![]() ![]() In 2021, for the first time, RSV for 'butt filler' surpassed that of 'butt surgery' in the United States (Figure (Figure2A). Our analysis demonstrates a shifting interest from surgical gluteal augmentation ('butt surgery') to injectable augmentation ('butt filler') (Figure (Figure2). To empirically capture the shift in interest from surgical to minimally invasive gluteal augmentation, a five-year retrospective analysis of Google Trends relative search volume (RSV) was conducted, as many Google Trend studies have demonstrated the relationship between internet search volume and procedural participation. Though surgical intervention was largely preferred for many years, minimally invasive treatments have grown in popularity due to their favorable outcomes, fast recovery times, low overhead, and accessibility. Gluteal augmentation can be accomplished with surgical implantation, fat transfer, or, more recently, with minimally invasive biostimulatory fillers like CaHA. Gluteal augmentation may be a treatment modality to augment tissue, treat asymmetry, or increase self-confidence. The carboxymethyl cellulose (CMC) gel immediately volumizes the tissue while the CaHA microspheres mechanically stimulate local fibroblasts for type I and type III collagen and elastin synthesis. Proposed biostimulatory mechanism of action of CaHA injected subdermally via 18 gauge cannula This technical report provides the clinical basis, materials, and methods for implementing the Bella Vida Instant BBL™ in aesthetic practices. One technique, the Bella Vida Instant Brazilian Butt Lift (BBL)™, is a fast, safe, and minimally invasive alternative to surgical gluteal augmentation that accomplishes morphological remodeling, increases volumization, and improves shape and patient satisfaction. When injected, Radiesse immediately volumizes the injection site and initiates neocollagenesis and neoelastogenesis. One volumizing biostimulatory filler, Radiesse® (Merz Aesthetics, Frankfurt, Germany), consists of calcium hydroxylapatite microspheres suspended in a carboxymethyl cellulose gel. Notably, several biostimulatory fillers have emerged as a suitable treatment modality due to their relatively low cost, low pain, short downtime, high tunability, and sustained biostimulatory effect. In more recent years, a growing interest in body contouring cosmetic procedures has emerged, in large part due to increased transparency in procedures and improved outcomes with minimally invasive procedures. For decades, aesthetic medical procedures have sought to improve patient appearance, comfort, and self-confidence. ![]()
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