Dr. David Matlock: The 90210 Dr. Talks Brazilian Butt Lifts
Beauty Now
Teri Hausman

Episode 50 - Dr. David Matlock: The 90210 Dr. Talks Brazilian Butt Lifts

If you didn't get blessed with junk in your trunk then hear how the Brazilian butt lift expert does it. Jennifer Lopez, Jessica Biel and Beyoncé have what is called a great backside!

Is this procedure for you? Learn the pros and cons of having your rear enhanced. Where do they put the incisions and how long does it take to recover? Hear the risks and the upside of your backside getting a little work done. Dr. Matlock tells us everything we need to know before we choose any cosmetic surgeon to do this very specialized surgery.

Tune in!



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Teri Struck:    I’m Teri Struck, host of Beauty Now, a weekly podcast that brings you up to speed on the latest innovations in surgery, hair, lashes, lasers, lifts, cosmetics, injectibles, vaginal rejuvenation, lipo, and today, Brazilian butt lifts. We have so many viewers and listeners calling in about the butt lift; what can we do about our butt? And we have the best of the best, Dr. David Matlock. Welcome back, Dr. David Matlock.

Dr. David Matlock: Thank you.

Teri Struck:Thank you for joining us again. We’ve seen you on 90210 and I have to say, the procedure looked so amazing. Is that really real?

Dr. David Matlock: That is really real.  I mean this whole thing about this Brazilian butt augmentation it is absolutely fantastic and beautiful and for the practice, it’s really unbelievable. The thing that you have to understand is that 98% of my patients who come to me from around the nation for liposuction are coming in for this Brazilian butt augmentation. So they really do love it and I think the things they love is that their fat, it’s their own fat and it’s nice and natural to look and feel. And they don’t like that artificial implant because they say, number one, the incision may be about three inches, four inches right in the crack. So they don’t like that.  It looks abnormal, it looks artificial, it can turn, it can extrude and things like that. So they don’t like it. So they really do love using their own fat and actually, what we get is about an 80%. Our patients say, “Doctor, 80% is there. 90% is there.” What you have at three months is going to remain. So our patients love it. They love it.

Teri Struck:Well, I’m so happy to hear that you’re not using that implant because that was a concern.

Dr. David Matlock: Right. No implants. We use the patient’s own fat. It’s not just about injecting fat. First what we have to do, we have to sculpture out the most aesthetically pleasing butt.  So I show the patients what we’re going to do and how we do that. And then, after that, we take their fat. We process their fat. The fat is thoroughly collected and it’s processed. We remove the fluid, the oils, and broken cells and things like that. And then 88% of that fat is alive and then I will inject it deep into their fat. Patients ask, “Does it move?” No. It’s not going to move. All right? We inject it, inject it deep into the fat, sculpture out the most aesthetically pleasing butt and inject it. What the butt should look like, it should look like a bowl. You just take a bowl, sit it on top of the table, that’s how it should look. And that’s what patients want. It helps to bring to bring the butt up, lift the butt, we can do all kinds of things that really give the patient a very nice hot beautiful butt. That’s in.

Teri Struck:We’re talking like the J-Lo butt or the Beyonce? Something like that?

Dr. David Matlock: Something like that but I mean it’s all types.  Jessica Biel. A patient –  

Teri Struck:Jessica Biel. Yeah. She has a great butt.

Dr. David Matlock: A patient came the other day. “Hey Doctor. Put this up in the operating room and refer back to this when you’re sculpting my butt.” I said, “Okay. Fine.”

Teri Struck:So you brought up a really important point. I mean, African American women tend to have larger butts and skinnier. And then a lot of white women want to have the same kind of ass like Jessica Biel.

Dr. David Matlock: Jessica Biel. Absolutely. Absolutely. Now here’s the interesting thing of what we see. I have women coming into the office that don’t have enough fat.  And so early on, they were saying, “Well, I’m just going to go and gain weight.” Well, as a physician I can’t tell someone to go and gain weight. But so many young women that came into the office and have done that. “Why are you doing that?” “Well, you’re just going to remove it anyway.” I said, “You know what? You’re right.” So now, we will tell the woman if she doesn’t have enough fat, you have to go gain weight. So we tell them how to really do it as kind of healthy as possible. They’re going to eat five times a day. Eat morning, seven o’clock. Ten o’clock they have a protein shake for body builders, high in carbs. And then eat lunch at noon and then another protein shake at three. And eat dinner late, seven, eight o’clock.

