Ashraf, M., Noaman, A., Elnaggar, A. (2021). Improving Supragluteal Contouring Using Curved Liposuction Cannulas Introduced Through a Single Midline Port. The Egyptian Journal of Plastic and Reconstructive Surgery, 45(1), 1-6. doi: 10.21608/ejprs.2021.165768
Mohamed Ashraf; Ayman Noaman; Ahmed Elnaggar. "Improving Supragluteal Contouring Using Curved Liposuction Cannulas Introduced Through a Single Midline Port". The Egyptian Journal of Plastic and Reconstructive Surgery, 45, 1, 2021, 1-6. doi: 10.21608/ejprs.2021.165768
Ashraf, M., Noaman, A., Elnaggar, A. (2021). 'Improving Supragluteal Contouring Using Curved Liposuction Cannulas Introduced Through a Single Midline Port', The Egyptian Journal of Plastic and Reconstructive Surgery, 45(1), pp. 1-6. doi: 10.21608/ejprs.2021.165768
Ashraf, M., Noaman, A., Elnaggar, A. Improving Supragluteal Contouring Using Curved Liposuction Cannulas Introduced Through a Single Midline Port. The Egyptian Journal of Plastic and Reconstructive Surgery, 2021; 45(1): 1-6. doi: 10.21608/ejprs.2021.165768
Improving Supragluteal Contouring Using Curved Liposuction Cannulas Introduced Through a Single Midline Port
The Department of Plastic & Reconstructive Surgery, Faculty of Medicine, Cairo University, Egypt
Abstract
Aim: The definition of beauty has changed in the last 10- 15 years where women seek more a highly defined curved body regarding buttocks in relation to the waist and thighs. The supragluteal area needs a long learning curve to have a smooth transition between the back and gluteal region. In our study we adopted a single port liposuction for this technically difficult region using a curved liposuction cannula instead of the usual three port site incisions and a straight cannula adopted by many surgeons. Method: From 2017-2020, 94 Female patients had gluteal augmentation using fat grafting and liposuction of the lower trunk, age ranging from 22-54 with a mean age of 32. Studying the use of a single incision in the intergluteal crease for liposuction of the supragluteal area using the curved shaft liposuction cannula size 3mm and size 4mm to reach the desired contour instead of adding another two paramedian supragluteal incisions. The main goal is to reach the upper lateral supragluteal region. Results: The transition zone between the lower back and buttocks was greatly achieved with a very high surgeon and patient satisfaction in more than 85% of the cases. (80 cases), There was no any major aesthetic complication in terms of Step-off's, irregularities, over-resection or musculanization. Conclusion: Curved liposuction cannulas can greatly contribute to minimizing unnecessary extra incisions to reach various areas in the body specially the technically challenging upper outer supragluteal region as mentioned in our study.
REFERENCES 1- Cuenca-Guerra R. and Quezada J.: What makes buttocks beautiful? A review and classification of the determinants of gluteal beauty and the surgical techniques to achieve them. Aesth. Plast. Surg., 28: 340-347, 2004. 2- Da Rocha R.P.: Surgical anatomy of the gluteal region's subcutaneous screen and its use in plastic surgery. Aesthetic Plast. Surg., 25: 140-144, 2001. 3- Bauccu O., Gozil R., Ozmen S., et al.: Gluteal region morphology: The effect of the weight gain and aging. Aesthetic Plast. Surg., 26: 130-133, 2002. 4- Mendieta C.: Gluteal reshaping. Aesthetic Surgery Journal, 27 (6): 641-655. doi:10.1016/j.asj.2007.09.001, 2007. 5- Mendieta C. and Stuzin J.M.: Gluteal Augmentation and Enhancement of the Female Silhouette. Plastic and Reconstructive Surgery, 141 (2): 306-311. doi:10.1097/ prs.0000000000004094, 2018. 6- Hoyos A.E. and Prendergast P.M.: High Definition Body Sculpting, doi:10.1007/978-3-642-54891-8, 2014. 7- Mendieta C.: Classifcation system for gluteal evaluation. Clin. Plast. Surg., 33: 333-346, 2006. 8- Wong W.W.1, Motakef S., Lin Y. and Gupta S.C.: Redefining the Ideal Buttocks: A Population Analysis Plast. Reconstr. Surg., 137 (6): 1739-47, 2016. 9- Heidekrueger P.I., Sinno S., Tanna N., Szpalski C., Juran S., Schmauss D., Ehrl D.Ng.R., Ninkovic M. and Broer P.N.: The Ideal Buttock Size: A Sociodemographic Morphometric Evaluation. Plast. Reconstr. Surg., 140 (1): 20e-32e, 2017. 10- Klien J.A.: The tumescent technique. Anesthesia and modified liposuction technique. Dermatol. Clin., 8 (3): 425-37, 1990. 11- Villanueva N.L., Del Vecchio D.A., Afrooz P.N., Carboy J.A. and Rohrich R.J.: Staying Safe during Gluteal Fat Transplantation. Plastic and Reconstructive Surgery, 141 (1): 79-86. doi:10.1097/prs.0000000000003934, 2018. 12- Kim Y.H., Cha S.M., Naidu S. and Hwang W.J.: Analysis of Postoperative Complications for Superficial Liposuction: A Review of 2398 Cases. Plastic and Reconstructive Surgery, 127 (2): 863-871. doi: 10.1097/prs.0b013e 318200afbf, 2011. 13- Thomas M., Menon H. and D'Silva J.: Surgical complications of lipoplasty-management and preventive strategies. Journal of Plastic, Reconstructive & Aesthetic Surgery, 63 (8): 1338-1343. doi:10.1016/j.bjps.2009.06.046, 2010. 14- Taha A.A., Wahba M.M. and Tahseen H.: Liposuction. Plastic and Reconstructive Surgery - Global Open, 8 (3): e2677. doi:10.1097/gox.0000000000002677, 2020. 15- Iverson R.E. and Pao V.S.: MOC-PS(SM) CME Article: Liposuction. Plastic and Reconstructive Surgery, 121 6 Vol. 45, No. 1 / Improving Supragluteal Contouring Using Curved Liposuction Cannulas (Supplement): 1-11. doi: 10.1097/01.prs.0000308480. 33644.56, 2008. 16- Bank J. and Song D.H.: Inexpensive Method of Liposuction Cannula Port-Site Protection. Aesthetic Plastic Surgery, 37 (4): 843-843. doi: 10.1007/s00266-013-0130-4, 2013. 17- Cheryl Hui* and Christopher Chui: Liposuction cannula port site protection: An innovative strategy, JPRAS Open. Jun., 16: 81-83, 2018. 18- Khoo L.S., Corona G.G., Radwanski H., Fernandes V.S. and Pitanguy I.H.: Inexpensive Method of Liposuction Cannula Port-Site Protection. Aesthetic Plastic Surgery, 38 (1): 256-257. doi: 10.1007/s00266-013-0241-y, 2013. 19- Beck D.O., Davis K. and Rohrich R.J.: Enhancing Lipoaspirate Efficiency by Altering Liposuction Cannula Design. Plastic and Reconstructive Surgery Global Open, 2 (10): e222. doi: 10.1097/gox.0000000000000101, 2014