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Gluteoplasty with Autologous Fat Tissue: Experience with 106 Consecutive Cases

Rosique, Rodrigo G. M.D., Ph.D.; Rosique, Marina J. F. M.D., Ph.D.; De Moraes, Carlos Gustavo M.D.

Plastic and Reconstructive Surgery: May 2015 - Volume 135 - Issue 5 - p 1381–1389
doi: 10.1097/PRS.0000000000001167
Cosmetic: Original Articles
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Background: The female waist-hip ratio of around 0.7 is reachable through liposuction and gluteal fat grafting. The authors evaluated the reliability of this technique.

Methods: Prospective evaluation was performed of all female patients subjected to gluteoplasty with autologous fat tissue between July of 2010 and July of 2013 without a weight change greater than 10 percent during follow-up. Results were evaluated through photographs. The degree of satisfaction (patient and surgeon) was assessed on a scale of 1 (poor outcome) to 4 (excellent improvement), and agreement was measured by Kappa statistics. The technique involved epidural anesthesia, tumescent infiltration, liposuction around the buttocks, fat decantation, and grafting with retrograde injection in different planes.

Results: A total of 106 patients were included. Patient age ranged between 18 and 62 years (mean, 33 years). The preoperative body mass index was between 19 and 31.6 kg/m2 (mean, 24.8 kg/m2). The volume grafted to the buttocks ranged between 180 and 840 cc (mean, 505 cc). There were no medical complications. Five patients (4.7 percent) had seroma in the donor area, 103 patients felt satisfied (97.1 percent), scoring 3 and 4, one patient (0.94 percent) complained of volume resorption 4 months postoperatively, and two patients (1.88 percent) asked to diminish their lateral gluteal volume (score 2) and underwent revision surgery 6 months postoperatively.

Conclusions: This gluteoplasty technique is simple and inexpensive, with minimal morbidity and excellent results. A good result depends on harmoniously combining fat elimination by liposuction and fat grafting for buttocks sculpting, with lasting results.

CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

Supplemental Digital Content is available in the text.

Goiás and São Paulo, Brazil; and New York, N.Y.

From the Department of Plastic Surgery, Federal University of Goiás, Brazil; the Department of Plastic Surgery, at University of São Paulo, Ribeirão Preto School of Medicine; and the Department of Ophthalmology and Clinical Trials Unit, Edward S. Harness Eye Institute, Columbia University Medical Center.

Received for publication May 5, 2014; September 9, 2014.

Presented at the 2013 Annual Meeting of the American Society of Plastic Surgeons, in San Diego, California, October 11 through 15, 2013.

Disclosure: The authors have no financial interest to declare in relation to the content of this article.

Supplemental digital content is available for this article. Direct URL citations appear in the text; simply type the URL address into any Web browser to access this content. Clickable links to the material are provided in the HTML text of this article on the Journal’s Web site (www.PRSJournal.com).

A "Hot Topic Video" by Editor-in-Chief Rod J. Rohrich, M.D., accompanies this article. Go to PRSJournal.com and click on "Plastic Surgery Hot Topics" in the "Videos" tab to watch.

Rodrigo G. Rosique, M.D., Ph.D., Rua 1123, n 232, Marista, Goiânia, Goiás 74175-070, Brazil, rodrigo@rosique.com.br

©2015American Society of Plastic Surgeons