Safety and Efficacy of Combined Gluteal Lipofilling with Silicone Cohesive Implants for Gluteal Enhancement in an Egyptian Population

Document Type : Original Article

Authors

1 The Departments of Plastic Surgery, Faculty of Medicine, Fayoum University

2 The Department of General Surgery, Faculty of Medicine, Cairo University

Abstract

Background: Buttock augmentation surgery is on the rise
in the recent years. Different approaches exist with different
advantages and complication rates. Furthermore, ethnic groups
might have different aesthetic demands.
Material and Methods: Here, we describe our experience
with a combined lipofilling and silicone implant approach in
20 female Egyptian patients.
Results: Our results reveal both an objective success with
an average achieved waist-to-hip ratio of 0.78 after 6 months
post-operatively, together with a subjective success with
statistically-significantly higher scores reported by both the
patients and two independent aesthetic surgeons. Our complication
rates were minimal and planned for.
Conclusion: Gluteal lipofilling can thus safely and effectively
be combined with silicone implants for gluteal enhancement,
giving better shape and projection and avoiding implant
dissatisfaction.

Keywords

Main Subjects


1- Cárdenas-Camarena L., Arenas-Quintana R. and Robles-
Cervantes J.A.: Buttocks Fat Grafting: 14 Years of Evolution
and Experience. Plast. Reconstr. Surg., Aug., 128
(2): 545-55, 2011.
2- Wong W.W., Motakef S., Lin Y. and Gupta S.C.: Redefining
the Ideal Buttocks. Plast. Reconstr. Surg., Jun., 137 (6):
1739-47, 2016.
3- Heidekrueger P.I., Sinno S., Tanna N., Szpalski C., Juran
S., Schmauss D., et al.: The Ideal Buttock Size. Plast.
Reconstr. Surg., Jul., 140 (1): 20e-32e, 2017.
4- Rosique R.G., Rosique M.J.F. and De Moraes C.G.:
Gluteoplasty with Autologous Fat Tissue. Plast. Reconstr.
Surg., May, 135 (5): 1381-9, 2015.
5- Cuenca-Guerra R. and Lugo-Beltran I.: Beautiful Buttocks:
Characteristics and Surgical Techniques. Clin. Plast. Surg.,
Jul., 33 (3): 321-32, 2006.
6- Lancerotto L., Chin M.S., Freniere B., Lujan-Hernandez
J.R., Li Q., Vasquez A.V., et al.: Mechanisms of Action
of External Volume Expansion Devices. Plast. Reconstr.
Surg., Sep., 132 (3): 569-78, 2013.
7- Oranges C.M., Gohritz A., Kalbermatten D.F. and Schaefer
D.J.: Ethnic Gluteoplasty. Plast. Reconstr. Surg., Oct.,
138 (4): 783e-784e, 2016.
8- 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. Aesthetic
Surg. J., May, 37 (5): 560-9, 2017.
9- Murillo W.L.: Buttock augmentation: Case studies of fat
injection monitored by magnetic resonance imaging. Plast.
Reconstr. Surg., Nov., 114 (6): 1606-14-6, 2004.
10- Sinno S., Chang J.B., Brownstone N.D., Saadeh P.B. and
Wall S.: Determining the Safety and Efficacy of Gluteal
Augmentation. Plast. Reconstr. Surg., Apr., 137 (4): 1151-
6, 2016.
11- Villanueva N.L., Del Vecchio D.A., Afrooz P.N., Carboy
J.A. and Rohrich R.J.: Staying Safe during Gluteal Fat
Transplantation. Plast. Reconstr. Surg., Jan., 141 (1): 79-
86, 2018.
12- Ali A.: Contouring of the Gluteal Region in Women. Ann.
Plast. Surg., Sep., 67 (3): 209-14, 2011.
13- Mendieta C.G.: Classification System for Gluteal Evaluation.
Clin. Plast. Surg., Jul., 33 (3): 333-46, 2006.
14- Lee E.I., Roberts T.L. and Bruner T.W.: Ethnic considerations
in buttock aesthetics. Semin. Plast. Surg., Aug., 23
(3): 232-43, 2009.
15- Godoy P.M. and Munhoz A.M.: Intramuscular Gluteal
Augmentation with Implants Associated with Immediate
Fat Grafting. Clin. Plast. Surg., Apr., 45 (2): 203-15,
2018.
16- Biguria R. and Ziegler O.R.: Silicone Migration after
Buttock Augmentation. Plast. Reconstr. Surgery Glob.
Open, Dec., 5 (12): e1583, 2017.
17- Cárdenas-Camarena L., Bayter J.E., Aguirre-Serrano H.
and Cuenca-Pardo J.: Deaths Caused by Gluteal Lipoinjection.
Plast. Reconstr. Surg., Jul., 136 (1): 58-66, 2015.
18- Mofid M.M., Teitelbaum S., Suissa D., Ramirez-Montañana
A., Astarita D.C., Mendieta C., et al. Report on Mortality
from Gluteal Fat Grafting: Recommendations from the
ASERF Task Force. Aesthetic Surg. J., Jul. 1, 37 (7): 796-
806, 2017.
19- Swanson E.: Prospective Controlled Study of Buttock Fat
Transfer Using Ultrasound and Photographic Measurements.
Plast. Reconstr. Surgery Glob. Open, May 4, 4
(5): e697-e697, 2016