Gluteoplasty With Autologous Fat Tissue

Introduction: The waist-hip ratio around 0.7 in females is a measure of beauty and sexual attractiveness in many cultures along history (1). The increase in gluteal volume is a recent surgical tool that enables the patient approaching this proportion (2). This paper aims to examine the reliability of gluteoplasty with autologous fat tissue to promote a lasting and satisfactory cosmetic result. Methods: Retrospective evaluation of all female patients subjected to liposculpture of the trunk and hips between July 2010 and July 2012. Were excluded all patients who had a weight change greater than 10% during the 12 months follow-up. The results were evaluated with preoperative and postoperative photographs (figures 1 and 2). The assessments considered the degree of satisfaction of patients and surgeons, using a scale of 1 to 4 (1, poor outcome, 4, excellent improvement). The technique used was epidural anesthesia, tumescent Infiltration of the fat tissue, liposuction of flanks, thighs roots, saddlebags and sub-gluteal region, fat decantation for 30 minutes and fat grafting with retrograde injection using 60cc syringe and blunt 3mm cannula in previously demarcated areas of the buttocks, in different planes, avoiding the grafting of large volume of fat in one area to prevent graft necrosis. Results: 58 patients met the criteria for inclusion in the study. The age ranged between 19 and 62 years (mean = 33.4 years). The height ranged between 145 and 179 cm. (Mean = 162 cm). The weight at the time of surgery ranged from 48 to 94 kilograms (mean = 64Kgs). The total volume grafted in each gluteal region ranged between 150 and 840 milliliters (mean = 486ml). There were no medical complications. 5 patients (8.6%) had seroma in the donor area treated with needle aspiration. 57 patients felt very satisfied (98,2%) taking note 4. 1 patient (1.72%) needed additional surgery after 6 months due to volume resorption complaint, reaching ultimate satisfaction (note 4). Conclusion: This gluteoplasty technique is simple and inexpensive, with minimal morbidity and excellent results. It is important to note that a good result does not depend on a lot of fat infiltration, but in a harmonious way of combining the two surgical procedures: the elimination of fat by liposuction and fat grafting for buttocks sculpting (3), even with lasting results (4).