buttock, the C point, which is an indentation some people have. It's either minimal, moderate, or severe. Then we'll look at the transition from the frame to the torso and what type of frame you have is important too because everyone has a different type of frame. Let's start with type of, oh can you slice down into, okay. Ready? So five main evaluation points is types of frame, shape, fat and bone, the asymmetry, the mid-lateral buttock transition frame, and the bone contribution to the frame. So these are all evaluations which your surgeon does while examining you. This is regarding symmetry. You can see this patient is cut in half. Here's both of her left side and both of her right side. Obviously they look different. If you do the mirror image of two right sides you can see how high she is here but if you do two left you can see it's much smoother. So just to let you guys know no one is a mirror image of the of themselves and the right and the left do differ. The mid-lateral C point is right here. You see as that this is your hip. A lot of people have a little bit of like mild depression here in the lateral aspect and then it goes into the hips. What type of frame do you have? You can see in our evaluation we do four. Either an A shape, a V shape, a square or a round. The ideal is the A shape where your waistline is proportionally smaller than your waist. So it is possible to transform someone from a V to an A or from a square to an A or from a round to an A. So you can see there was a study done as the waist to hip ratio. The ideal waist to hip ratio is somewhere between 0.65 and 0.75 where you have a very natural look. If your waist is half the size of your waistline you can see it can be kind of cartoonish or if it's 0.55 you can see the difference. So the best is somewhere between 0.6 to 0.75 right in this triangular area. A 0.8 is almost straight so a one would be completely straight. Here's some pictures of someone with a 0.8, 0.76, 0.63 and 0.56. As I said the natural look is somewhere in the sweet spot between here. Some people like the very super snatched and the 0.8 is usually where we start working on a 1.0 or sometimes even the waist is larger in the V shape than the hips. Then there's the transition from the torso to the waist. You can see the different annulations of the transition from the torso to the waist and this can all be changed. You can see this one is a very straight curved and this one is almost horizontal there. So this can be changed with lipocontoring. Here's a patient she has a V shape. You can see it's totally V shaped. She has square buttock and here she is. She has the A shape and the buttock around her. Look at the difference. Even the way the undergarment sits on her is different and so she was changed from a V shape to an A shape. As we were talking about the mid-lateral C point you can see this one is very mild. This one is moderate and this one is severe. You can see the severity of it right there. These can all be fixed with the placement of small amount of fat to give the fullness that people desire. Another thing we talked about which people refer to as the S curve or the lordosis is the back fat. You can see this patient is completely straight so that's a 90 degree. Some people are 65 and some people 45. Now what can happen is if you lipocontor this back area you can change it from the 90 to 65. If you go extreme you could even go to 45 but usually the 65 is a more natural look. Here's a patient very almost 90 and you can see now she's at the 65. This was two things. One is first we subtracted the fat here and then we added some fat here. So the lipocontoring and the creation of the S curve and the transition of putting fat in the buttock changed her from a 90 to about a 65. So the four units which we take into account the frame the muscle the relationship of muscle the frame and the aesthetic units. So just remember when you're being evaluated this is the whole evaluation system your surgeon is looking at the different units of your body and in his mind he's evaluating all this stuff and you should go over these with your surgeon. Some people's skeletal relationship is different you can see the hip point can be a different place and the crest of the hip bone can be at different heights that's regarding how cinch in you can get it depends on the crest of the hip bone. Different units we could go over the sacral is very important for the S curve this should be totally lipo as much as possible. This is the flank area creates the curvature right here so the more you go in the more cinched in the waistline will be sometimes during lipocontoring patients uh dimples of venous they usually have right here could be obliterated and gone if we do too much lipo. So just be careful if you're in love with your dimples of venous be careful because they might go away with lipo contouring. Then we talk about the outer leg now it's very important for females to have some fullness in the outer leg because if they don't then if they're very straight it looks like a male silhouette. Females are when you visualize females it's the curves that are created when it's very straight it gives a male figure. We talked about this C point this is you could see this is like about a moderate but this area can be filled out some people like it extra full some like moderate but that's the C point which is very important and can be corrected. Then the introgluteal diamond this is every woman's I think every woman's dream is to have space in the introgluteal area sometimes it's possible sometimes it's not sometimes you even have to do surgical excision of skin to create that diamond shaped look it cannot just be through lipo contouring or fat placement sometimes the extra skin to get it has to be excised and you can get some incision right in the gluteal cleft to create that some people don't even have a gluteal cleft that goes all the way across some people have some that stops halfway and some that go full way this can be corrected also by a suture technique which creates a full curve so in in summation there's a lot to take into account as we talked about the different things that are involved it's not as simple as okay let me just put some fat when you go to your men's spa they want to put some sculpture in there and stuff there is more to it it is a little bit more in depth so be careful out there I hope this adds to your knowledge when you're out there looking to get a BBL done