Teri Struck:That would be kind of horrifying though to some people, to say you want to gain weigh to get the results of a bigger butt.    

Dr. David Matlock: Right. But the thing is, butts are in. Butts are in. So people want this. Patients want this. And like I said, they’re coming in, they’re requesting these things, don’t have enough fat. They will go through this to gain weight to get enough fat. Because, the point is, it’s all going to be removed anyway. That’s the point.

Teri Struck:Well, you’re going to remove it and if they’re disciplined enough they can lose it too. So where do you extract the fat from? Where’s the best place?

Dr. David Matlock: Correct. Well, what I have to do and what I’m doing... I want to put a minimum of 300 ccs in each cheek. A minimum. So to get a really good result, nice result. So I’m removing primarily the patients that are having lipo-sculpture of their abdomen, of their hips, outer thighs, inner thighs. Okay?  And right up under the bra line. That’s primarily where they’re having the fat removed.

Teri Struck:Pretty much if you don’t have a behind, are you... do you usually gain it more in your tummy or...

Dr. David Matlock: No. Not necessarily. Everyone’s really different. Man gain from the waist up. Women can gain from the breasts down, all the way down to the ankles, calves, and so forth. So it just really depends. And a lot of women say, “Hey. I pick up around the mid-section.” We just need good fat. We need fat. So I’m taking it from all those areas. I really need to take whatever I can get, all that I can get, so that I can give them the result they want.

Teri Struck:But everybody’s different, right?

Dr. David Matlock: Everybody’s different.

Teri Struck:So basically, how do you start?  Somebody comes in for their consultation and then you assess them?

Dr. David Matlock: If someone comes in for the consultation, I will assess them. I look first to make sure they have enough fat and then also I ask them, “What do you want? What do you want to achieve?” “Oh, I want this. I want that.” They’ll bring in pictures. “Oh, I want to be this big.” Things like that. So it really depends on what they want. I ask what do they want? So then, from there I say, “Okay. We’re going to have to do this area, this area, this area.” I tell them the areas we need to do based upon what they have. Based upon the amount of fat that they have. And sometimes we have to do a little bit more areas to really collect what we need. If the patients don’t...I say, “You know what, you’ve got fat but you’re not going to get that result that you want. Okay. Well, you’re going to have to gain weight to get that or you accept this of what you’re going to get.” Okay?

Teri Struck:So each patient should get a plan. I find that there are so few plastic surgeons that do this procedure, so how do you find somebody like yourself?  I know a lot of people fly to you but how do you find somebody that would do this procedure that you know that they could do a good job because it could be dangerous.

Dr. David Matlock: I think what you should do, you should ask to see pictures.  Or go to the website and see the pictures. See the pictures or look at the pictures. And ask, how much do you do? I have a lot of plastic surgeons in my building that use my surgery center but they don’t do it. So you should ask. Hey, do you do it? How much do you do? Can I see pictures? That’s what you want to do. Even sometimes you may want to talk to patients. That’s what we do. You need to talk to a patient, here’s the patients you can talk to, here’s all the patients that we’ve done. Again, 90% of the patients come to me from around the nation for lipo-sculpting are coming in for this Brazilian butt augmentation.

Teri Struck:So what’s the difference between the Brazilian butt and a butt log?

Dr. David Matlock: Okay. With this Brazilian butt augmentation, our lift, I’m taking the patient’s fat, I’m using their fat to augment the buttocks. First, I’m sculpturing out the most aesthetically pleasing butt and then I’m augmenting it with their fat. They love it. It’s their own fat. The implants are...it’s a real hard, unnatural implant kind of a teardrop. The thing can turn, extrude, the incidents of infection, rejection, it’s high. So that’s what patients don’t want. And then the ugly scar that goes on the body with that implant.  Patients don’t want it. I have taught other plastic surgeons how to do this and they have abandoned using that implant.

Teri Struck:I’ve heard that too. That’s actually really good information for our listeners. What I want them to get out there.  I mean, if you’re desperate and you have absolutely nothing, I mean maybe a guy... Men do this too, right?

Dr. David Matlock: Men do it too. The majority of people are women but men come in.  I get some men to come in and have it done as well.

Teri Struck:So the scars for the implantation would be underneath the butt?

Dr. David Matlock: No, the scars for the implants are right in the crack.  But think about a four-inch incision. That’s a nasty incision. Who wants that? It’s not a very aesthetically pleasing thing and then those implants...it’s just like a basketball. It’s real hard. It’s real hard. And it’s unnatural. And you know it that they had it. You know it.

