Top 5 Cosmetic Procedures For Getting Into Shape

With weight changes and age, our bottom may become saggy and often times we want to see things back where they were originally. In this radio interview, Dr. Johnson explains how various cosmetic procedures are used to change restore contours and change shape of your body.

Provided below is a transcript of the interview with Dr. Johnson. If you have any questions about the procedures mentioned in the interview, contact our Dallas branch at 214-643-8665.

Interview Transcript:

RADIO HOST: When it comes to plastic surgery, you’d be amazed at some of the newest procedures. One of them is called a Brazilian Butt Lift and it’s apparently gaining a lot of momentum.

To talk about this and where we are in the world of plastic surgery, we’re joined by Dr. Bill Johnson.

Dr. Johnson, thank you so much.

DR. J: Good afternoon!

HOST: Great having you here.

How did you get into plastic surgery? What led you into the field?

DR. J: I am an internist by original training and had taken care of patients – regular medical patients – for many years. Got to doing a few easy cosmetic procedures and had patients that would pay me cash and were very thankful afterwards. Patients really enjoy having these procedures done. They’re much more thankful than if you’re trying to fix their blood pressure or their diabetes because a lot of those things aren’t things they want to do. They’re not things they want to have taken care of. It’s more of a burden on them. So, it was a lot more fun to have patients happy and thrilled about the work you’d done.

HOST: Now, you’re based out of Dallas. How many procedures would you say you’ve done at this point?

DR. J: Oh, I’ve done two or three hundred, at least, of the Brazilian Butt Lifts and probably a similar number of fat transfer to the breast as well.

HOST: Okay. So, this butt lift thing, when did it really start taking off?

DR. J: It really started getting popular probably around 2008, 2009, here in the States.

HOST: Okay.

DR. J: Probably a few years before that in South America in particular which is where it was first started being used – which is where it got its name, Brazilian Butt Lift.

HOST: Right. But you have to sit on your butt, right? So, it’s more of a functional part of your body than cosmetic, isn’t it?

DR. J: No, it’s really more about cosmetic. I mean, people want to have a round, shapely bottom that doesn’t droop or drag. A lot of us, as we tend to get older, the height of the caboose or how high your buttocks are tend to drop over time.

HOST: But, if you’re injecting things about it, then doesn’t it make it uncomfortable maybe to sit or things like that?

DR. J: No, it really doesn’t. What we’re doing is injecting your own fat. That’s how we do this. We take a liposuction area like your abdomen and we do some minor processing on the fat and then we re-inject the fat using special techniques into the buttocks. The advantage of this is buttock implants – which have been used for a number of years – have never really gained popularity because of what you mentioned. Most folks never lose the sensation that they’re sitting on a pillow. However, the fat, when we use your fat, it’s just like you. So, we’re able to change the shape and raise the contour and it feels very normal. You can’t really tell the difference in feeling from your natural buttock. A bit part of that is because it is you. We’ve taken you and just moved it around.

HOST: Now, is there something funny about this particular surgery, do you think?

DR. J: Funny?

HOST: I mean, I almost find myself smiling as we’re talking about it – just the fact that there’s a focus on that part of the body. I mean, how do people come to decide that they need to have their buttocks cosmetically altered?

DR. J: Probably the big majority of people that do this are women, we do a few men here and there, but the majority of patients we do are women and the majority of them just always didn’t like the way their bottoms looked. So, most of the time, in clothing; sometimes, even without clothing. And that some of them had attractive bottoms at one time but, with weight changes and age, have gotten saggy and want to see things back where they were originally.

So, in that respect, it’s not much different than other areas of cosmetic surgery where, you know, after a woman has had, for example, a baby, her tummy doesn’t look the way it did beforehand and we go in and do liposuction or do a tummy tuck and restore some of those original contours.

HOST: I’m talking to Dr. Bill Johnson, at

In terms of paying for this stuff, does insurance cover any kind of procedure that you do?

DR. J: No, none of this insurance. This is all cosmetic and it’s all out of pocket cost.

HOST: So, what are we talking about? What’s the price of this procedure? Let’s say.

DR. J: Typically, probably around $5,000 when you put it together. We take an area of liposuction – so, we charge to do the liposuction. So, we charge to do the liposuction. So, we did your abdomen, there’d be a charge for taking the fat out, and then there’s a charge for putting the fat back.

HOST: Okay.

DR. J: So, you know, we could probably start it around $4,000 to $5,000. And then, if you did a lot of liposuction, you might get quite a bit more expensive. But most of our cases are between $5,000 and $7,000 – depending on how much liposuction.

HOST: So, you actually need to have a fair amount of fat on you, don’t you? To be able to move it from one place to another. Is that right?

