BUTTOCK AUGMENTATION WITH FAT TRANSERFERE: EXPERIENCE WITH 200 CASES
Abdel Nasser M. Khallaf, M.D*
Background: Anatomical features that make the buttocks attractive include adequate volume, projection, and a defined infragluteal fold. simple and reproducible surgical technique for gluteal shaping and augmentation with autologous fat is needed. 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 2011 and July of 2015 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 200 patients were included. Patient age ranged between 22 and 60 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 350 and 1000 cc (mean, 700 cc). There were no medical complications. 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.
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