Teri Struck:Right. Right. If you feel it, you mean? You feel a hard butt.

Dr. David Matlock: But in some of the clothing, it just doesn’t look natural. It just doesn’t... Any woman who knows it, it just doesn’t look natural.

Teri Struck:You say, get into the best shape you can get and then have the fat injections in your butt. And you go over all of that?

Dr. David Matlock: Correct. I go over all of that and explain everything to the patient so that they understand it completely.

Teri Struck:So how do you get the lift part?

Dr. David Matlock: The lift part? Just say the butt is sagging some. It’s volume. Just think of bringing out volume. The breast. Oh, you know, lower, or whatever. You want to bring bomb. Push volume in there, it brings all that out, takes up the slack, if you will.

Teri Struck:So you think that you can lift enough?  What if the patient has really saggy butt?

Dr. David Matlock: That’s not the patient who’s coming in. But if a patient has a really saggy butt, maybe you can’t do anything for that person but it depends upon how much sag you have and how much volume you can get to help augment it. It’s a fine line. My patient population, they’re twenties to forties. My patient population.

Teri Struck:So the other people who have the really saggy butt, they might have to go for the lift. Which is like the lower body lift?

Dr. David Matlock: No. Not necessarily. That really depends on what’s going on and if the patient has a lot of fat, a lot of weight loss, something like that. We’re not seeing that those patients are a candidate for this procedure. So you got to be realistic about it. You have to be realistic about it. I know who’s got a good butt and who doesn’t have a good butt before the procedure but don’t look for, I would say, miracles from this. But again, twenties to forties, you’re right in there. You get a nice, good result from this.

Teri Struck:And if you’re in your twenties to forties, I just had Jackie Silver, Aging Backwards, listen to that show. But it was really funny, we were talking about butts and how I wanted to talk to you about this.  And I say, lunge.  Lunge everywhere. I lunge to the toilet. Lunge down the hall. Because lunges for your butt are easy to do, especially around your house and it doesn’t cost anything. And that helps build up the muscle. Do you tell people that exercising is going to do this or...

Dr. David Matlock: No. I don’t tell them to exercise before doing it but we do talk about I give them a diet afterwards. Everyone who has lipo-scultping with me, we have a diet that we give them. That I developed with my daughter developed, together, and then also we talk about exercising.

Teri Struck:Well, exercising is so important to anti-aging. And I know a lot of women have written in and said is there anything they can do to get results and I would normally say, “No.” But I did see your segment and I really saw it with my own eyes, your results were amazing.

Dr. David Matlock: They’re really amazing. And again, looking at those things, that’s the part of the patient population that I get too, from that show Dr. 90210, being featured on that show. I mean, I’ve been to Europe and Latin America and recognized there. But that tells. Those segments really tell. I mean, it’s a fantastic result. That young lady had to gain weight to get the butt that she wanted.

Teri Struck:And that was amazing. When you hear it, audible, you’re like, “What? You have to gain weight? I don’t know about that.”  But it’s true. If you have no butt fat, it really did work. It was an amazing, amazing result.

Dr. David Matlock: I think another thing the patients really should understand, when we talk about aging, anti-aging, it’s bad to go up and down in weight. You should try to maintain a good, normal, stable weight. That’s what...if I would have to tell someone something, prevent having liposuction or something like that, good stable weight.

Teri Struck:Because liposuction is really for people that have little localized areas of fat.  It’s not really for a really big woman.  They need to do something to figure out what works for them.

Dr. David Matlock: Correct.

Teri Struck:That I think really is good advice and my trainer said something. I said, “Oh God! I’m losing weight so slowly.”  And he said, “Just think about it. If you’re only losing two pounds a month, that’s 24 pounds a year.” So that’s really good advice too. What is the cost of your butt lift surgery, basically?

Dr. David Matlock: Okay, so basically it depends upon...Number one, we have to get the fat, collect the fat. So it’s either a small, medium or large area. And that’s a thousand dollars for small. It’s fifteen hundred for medium. Two thousand for a large area.

Teri Struck:That’s pretty reasonable.

Dr. David Matlock: That’s reasonable. The Brazilian butt augmentation, that’s four thousand dollars. So if you have your abdomen done, your hips done, your flanks done, your outer thighs and everything.  So based upon your weight, height and the size of that area, that’s how you’re charged.

Teri Struck:Okay. That’s good advice and I think that’s pretty reasonable. We’re going to be right back with Dr. Matlock. He’s telling us all about how we can get a great looking behind.

