Follow up: Kim is the Butt of the Jokes

Well… as I originally predicted in a blog post at the time Kim Kardashian’s champagne-glass-bottom graced the cover of Paper magazine, there would be “fall out” to the story. Judging by active reaction to recent un-retouched photographs of Kim’s derrière in the media by both fellow plastic surgeons and public alike, comments have generally been less than flattering. 
Fortunate aftermath of wanton Buttock enlargement without consideration of body proportions and pulchritude
My blog post was essentially a warning to those seeking to “maxi-size” their assets in response to media’s insidiously pervasive influence on the public’s impressionable collective psyche.  A copy of my original blog post is here:
I don’t like comic book butts and I cannot lie
Not to say that the images in question expose overtly ireversible droop of Kim’s buttocks, they do unquestionably reveal the dimpling, pitting and bulging of exaggerated cellulite. Furthermore, there is no way  to predict how these artificially corpulent gluteals will age with further time. Unfortunately in 2017, there is little to be convincingly done to remedy such a situation. Lest this be a caveat for those seeking buttock super-sizing regardless of the method employed. Dr. Haworth 2017

Now that you had surgery, drains are your new BFF?

At the risk of sounding like I’m standing on a soapbox, I shall repeat my mantra once again . . . how well you follow up with your post-op aftercare instructions is nearly as important as what we do in the OR. Following these protocols conscientiously can ensure a positive outcome just as ignoring them can sabotage your final results.

Remember, the doctor and the patients are a team.

This is particularly true of drains. When you wake up from surgeries involving deep incisions and dissections involving an appreciable amount of surface area such as of abdominoplasties (tummy Tucks), facelifts and browlifts you’ll likely have one, two or sometimes even three tubes coming out of small incisions, each attached a suction bulb drain. They’re unsightly, true. They’re inconvenient, yes. They can be messy, absolutely. But for the duration – and this can be anywhere from 1 to ten days – that you’ll be living with them, your drains are your new body’s BFF or at least very trusted ally!

Let’s back up a minute. When surgery is performed, it is a fact that the innumerable microscopic blood vessels and lymphatic channels are cut. As a result they leak fluid in the postoperative period. Consequently, any space that was surgically created (for example, between skin and deeper muscle layer) can fill up with this fluid as opposed to getting rapidly absorbed by the body. Drains are placed within this surgically created space in order to rapidly evacuate the fluid as it is produced. The fluid in your drain, which will diminish over time, is comprised of a physiological mixture of blood and serum. As you empty the drain twice a day, recording the amount of fluid tell us the rate of decreasing fluid production and how your body is healing.

The advantages of sporting your drains for the prescribed time cannot be underestimated. Removing drains too quickly can result in untoward fluid accumulation in a surgical space potentially necessitating uncomfortable intervention afterwards to remove it. Leaving drains in the body for the appropriate amount of time will actually decrease your healing time by minimizing fluid buildup and prolonged swelling by fostering rapid adherence of the various layers to close the surgical space.

Drain connected to a self suction "grenade" style collection chamber
Drain connected to a self suction “grenade” style collection chamber
So please keep these in mind during the initial phase of your recovery if you find yourself getting annoyed. Soon enough, you’ll be in the office and we’ll remove them. Meanwhile, if you can view your drains in a positive light rather than as an unpleasant burden, it’ll make all the difference in the world.

Traditional Liposuction versus 360 Liposculpture

Dr Haworth, a specialist in Liposuction in Beverly Hills, describes a new technique of Liposuction that improves upon traditional techniques. He calls this 360 liposculpture and delivers unprecedented results in terms of achieving the ideal human body shape. He has performed this procedure on hundreds of patients ranging from Hollywood celebrities to showgirls and housewives

My staff and I are frequently asked why it takes me longer to perform my body contouring procedures compared to other plastic surgeons. This is because most surgeons intensely dislike performing Liposuction  (or suction assisted lipectomy [SAL] as it is known in plastic surgical parlance) and use it simply as a tool to “debulk” or reduce the size of a body part. Little attention is paid to actually contouring the body itself by creating provocative curves and beautiful blends from one anatomical section into the other. This is true body reinvention at its best.

How is 360° liposculpture performed?

With unwavering concentration, with meticulous careful attention to detail, with minute cannulae (the small tubes through which the fat is aspirated), with a intimate familiarity of techniques ranging from conventional tumescent liposuction to laser-assisted  and syringe. Syringe, you may ask? Yes- this low tech technique provides the most control for the surgeon. allowing him to sculpt the most minute of body  contour irregularities- liken the detail provided by actual hand stitching in clothes to machine stitched. Even though the average person may not notice the difference (especially if he or she considers the procedure a commodity), a true connoisseur will appreciate  the exceptional result afforded by  360 liposculpture. This technique is not for the surgeon with a faint of heart- it is extremely exhausting, time-consuming and demanding of one’s most exceptional skills. Of course, a keen eye and appreciation of human form and beauty is a must.

What are some of the benefits of this 360° liposculpture?

A sublime result maximally customized for each individual patient. Some of the added benefits of 360 liposculpture are obtained by creating a youthful midline abdominal groove, enhancing the waist, reducing unsightly “bra strap” fat bulging, reshaping the ankles and calves fabulously from all angles, contouring beautifully elegant knees and sculpting feminine shoulder and arm definition down to and past the elbow, etc, etc..The list goes on.

However, this technique will not improve stretch marks or cellulite (Nor will any other Lipo suction technique for that matter). A high degree of skin contraction will result. A few examples will follow:

Fat waist pre liposuction
Note the back rolls, ill defined waist and thick shapeless midsection

After 360 Liposculpture of the abdomen and waist
After 360 Liposculpture of the abdomen, back and waist

Before Liposuction of the abdomen and waste
Note how the three-quarter view shows how the hip roll and back are compressed together in an acute angle. With 360 liposculpture, Dr. HAWORTH is able to elegantly “open up” that acute angle, thereby rendering a far more elegant look to the body. The patient consequently looks taller as well.

After 360 liposculpture of the abdomen waist and back
With 360 liposculpture, Dr. HAWORTH is able to elegantly “open up” that acute angle, thereby rendering a far more elegant look to the body. The patient consequently looks taller as well.

Note the lack of shape in her lower legs.
This patient would not wear certain dresses because she was embarrassed by the shape of her lower legs. She felt that they were bulky and lacked shape. They did not ascribe to her ifeminine ideal. Diet and/or exercise would not give her the results she was looking for.

360 liposculpture of the calve, knees and ankles
Dr RANDAL HAWORTH performed 360 liposculpture of the calves, knees and ankles to create an elegant look in her lower legs which she thought otherwise impossible up to now. Diet or exercise cannot obtain this type of result

For further information, go to or call 310-273-3000 to arrange an appointment with Dr. Randal Haworth, a Beverly Hills plastic surgeon certified by the American Board of Plastic Surgery.