June 28, 2022
Paula Oliveira attends.  Controversial technology

Paula Oliveira attends. Controversial technology

“The first celebrity butt I attended was Gretchen,” says Dr. Pat’s Natasha Ramos. “She came to me with so many complaints of looseness, really unbelievable aesthetics. She told me that if I didn’t show results, she would spread word that the technique wasn’t good,” laughs the pharmacist, standing between a fence of the 70 patients he sees daily.

Natasha Ramos, 30, is a specialist in plastic surgery and cares for the most famous buttocks in Brazil. The search for the perfect butt has made celebrities like Claudia Raia and Paula Oliveira Bruna Marquezineand Juju Salimeni and Flayslane via the hands of a beautician from Curitiba, who claims to have devised a safe and effective way to combat sagging in the gluteal area.

Gretchen poses with Natasha Ramos, “Dr. Pat”

Photo: personal archive

The treatment is called Round Gluteus, and it consists in the direct application (using a syringe) of biostimulants – substances that stimulate collagen production in the area. The promised effects are a flattering butt and cellulite reduction in the area, which appears 30 days after the first session. However, the peak of the result appears within six months.

The pharmacist recommends that clients do at least three treatment sessions, with a 15-day break in between, each costing R$4,000.

The biostimulator makes the body produce collagen. A natural product that is compatible with the body. I don’t inject any final substance – Natasha Ramos

However, pharmaceuticals do not disclose which biostimulators they use in treatment. “I’m not talking about the formula, because it’s subject to my intellectual property rights,” says Natasha, who registered Round Gluteus as her patent at Inpi (National Institute of Industrial Property) two years ago. She says she does not reveal the secret to patients.

“As a pharmacist, I’ve always been passionate about chemical formulas, so I decided to pair my favorite active ingredients with some collagen-boosting biostimulants and create my own protocol.”

There may be risks

However, the safety of this type of procedure is questioned by clinicians and professionals in this field. Alexandre Kataoka, physician in charge of the Depro (Department of Ethics and Professional Defense) of the Brazilian Society of Plastic Surgery, warns of the risks of treatment.

The product can cause an infection if it is inserted into a vein or artery, for example. In the worst case, the condition can progress to embolism, thrombosis, and even death of the patient.

Pharmacy Council Resolution No. 616 of 2015 allows aesthetic health professionals to apply carboxylate therapy, microneedling, Botox, and collagen biomimetic by injection. In 2017, a new decision gave pharmacists permission to perform high-support lift wires and laser treatments.

Pedro Coltro, a plastic surgeon and member of the Brazilian Society of Plastic Surgery, stresses that although pharmacists can apply legally, it is not always safe.

“The pharmacist does not have enough knowledge of the body to know where the blood vessels pass, where the product may be located, and the dangers of a solution not concentrated in the nerve.”

What product is being applied?

Pharmacist Natasha Ramos uses biostimulants on Claudia Raya's buttocks - Instagram Play - Instagram Play

Pharmacist Natasha Ramos uses biostimulants on Claudia Raya’s buttocks

Photo: Instagram Play

It is difficult for experts to assess the effectiveness of the formula, because Natasha did not disclose it. But according to Alexander Kataoka, there are no patents on aesthetic procedures. He explains that any kind of bioactive protocol is dangerous, because it’s like a filler.

It is the duty of the professional to inform the patient which product is being applied. These days they use the word “biologically active” as a euphemism for products that actually pose the same risks as liquid silicone, PMMA, or hydrogels.

It also points out that any action with an invasive product is dangerous. “Complications are catastrophic, leaving lifelong sequels.”

“Every Brazilian wants a nice butt”

The creation of the remedy came at the request of Natasha herself. “I had a big butt, but it wasn’t round. When I entered pharmacy school, I started an internship in cosmetology clinics and focused my career on the area. That’s when I started looking for a formula to improve my butt muscles, and with a professor, I developed the Round Glute technique.”

Currently, Natasha’s teacher, Higor Guerim, is the cosmetologist’s husband and partner. “At first, I applied the formulations to my buttocks. I saw it working and started applying it to clients. Every Brazilian wants to have beautiful buttocks,” says the esthetician.

I see my therapy as a formula for women’s empowerment. Many patients say that everything changed after they went through the protocol.

The beauty expert believes that “the butt makes the difference in a woman’s life.” She recalls cases of patients who arrived at the office with low self-esteem, and were discouraged by their partners.

“It has changed the lives of many women. I have a patient whose husband was threatening to separate because of his ass, and after undergoing the operation, he restored the relationship,” he commented.

The success that came from Instagram

The protocol name was created by Natasha. The word “circular” in Portuguese means “circular”. Once the treatment is completed, the cosmetologist posts videos on Instagram in which they stamp clients’ buttocks with “quality butt”.

She tells us where the idea came from: “The patients said, ‘Oh, my ass is so beautiful, I’m going to put your name on it. “So I created the seal to leave my name on all butts.”

On Instagram, Natasha has more than 100,000 followers. It was there, with publications before and after, that the treatment gained fame. This type of job is prohibited by the Federal Board of Medicine. “No specialist can publish before and after patients. This is a promise of guaranteed results, and it is also prohibited by consumer protection law. When we talk about the human body, you cannot make such promises,” Alexander says.

Natasha says she does not guarantee “any kind of results for the patient.”

We work with living organisms, and results depend on several factors, such as a healthy diet and physical activity. We only promise to put the best aesthetic assets into the client’s body.

Also according to Alexander, who also works as an expert at Imesc (Institute of Social Medicine and Criminology) in São Paulo, since 2015 – the period when non-physicians were released to use injectable products – there has been a nearly 300% increase in clinical errors in procedures Aesthetic.

He believes that this growth is linked to the popularization of images and the marketing and dissemination of aesthetic procedures on social media. Nowadays, people open any Instagram profile, only see photos posted by professionals and already schedule a treatment, without knowing their background.

Last year, the SBCP (Brazilian Society of Plastic Surgery) conducted a survey of aesthetics-related hashtags, such as #facial contouring, #filling, #botox, #plastic, and #abdominoplasty.

“Surprisingly, most of the profiles using these hashtags are non-medical or non-specialist, and advertise plastic surgery as if they were simple consumer gadgets,” warns Dénis Calazans, president of the SBCP.

The Board does not report on complaints

The Federal Council of Pharmacy of Brazil reported that Natasha has the required specialization to work as a cosmetic pharmacist. The agency, for reasons of confidentiality, could not report whether there were reports of a medical error against the professional. On the TJ website, there is also no information about the lawsuits against the beautician.

Natasha says she’s never had medical complications in her patients: “The most common were complaints that the outcome wasn’t good, and we’ve never seen any clinical complications.”

According to the Pharmacy Council, there is no protocol regarding the use of the term “Doctor” for professionals in the field – Natasha has adopted the title “Doctor Pat” for herself. Her only concern is a possible relationship between her and “Dr. Pat”, the doctor who became famous for his unsuccessful cases of hydrogel application.

“I’ve adopted the name and am turning it into something cool with a more natural procedure,” says the esthetician, who only has an agenda from 2023 onwards.