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Teri Struck:I’m Teri Struck, personallifemedia.com. Today we’re talking with Dr. David Matlock of Beverly Hills. He’s been featured on 90210.   Welcome back Dr. Matlock.

Dr. David Matlock: Thank you.

Teri Struck:We were just talking about the cost of the surgery. And there are financing companies out there too for people that have a hard time paying for this, right?

Dr. David Matlock: That’s correct.

Teri Struck:But I think you can Google those. I don’t actually have any but if you go to personallifemedia.com, we’re going to link you with Dr. Matlock’s website and also we’ll find some financing companies for cosmetic surgery. I think we should have that link as well.

Dr. David Matlock: We do have them on our site as well.

Teri Struck:You do have them on your site as well? That’s great. And then you can go on his site and find out who will finance a cosmetic surgery because there are so many things that people want. And today we’re talking about Brazilian butt lifts which I think is such s confusing area. So what else is involved, besides your lipo-sucking and then you’re injecting.  What is the downtime?

Dr. David Matlock: The downtime. We tell the patients they can go back to work in four to seven days. They can start exercising, stretching and massaging in ten to twelve days. So the more they get up and move around, the better off they’re going to be. What the patients feel, it’s very nice, what they feel the first day, we use what we call this tumescent solution. That solution has [lydocaine] in it. The same thing what the dentists use for the teeth to numb it. So they’re basically numb the first day. The women just say, “Oh. My butt is sore.” That’s it. We will tell the patient afterwards, for the first two weeks, just to baby the butt. Meaning that, lay on your side, lay on your tummy, or if you lay on your back, put a pillow up under the thighs. And then we want you to instead of just sitting straight on the butt, sit on your legs, sit on the thighs. Like that. But it’s not going to move. Women say, “Is it going to move?” No, it’s not going to move because it’s placed deep within the fat, integrated into the existing fatty tissue of the buttocks. So it doesn’t move. And the butt will re-vascularise it and it lives and survives. So it’s living fat. Eighty per cent of that fat I inject is alive. It’s living fat.  And what you have at three months, that’s what you’re going continue to have. Women say, “Can I exercise and diet? Am I going to lose it? No. My wife had it. She had it a second time. And the second time she had to gain weight, she loved it so much.  I love it. I love it. She loves it. I love it.

Teri Struck:I'm sure she loves you telling everybody too.  But I love wives that do tell. That’s great.  So your wife had it.  How long does it really last? They say fat leaves. Is that not true?

Dr. David Matlock: Well here’s the thing. We get a good take. Our patients say, “Doctor, 80% is there. 90% is there.” My office administrator had it. She had it seven years ago, it’s all there. So we get a real good take and patients are very, very happy.  But text book, hey. You can lose 20%. You can lose 40%. So we like to overfill. Overfill. Even though we get a good result we like to overfill. We overfill so that we can compensate for any loss that they may have. What they have at three months, it’s going to be there.

Teri Struck:And what about patients that have...Do you lip-suck their hips too, at the same time?

Dr. David Matlock: We do. We do. Because remember, in the hips, in the hips again I have to...You want the butt to be like a bowl. You don’t want it to continue up the back. You want to see that definition. So in the hips we’re removing that fat. We’re removing that fat. Even in the sacral area, if they’ve got a fat pat there, we will remove it. Because a woman with a nice butt doesn’t have a lot of fat there in the sacral area, right above the butt. So that’s what I mean, what we have to do is sculpture out the most aesthetically butt. And the doctor has to have that good aesthetic eye and understand what is a very, very nice butt. Some people say they may be doing the Brazilian butts but I’ve been to Brazil 17 times.

Teri Struck:That is a really good point. I always say most every show, don’t skimp on your doctor. I wouldn’t shop around to get the best price because you really do have to go to somebody who knows what they’re doing. The worst thing you can do to yourself is save money on plastic surgery. If you’re going to spend money on plastic surgery, make sure you have somebody who’s really, really qualified, board certified. All those things.

Dr. David Matlock: Good point.

Teri Struck:Because it can be scary. You don’t want to mess with your body and your face and all those things. I mean, when they mess up it’s...redos are hard. I’m sure you’ve seen redos.

Dr. David Matlock: Redo’s are hard. I get a lot of redos. Redos are very difficult. And I tell the patient, “It’s best that you have the correct procedure the first time. It’s best that it’s done right the first time.” That’s what you want.