DR. J: Not necessarily. Well, for instance, I did a case a few hours ago on a five-foot-three-inch 120-pound woman. She was a very slender lady and we took the fat from her abdomen love handles and moved it into the buttocks and got a very nice result because when you have someone that’s smaller and more slender, you don’t need as much fat transferred into the buttocks to make a nice appearance – a nice difference in the appearance.

HOST: In terms of liposuction itself, is that still a big procedure to help people get rid of their fat?

DR. J: Oh, no. Nowadays, liposuction is a much simpler procedure than it was a few years ago. We do all of ours in the office under local anesthesia. Patients come in, are mildly sedated. They’re basically awake throughout the procedure. Because of the solution we use to numb the area, there’s much less swelling and bruising and a much lower risk of infection than there has been in the past.

HOST: I remember seeing a video, there’s like a stick that you put in there and you move it back and forth. Is that still the…?

DR. J: It’s a cannula, yeah.

HOST: Is that how you do it nowadays, still?

DR. J: It still is. We still use different forms of cannulas. I use a power-assisted liposuction called vibration-assisted. It’s known as “tickle lipo” and that’s a good name and many people find it tickles as we try and get the fat out.

HOST: So, really, I guess I’m curious, when you see people dieting, do you feel liposuction is just a simpler, faster way to get rid of extra weight rather than this dieting approach?

DR. J: No. No, that’s a real important distinction to make, Mike. Liposuction is not a weight-loss technique and it’s real important to understand that.

HOST: Why is that?

DR. J: Well, because liposuction doesn’t affect the amount of calories in that you’re eating, or the amount of calories that you’re burning, at all. What liposuction does, it changes permanently where your body will tend to store fat. All of us are born with certain genetic tendencies of where we store fat. A lot of men put their fat in the beer belly. Some women get big saddle bags or tend to get a lot of fat in their lower tummy or in their inner thighs.

HOST: Can’t you liposuction all those areas so they all don’t?

DR. J: You can liposuction all those areas and you can change the shape of that area, but it won’t change the person’s weight unless they change their habits on eating and exercise.

HOST: Now, I’m curious, if they continue eating poorly, where does the fat begin to accumulate once you’ve covered the tummy, and the thighs, and the rest of it?

DR. J: There’s been a number of studies that look at that and, on women, about half the time, if you continue to weigh the same, you’ll see an increase in breast size – about half the time – from having liposuction in another area. The other half, it’s so evenly distributed throughout the body that there’s nowhere else that gets a noticeable or a measurable increase.

HOST: That almost sounds ideal in a way if you can just spread the fat out evenly.

DR. J: And that is what research has shown happens the majority of the time. If we take an area where fat is a problem or you don’t like your tummy – for example, your lower tummy – and we flatten it out and then, even if you don’t lose weight, the weight increase elsewhere is so evenly distributed that you get the benefit of the flat tummy without a noticeable increase somewhere else.

HOST: What are the top three procedures, would you say, right now in the US?

DR. J: In the US, number one is still breast augmentation with implants. Number two is liposuction. And, occasionally, those two will flip – those two are pretty much neck and neck as one or two. And then, the other’s quite a bit less frequently. Tummy tuck is probably still number three – assuming you don’t talk about, you know, obviously, botox and fillers.

HOST: The less invasive stuff. Amazing though, the liposuction, you say now, they used to knock you out. Now, it’s just local. They’re in and they’re right out the door, right?

DR. J: Correct. In, right out the door, local anesthesia.

HOST: Is there bruising though and are there other marks that happen?

DR. J: There’s some bruising, occasionally, and some areas bruise more than others. Inner thighs, for example, almost always bruise. Abdomens don’t bruise most of the time – you’ll get some bruising, but I’d probably say less than ten percent of abdomens bruise.

HOST: So, as a guy, if you’re in shape but you can’t get rid of the love handles, you actually can pull that out with liposuction and they’re gone?

DR. J: Absolutely. Not only that, but I can give you a six-pack without the push-ups or sit-ups.

HOST: Are you saying that, as soon as you leave the building, you’ve got a six-pack right there.

DR. J: That’s it.

HOST: Wow.

DR. J: That’s right.

HOST: That is inspiring.

DR. J: We can do that.

HOST: Give me a price on that. What does that cost?

DR. J: Well, again, abdomen and love handles, we usually charge around $5,000 to do the abdomen and the love handles.

HOST: Okay. That might be worth it. That might be worth it right there.

DR. J: It beats 10,000 sit-ups!

HOST: Dr. Johnson, thanks so much. Thanks!

DR. J: You have a good day.

Have questions?

Email us at with any questions that you may have or if you want to know what special offers that Innovations Medical may have regarding fat transfer, liposuction and their other cosmetic procedures. Contact our Dallas branch at 214-643-8665.

Dr. Bill Johnson MD, MMM Innovations Medical
Contact us with any questions or call our Dallas office at 214-643-8665.