Khachaba, Y., Al Shaheer, A., Zaki, H., Gad, S. (2025). Relationship between Injected Fat Volume and Gluteal Augmentation Outcomes: A Prospective Case Series. The Egyptian Journal of Plastic and Reconstructive Surgery, 49(3), 187-195. doi: 10.21608/ejprs.2025.444129
Youcef A Khachaba; Abdalla Al Shaheer; Hatem H Zaki; Shaimaa Mostafa Gad. "Relationship between Injected Fat Volume and Gluteal Augmentation Outcomes: A Prospective Case Series". The Egyptian Journal of Plastic and Reconstructive Surgery, 49, 3, 2025, 187-195. doi: 10.21608/ejprs.2025.444129
Khachaba, Y., Al Shaheer, A., Zaki, H., Gad, S. (2025). 'Relationship between Injected Fat Volume and Gluteal Augmentation Outcomes: A Prospective Case Series', The Egyptian Journal of Plastic and Reconstructive Surgery, 49(3), pp. 187-195. doi: 10.21608/ejprs.2025.444129
Khachaba, Y., Al Shaheer, A., Zaki, H., Gad, S. Relationship between Injected Fat Volume and Gluteal Augmentation Outcomes: A Prospective Case Series. The Egyptian Journal of Plastic and Reconstructive Surgery, 2025; 49(3): 187-195. doi: 10.21608/ejprs.2025.444129
Relationship between Injected Fat Volume and Gluteal Augmentation Outcomes: A Prospective Case Series
1The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Cairo University
2The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Assiut University
Abstract
Background: Gluteal fat transfer has witnessed a rapid increase in popularity, with fat transfer becoming an essential used tool in aesthetic surgery. Many studies detailed the technique of the procedure, while few explored the amount of fat needed for optimum results. This study aims to investigate the volume of fat that needs to be injected into the buttock, about the total surface area injected, and if that would be affected by the presence of preoperative gluteal ptosis. Methods: This study included 20 female patients seeking glutleoplasty by fat transfer. Patients were assessed preoperatively, and preoperative gluteal projection was recorded. They underwent gluteal augmentation using autologous fat transfer. Postoperatively, they were assessed, and postoperative gluteal projection was recorded immediately, at 1-month, and 2-months. The volume of fat injected per centimeter was calculated. Results: The mean volume of injection per unit area within the study was 5.24ml/cm2 (2.91-7.88ml/cm2). Mean postoperative gluteal projection (immediately: 19.72cm, at 1-month: 20.90cm, at 2 months: 20.22 cm), was significantly higher than the mean preoperative projection (16.92cm). The area of injection was significantly higher in cases with ptosis (187cm2), than in cases without ptosis (158.67cm2). Conclusions: There was a significant improvement in postoperative projection immediately, at 1 and 2 months, with theThe highest projection was achieved at 1-month postoperatively. TheThe mean volume of injection per unit area within the study was 5.24ml/cm2.
Dai Y., Chen Y., Hu Y. and Zhang L.: Current Knowledge and Future Perspectives of Buttock Augmentation: A Bibliometric Analysis from 1999 to 2021. Aesthetic Plast Surg., 47 (3): 1091-1103, 2023. doi:10.1007/s00266-022- 03140-x. 2- Rosique R.G. and Rosique M.J.F.: Augmentation Glutleoplasty: A Brazilian Perspective. Plast. Reconstr. Surg., 142 (4): 910-919, 2018. doi:10.1097/PRS.0000000000004809. 3- Fiedler L.S., Saleh D.B. and Mukrowsky A.: Autologous fat grafting in the face and <scp>neck: Multinational</ scp> trends and knowledge of the safety, applications, and indications considering oncologic risk potential. Laryngoscope Investig Otolaryngol., 6 (5): 1024-1030, 2021. doi:10.1002/lio2.649. 4- Khachaba Y., Ashour T., Aboul Nasr L. and Zamer S.: Assessment of Different Modalities in Gluteoplasty. The American Journal of Cosmetic Surgery, 36 (2): 57-70, 2019. doi:10.1177/0748806818793814. 