Intramuscular Gluteal Augmentation with Implants Associated with Immediate Fat Grafting - 07/03/18

Doi : 10.1016/j.cps.2017.12.004

Paulo Miranda Godoy, MD ^a,^⁎ , Alexandre Mendonça Munhoz, MD, PhD ^a,^b,^c,^d,^{^{1
Present address: Rua Mato Grosso, 306 cj. 1706 – Higienópolis, São Paulo, São Paulo 01239-040, Brazil.}}
^a Hospital Moriah, São Paulo, São Paulo, Brazil
^b Hospital Sírio-Libanês, São Paulo, São Paulo, Brazil
^c Cancer Institute of São Paulo, University of São Paulo, São Paulo, São Paulo, Brazil
^d Plastic Surgery Division, University of São Paulo School of Medicine, São Paulo, São Paulo, Brazil

^∗Corresponding author. Rua Iguatemi 44, Itaim Bibi, São Paulo, São Paulo 01451-010, Brazil.Rua Iguatemi 44Itaim BibiSão PauloSão Paulo01451-010Brazil

Résumé

This article presents an overview of intramuscular gluteal augmentation involving primary and secondary augmentation with implants. Although gluteal augmentation is a well-studied procedure, few reports have described the intramuscular technique or this technique in association with lipofilling. This article presents experience with a combined technique; this recent innovation combines placement of an anatomic silicone gel implant underneath the gluteus maximus and immediate fat grafting. Primary and secondary gluteal augmentations using implants resulted in satisfactory outcomes. A majority of complications were minor, predictable, and did not affect aesthetic outcome or normal postoperative recovery. Success depends on patient selection and careful intraoperative and postoperative management.

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Keywords : Gluteal augmentation, Silicone implant, Fat grafting, Intramuscular approach, Outcome, Complications

Plan

Key points

Introduction

The evolution of the implant pocket and the intramuscular approach

Autologous fat grafting

Surgical planning/technique

Patient Selection

Preoperative Evaluation/Planning

Disclosures: Dr A.M. Munhoz is a consultant to Allergan Corporations and Motiva/Establishment Labs. Dr P.M. Godoy has nothing to disclose.

Contributor’s Statement: P.M. Godoy is principal investigator of this study. A.M. Munhoz is coinvestigator. The principal investigator made significant contributions to the conception and design of this study. A.M. Munhoz made substantial contributions to the acquisition, analysis, and interpretation of data. P.M. Godoy and A.M. Munhoz drafted the article. All authors revised the article for intellectual content, gave final approval of the version to be published, and have sufficiently participated in the work to take public responsibility for appropriate portions of the content.