Brazilian Buttocks: Fat Grafting Technique Standardization

Background: Buttocks are considered one of the main expressions of feminine beauty and sensuality, Aristotle said that the rounded shape of the buttocks was the most beautiful form of the human body.

The demand for aesthetic procedures in order to improve the appearance of this region is increasing more and more. This surely is a segment of plastic surgery booming. 

Materials and Methods: the author presents its standardization for the realization of the gluteal fat grafting. By using Vibroliposuction the fat collection is done in a closed system. For the fat grafting we  use the VibroLiposuction device with a especially desingnered adaptor. Fat grafting is done without manipulation of fat, reducing the chance of exogenous contamination.

The procedure is performed by dividing the gluteus in five subunits (upper, central, medial, lateral and bottom). Grafting is carried out homogeneously in all segments, after this step we put more volume in the upper and central segments, increasing the projection and the angulation of the gluteus. We end with the treatment of possible alterations, diagnosed preoperatively, which require overcorrection in any of these segments. Evaluating the effectiveness of the method evaluates the author of 1 year our experience using this technique, with 85 patients being treated in this period. Evaluating the technical execution facility compared to traditional fat grafting, in addition to its reproducibility in contralateral gluteus, safety, complications of income maintenance and patient satisfaction.

Results: This Brazilian Buttocks methodology allows us to perform the procedure with more comfort, safety and confidence since the procedure is very homogeneous, and easily reproducible.

            There were no cases of complications such as seroma, infection, liponecrose, skin necrosis, embolism, ....

            The absorption of fat shows up less than 10% of the volume, but still need a _ longer follow up to confirm this result.

            All patients are satisfied with the improvement in the appearance of their buttocks, which has done the demand for this procedure increase by 300% in my private practice.

            We also observed that this standardization has made teaching this procedure for residents, much easier, making them more confident and obtainning good results even with little experience