5- Che D. hui and Xiao Z. bo: Gluteal Augmentation with Fat Grafting: Literature Review. Aesthetic Plast. Surg., 45 (4): 1633-1641, 2021. doi:10.1007/s00266-020-02038-w. 6- Ghavami A., Villanueva N.L. and Amirlak B.: Gluteal Ligamentous Anatomy and Its Implication in Safe Buttock Augmentation. Plast. Reconstr. Surg., 142 (2): 363-371, 2018. doi:10.1097/PRS.0000000000004588. 7- Mendieta C.G. and Sood A.: Classification System for Gluteal Evaluation. Clin. Plast. Surg., 45 (2): 159-177, 2018. doi: 10.1016/j.cps.2017.12.013. 8- Del Vecchio D.A., Villanueva N.L., Mohan R., Johnson B., Wan D., Venkataram A., et al.: Clinical Implications of Gluteal Fat Graft Migration: A Dynamic Anatomical Study. Plast. Reconstr. Surg., 142 (5): 1180-1192, 2018. doi:10.1097/PRS.0000000000005020. 9- Oranges C.M., Tremp M., di Summa P.G., Haug M., Kalbermatten D.F., Harder Y., et al.: Gluteal Augmentation Techniques: A Comprehensive Literature Review. Aesthet Surg. J., 37 (5): 560-569, 2017. doi:10.1093 /asj/sjw240. 10- Mendieta C. and Stuzin J.M.: Gluteal Augmentation and Enhancement of the Female Silhouette: Analysis and Technique. Plast. Reconstr. Surg., 141 (2): 306-311, 2018. doi:10.1097/PRS.0000000000004094. 11- Wong W.W., Motakef S., Lin Y. and Gupta S.C.: Redefining the Ideal Buttocks: A Population Analysis. Plast. Reconstr. Surg., 137 (6): 1739-1747, 2016. doi:10.1097/ PRS.0000000000002192. 12- Gonzalez R.: Etiology, Definition, and Classification of Gluteal Ptosis. Aesthetic Plast. Surg., 30 (3): 320-326, 2006. doi:10.1007/s00266-005-0051-y. 13- Aytaç S.: Submuscular Gluteal Augmentation and Lipoplasty for Buttock Beautification. Plast. Reconstr. Surg. Glob. Open., 9 (5): e3576, 2021. doi:10.1097/ GOX.0000000000003576. 14- Elsaftawy A., Ostrowski P., Bonczar M., Stolarski M., Gabryszuk K. and Bonczar T.: Buttock Augmentation with Ultrasonic Liposuction and Ultrasound-Guided Fat Grafting: A Retrospective Analysis Based on 185 Patients. J. Clin. Med., 13 (6): 1526, 2024. doi:10.3390/jcm13061526. 15- Singh D. and Randall P.K.: Beauty is in the eye of the plastic surgeon: Waist–hip ratio (WHR) and women’s attractiveness. Pers Individ Dif., 43 (2): 329-340, 2007. doi: 10.1016/j.paid.2006.12.003. 16- Sadideen H., Akhavani M.A., Mosahebi A. and Harris P.A.: Current perceptions of ‘Brazilian butt lift’ (BBL) surgery Egypt, J. Plast. Reconstr. Surg., July 2025 195 in the UK: A BAAPS-led survey of BAAPS members. Journal of Plastic, Reconstructive & Aesthetic Surgery, 73 (11): 1966-1975, 2020. doi: 10.1016/j.bjps.2020.08.068. 17- Abdul Nasser Khallaf: Buttock Augmentation with Fat Tansfer: Experience with 200 Cases. European Journal of Pharmaceutical and Medical Research, 4 (7): 118-124, 2017. 18- Willemsen J.C.N., Lindenblatt N. and Stevens H.P.J.D.: Results and long-term patient satisfaction after gluteal augmentation with platelet-rich plasma-enriched autologous fat. Eur. J. Plast. Surg., 36 (12): 777-782, 2013. doi:10.1007/s00238-013-0887-3. 19- Cansancao A.L., Condé-Green A., David J.A. and Vidigal R.A.: Subcutaneous-Only Gluteal Fat Grafting: A Prospective Study of the Long-Term Results with Ultrasound Analysis. Plast Reconstr Surg., 143 (2): 447-451, 2019. doi:10.1097/PRS.0000000000005203. 20- Raposio E. Baldelli I., Vappiani M., Gualdi A. and Raposic G.: The ideal buttock; Some aesthetic and morphometric considerations Eur. J. Plast. Surg., 46: 915-21, 2023. 21- Swanson E.: Prospective Controlled Study of Buttock Fat Transfer Using Ultrasound and Photographic Measurements. Plast. Reconstr. Surg. Glob. Open., 4 (5): e697, 2016. doi:10.1097/GOX.0000000000000700. 22- El Naggary A. and Aziz W.: Safety and Efficacy of Combined Gluteal Lipofilling with Silicone Cohesive Implants for Gluteal Enhancement in an Egyptian Population. The Egyptian Journal of Plastic and Reconstructive Surgery, 43 (3): 497-501, 2020. doi:10.21608/ejprs.2020.68205. 23- Ramon C.G. and Jorge Quezada: Mexico What Makes Buttock Beautiful A Review and Classification of the Determinants of Gluteal Beauty and The Surgical Techniques to Achieve Them. Aesthetic Plastic Surgery, 28: 340-347, 2004.