Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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The Combined Effect of Autologous Fat Injection and Liposculpture for Gluteal Reshaping in Koreans

한국인에 있어 둔부몸매교정(Gluteal Reshaping)을 위한 자가지방주입술 및 지방흡입술의 효과

  • Received : 2009.11.27
  • Accepted : 2011.09.23
  • Published : 2011.11.10
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Abstract

Purpose: Together with the breast, buttocks are an important element of attractive body contour. To make a beautiful buttocks, improvement of body contour around the buttock as well as buttock augmentation and lifting is also important. The authors investigated characteristic features of buttocks in Koreans and report about the results of liposculpture and autologous fat injection for improving buttock's contour. Methods: We performed a retrospective study of 21 patients who would like to gluteal reshaping. We checked about buttock's ptosis, projection, depression, gluteal retraction and excessive fat accumulation around buttocks. Depending on it, we performed liposculpture and autologous fat injection. Under general anesthesia, we harvested fat from excessive fat accumulation areas around buttocks, and injected into buttocks medio-superiorly. Postoperatively, pillows were positioned on the bed not to press the buttocks which were injected with the fat. Results: Based on the shape of buttocks, A-shape is seen in 4 cases (19%), V-shape 3 cases (14%), squareshape 9 cases (43%), round-shape 5 cases (24%). Based on the Gonzalez's ptosis grading method, 1 degree ptosis is 1 case (4%), 2 degree ptosis is 6 cases (29%), 3 degree ptosis is 8 cases (38%), 4 degree ptosis is 6 cases (29%). There were no complications such as infection, hematoma, pain, dysparethesia. The subjective assessment of surgical results by patients was excellent. Conclusion: To make a beautiful buttock, improvement of body contour around the buttock as well as buttock augmentation and lifting is also important. Liposculpture and autologous fat grafting are very safe, useful and easy methods for improving buttock's contour.

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References

  1. Mendieta CG: Classification system for gluteal evaluation. Clin Plast Surg 33: 333, 2006 https://doi.org/10.1016/j.cps.2006.04.006
  2. Gonzalez R: Etiology, definition, and classification of gluteal ptosis. Aesthetic Plast Surg 30: 320, 2006 https://doi.org/10.1007/s00266-005-0051-y
  3. de la Pena JA, Rubio OV, Cano JP, Cedillo MC, Garces MT: History of gluteal augmentation. Clin Plast Surg 33: 307, 2006 https://doi.org/10.1016/j.cps.2006.04.003
  4. Aiache AE: Gluteal re-contouring with combination treatments: implants, liposuction, and fat transfer. Clin Plast Surg 33: 395, 2006 https://doi.org/10.1016/j.cps.2006.04.004
  5. Gonzalez R: Augmentation gluteoplasty: the XYZ method. Aesthetic Plast Surg 28: 417, 2004 https://doi.org/10.1007/s00266-004-3130-6
  6. Gonzalez R: Buttocks lifting: how and when to use medial, lateral, lower, and upper lifting techniques. Clin Plast Surg 33: 467, 2006 https://doi.org/10.1016/j.cps.2006.05.003
  7. Sozer SO, Agullo FJ, Palladino H: Spiral lift: medial and lateral thigh lift with buttock lift and augmentation. Aesthetic Plast Surg 32: 120, 2008 https://doi.org/10.1007/s00266-007-9036-3
  8. Raposo-Amaral CE, Ferreira DM, Warren SM, Magna LA, Ferreira LM: Quantifying augmentation gluteoplasty outcomes: a comparison of three instruments used to measure gluteal projection. Aesthetic Plast Surg 32: 333, 2008 https://doi.org/10.1007/s00266-007-9058-x
  9. Cuenca-Guerra R, Lugo-Beltran I: Beautiful buttocks: characteristics and surgical techniques. Clin Plast Surg 33: 321, 2006 https://doi.org/10.1016/j.cps.2006.04.002
  10. Pedroza LV: Fat transplantation to the buttocks and legs for aesthetic enhancement or correction of deformities: long-term results of large volumes of fat transplant. Dermatol Surg 26: 1145, 2000 https://doi.org/10.1046/j.1524-4725.2000.00276.x
  11. Mendieta CG: Intramuscular gluteal augmentation technique. Clin Plast Surg 33: 423, 2006 https://doi.org/10.1016/j.cps.2006.05.004