Teri Struck:But let’s talk about redos.  That does happen. People do go to doctors and they get less than satisfying results. How do you fix it?

Dr. David Matlock: Well, here’s the first thing, how can you fix it? Here’s the point. I’ve been doing lipo-sculpturing for 21 years on over 5000 patients. So it’s about experience. The point is you want to get that experience on your side when you’re going into this particular type of procedure. So that’s important. You’ve got one good shot at it. One good shot at it. So you want to have the best so that you can have the best result. On redos, a lot of things what you will see...It’s uneven. Uneven on one side or the other side. You may see it’s uneven on the abdomen. You may see dents and divets and things like that, some scarred down area because that’s just based upon the experience of the doctor.
Teri Struck:What are the scars like for this?

Dr. David Matlock: Well, don’t think of the scars... I would say, in the incisions...my incisions are about three or four millimetres. And they’re well-placed. For the abdomen, to do the entire abdomen, the incisions are inside the belly button. Top, bottom and in the pubic area. That’s how you do the entire abdomen. Some patients and some doctors, what they will see is that they’ve got multiple sticks all over the body. I don’t think that’s...that’s not a good aesthetic result when you’ve got these multiple sticks. If you’ve got people of color and things like that, you say, “Wow. Very hyper-pigmented.  You’ve got all these sticks all over.” So it doesn’t look good. You want these things well-placed and well-hidden. So you don’t see them. And minimum incisions.

Teri Struck:So when a patient comes to you and they have bad incisions or scars what can you do?

Dr. David Matlock: Well, it really depends upon the size. Some of them are hyper-pigmented, what you can do you can use a bleaching cream, give the patient that. There are lasers that you can use as well. And some of the scars you just have to reset and just bring back good clean skin.
Teri Struck:So you’re able to reduce them? Because I’ve seen some pretty heinous scars, incisions from people that have had it a long time ago.

Dr. David Matlock: Right. Well, it really depends on what the patient wants. If they just say, “Hey. You know what?  It’s hyper-pigmented. How can we lighten it?” Then you can use a bleaching cream. You can use certain lasers that they have, the dermatologists have, to decrease that pigmentation. If they are raised you can use a steroid to help blend that in or decrease that raised spot or that hydrotropic scar. Things like that. So it really depends on what’s going on and how best you can help the patient.
Teri Struck:And I have really been wanting to ask this question and I keep forgetting. I have a lot of friends who are African American and several of them have colloids. Is that common in African American skin and what can they do?

Dr. David Matlock: That’s not real common but here’s the thing. And that’s a real good point. Because an African American patient will come in and say, “Hey, I’m having liposuction, what about colloids?” The colloids are in the skin. I’m all up under the skin, in the fatty tissue. That’s not the point. That’s not the issue. It’s the four-millimetre incision in the skin. So that’s all you have to worry about. But people think, well, my whole body’s going to colloid. It doesn’t work. It’s just in the skin.

Teri Struck:That’s really good to know...

Dr. David Matlock: That’s very important because I hear that all the time.

Teri Struck:One of my white girlfriends, too, colloids. So they definitely can have surgery then?

Dr. David Matlock: They can definitely have surgery. One hundred per cent. Small incisions, well-placed. If they get a hypertrophic scar what they can do, we can inject it with a steroid so that that can go down.

Teri Struck:Can you cut it out?

Dr. David Matlock: You can cut it out but if may reform. I had an athlete in here who had arthroscopic surgery of the shoulder. Colloid. They just injected it with the steroid, it went away. He’s fine.

Teri Struck:That’s a really, really good point because I think a lot of people colloid skin, they want to know if they can have surgery and it would be so bad if you can’t do anything.  You have to be all natural, which is a good thing too. If you’re naturally blessed. Thank you for being with us today. We’re going to have to go and we’ll have you back again.

Dr. David Matlock: Okay.

Teri Struck:And this is personallifemedia.com. This is Teri Struck. I’m with Dr. David Matlock. We’re going to link our show to his. You can go to his website, check out his other shows too. He did one on lipo, one on vaginal rejuvenation, that’s really good. One of my most popular shows, especially with my Dad. Thanks Dad. That’s my only show he listened to was that show.  Of course, all my men listeners like that one. And if anybody wants a Brazilian butt lift, you can go to our website, personallifemedia.com and get Dr. Matlock’s information and he will set you up. Thanks again for being with us today.

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‘You Had a Little Work Done’ original music by Mark Winter. http://www.mark-winter.com