When people think about surgeries that require careful examination of details, thinking outside the box, and innovative approaches – ‘gluteal augmentation’ is rarely one of the top choices. The cosmetic medical community is rarely in the news for good reasons, and all too often, headlines are splayed with negative accidents or side effects of implants. Nevertheless, the industry is slowly being changed for the better by Dr. Mark Mofid, who looks at his surgery as a way “to provide his patients with the highest standards of aesthetic and reconstructive surgery as he believes that enhancement of their image can help to improve their self-confidence and enjoyment of life.”
The Movement Away from “One Size Fits All”
Dr. Mark Mofid has a strong background in medicine, having been trained at both Harvard and Johns Hopkins University. He has been actively practicing surgery since 2004 and has made considerable impact in the cosmetic surgery space, where he has demonstrated his ability to be an innovator.
Dr. Mofid knows that the perception of the implant market has not been very good in the past, and he has been pushing to alter the perception of the public by pioneering new, safer methods of surgery. It is not common for patients to ask for implants that are too large, which are at risk of bursting inside the body. Because the lure of money is not Dr. Mofid’s primary motivation, he has a track record of putting safety first and engaging only in procedures that he knows are safe.
For a long time in the past, gluteal augmentations had a one size fits all approach, where most implants had similar proportions and were used on patients – regardless of what the end result may turn out. When Dr. Mofid first started performing butt implants 8 years ago he was frustrated to find that only a small range of off the shelf solid silicone implants were available for plastic surgeons to work with, and how they were too large. He recalls how, “For a number of years, I carved every one down before surgery, which was time-consuming.”
Dr. Mofid prides himself on thinking about what’s best for his patient. In the past, he says, “From the time we were trained until a few years ago, we weren’t really paying full attention to the aesthetics of what we were doing.” Because the same solid silicone implants were used for most surgeries, the proportions of the client were considered secondary to completing the surgery successfully
The question then becomes, how can the silhouette be recreated and that too consistently with reliable outcomes? To find the answer, he conducted a study comparing the waist-to-hip ratio and weight of all Playboy magazine centerfolds from 1953 onward. What he found was that there is a well-preserved waist-to-hip ratio of 0.68 and this was the same across all Centerfolds regardless of body mass indexes.
“Similar to the Fibonacci sequence or golden ratio, I consider this to be an aesthetic ideal,” he says. Dr. Mofid looks to blend his vision of artistry, attention to detail, and medical practices to create the optimal aesthetic result.
Dr. Mofid’s New Approach
Dr. Mofid’s alternative approach to butt implants is based on what he learned from the very best of Brazilian plastic surgeons: Raul Gonzalez, MD. Dr. Gonzalez is a Brazilian plastic surgeon who started performing buttock surgery as early as 1984 and has the largest case series in the world.
The procedures in Brazil are so widely done and specialists are so experienced that the public perception is completely different. In fact, Dr. Gonzalez says, ““The demand for this procedure in America is not so big because the supply is tiny, but [increase] the supply of well-prepared surgeons and surely the market will grow as never imagined.”
When Dr. Mofid returned to America, he found that the offerings for American surgeons was subpar. Because the implants were so large, he had to shave them down before using them. As a result, Dr. Mofid had put in a great deal of effort and time in perfecting his gluteal augmentation technique in America to make the result better looking and safer for the patient.
From his extensive experience, Dr. Mofid has created his own best practices for his procedures. For example, he says emphasizes, “I place only intramuscular implants, and I never overdo it even if patients try to push for larger implants.” Dr. Mofid refuses to go implant anything larger than 330 cc, and subfascial placement is out of the question. He reasons that “large implants have higher rates of palpability, incisional separation, and malposition and gravity will eventually move these implants to an inferior position where the implant hangs over the butt fold.”
Dr. Mofid further solidified his practice by creating and pioneering his own procedure using his custom Low Profile Round Gluteal Implant. This implant solved two of his biggest problems with gluteal augmentation. Specifically, the custom implant provided a more tapered profile and an easier shape to position intramuscularly. In addition, Dr. Mofid also modified the width-to-volume ratio of the implant in order to create a more proportional and natural-looking outcome.
Progress Based on Innovation
Dr. Mofid takes the same thoughtful and analytic approach to each and every procedure that he performs, and he thinks about the approach from all different angles. Literally. When Dr. Mofid takes on a new client, he always strives to create the ideal silhouette for them, which means that different people have different needs.
The new techniques introduced by Dr. Mofid’s gluteal augmentation procedure helps fulfill his vision for each client, and the safer outcome may eventually bring the surgery into mainstream popularity. As of 2017, the number of operations conducted in the United States are still dwarfed by the volume completed in Brazil. The American Society of Plastic Surgeons has reported a downwards trend in total buttock implant procedures performed in the past, from 858 procedures in 2012 to about 650 in 2011. Fortunately, the improved techniques and pursuit for excellence in surgeons such as Dr. Mofid may slowly increase popularity for this procedure.
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