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Staying Safe during Gluteal Fat Transplantation

Villanueva, Nathaniel L., M.D.; Del Vecchio, Daniel A., M.D.; Afrooz, Paul N., M.D.; Carboy, Jourdan A., B.S.; Rohrich, Rod J., M.D.

Plastic and Reconstructive Surgery: January 2018 - Volume 141 - Issue 1 - p 79-86
doi: 10.1097/PRS.0000000000003934
Cosmetic: Special Topics
Journal Club
Patient Safety CME
Watch Video
Video Discussion
Cover Article

Summary: Gluteal augmentation with fat transplantation is increasing in demand but has been associated with a concerning number of fatality reports. Despite these reports, various surgeons have safely performed gluteal fat transplantation on a large number of patients with no reported mortality. The important aspects of safely performing gluteal fat transplantation are reviewed. Proper patient selection, favorable instrumentation, patient positioning, proper technique, and knowledge of anatomy are critical to improving the safety of this procedure. Adherence to these key principles should allow a reduction in mortality from this procedure, which would safely allow its continued offering in the setting of increasingly high demand.

Video Discussion by Jamil Ahmad, M.D., is Available Online for this Article.This and Related “Classic” Articles Appear ON for Journal Club Discussions.

Dallas, Texas; and Boston, Mass.

From the Department of Plastic Surgery, University of Texas Southwestern Medical Center; Back Bay Plastic Surgery; and Dallas Plastic Surgery Institute.

Received for publication April 16, 2017; accepted June 30, 2017.

Disclosure:Dr. Rohrich receives instrument royalties from Eriem Surgical, Inc., and book royalties from Thieme Publishing. No funding was received for this article. Dr. Del Vecchio is a founder of Surgistem Technologies, LLC, a device company involved in fat transplantation, receives royalties from Microaire, and is a founding member of Peninsula Partners, LLC, a consulting firm in the plastic surgery sector.

A “Hot Topic Video” by Editor-in-Chief Rod J. Rohrich, M.D., accompanies this article. Go to and click on “Plastic Surgery Hot Topics” in the “Digital Media” tab to watch. On the iPad, tap on the Hot Topics icon.

A Video Discussion by Jamil Ahmad, M.D., accompanies this article. Go to and click on “Video Discussions” in the “Digital Media” tab to watch.

By reading this article, you are entitled to claim one (1) hour of AMA PRA Category 2 CME & Patient Safety Credit. ASPS members can claim this credit by logging in to Dashboard, clicking “Submit CME,” and completing the form.

Rod J. Rohrich, M.D., Dallas Plastic Surgery Institute, 9101 North Central Expressway, Suite 600, Dallas, Texas 75231,, Twitter: @DrRodRohrich, Instagram: @Rod.Rohrich

Copyright © 2017 by the American Society of Plastic Surgeons