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Augmentation Gluteoplasty

A Brazilian Perspective

Rosique, Rodrigo G., M.D., Ph.D.; Rosique, Marina J. F., M.D., Ph.D.

Plastic and Reconstructive Surgery: October 2018 - Volume 142 - Issue 4 - p 910–919
doi: 10.1097/PRS.0000000000004809
Cosmetic: Special Topics

Summary: According to recent data, augmentation gluteoplasty continues to gain popularity in the United States and globally, especially in procedures involving fat grafts. However, serious concerns about its safety have been raised over the past 2 years. Will this trend continue or has it already reached its peak? The answer depends on how the technique is going to be performed hereafter. In this article, the following seven learning objectives for performing gluteal augmentation safely and effectively are covered: (1) the concept of what is a beautiful buttock and how to select the patients who will have better outcomes; (2) diagram each patient’s needs for liposuction and graft; (3) use maneuvers for contouring and projection; (4) compare specific indications for fat graft and gluteal implants; (5) evaluate ptosis grade to indicate whether volume repositioning is sufficient; (6) formulate care protocols for risk management; and (7) develop lasting and high-satisfaction-rate results. It is pivotal to recognize each patient’s body characteristics and ability to achieve a good result, and to work on her expectations preoperatively and accordingly to perform the procedure in the safest manner possible.

CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, V.

Ribeirão Preto, São Paulo, Brazil

From Rosique Plastic Surgery.

Received for publication October 9, 2017; accepted March 1, 2018.

Presented at Plastic Surgery The Meeting 2015, Annual Meeting of the American Society of Plastic Surgeons, in Boston, Massachusetts, October 16 through 20, 2015; and Plastic Surgery The Meeting 2016, Annual Meeting of the American Society of Plastic Surgeons, in Los Angeles, California, September 23 through 27, 2016.

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 website (www.PRSJournal.com).

Rodrigo G. Rosique, M.D., Ph.D., Rosique Plastic Surgery, Avenue Antonio Diederichsen, 400, Conj. 1204, Ribeirão Preto, São Paulo, Brazil 14020-250, rodrigo@rosique.com.br

©2018American Society of Plastic Surgeons