Resumo

VALLARTA-RODRIGUEZ, R. Alfonso; RUIZ-TREVINO, Juan José  e  GUERRERO-BURGOS, Fernando. Three-dimensional gluteoplasty by precise volumetry. Cir. plást. iberolatinoam. [online]. 2016, vol.42, n.4, pp.321-329. ISSN 1989-2055.

Background and Objective. Gluteoplasty by lipoinjection must be a safe procedure that starting of a precise surgical plan, allows a moderate augmentation, emphasizing contours, and improving the natural shape of the buttock. It must enable us to deliver predictable, durable, and reproducible results, and must be applicable to a wide variety of patients. We present a new systemized surgical approach for buttock augmentation/ reshaping with lipografts that in addition to being reproducible, delivers consistent, natural and permanent results by strategically distributing volume into quadrants. Methods. Minimizing lipoaspirate manipulation, lipoinjection is performed in controlled quantities into 9 quadrants in each buttock. The central quadrant presents the maximum-projection zone and receives half of the total volume. Primary zones correspond to the 4 quadrants on X and Y axis; they receive 40% of the total volume. Secondary zones correspond to the quadrants between primary zones and they receive 10% or the total volume. Results. Between 2008 and 2013, we treated 75 patients for buttock augmentation/reshaping with the described technique, all women between 24 and 52 years old. All patients experienced a favorable convalescence. Nine patients underwent ambulatory seroma aspiration with complete resolution. There were no mayor complications in this series. Conclusions. We present a buttock augmentation/reshaping method by controlled lipoinjection that besides offering excellent, predictable, consistent, natural and permanent results, is logic-based and reproducible.

Palavras-chave : Gluteoplasty; Buttock augmentation; Gluteus; Lipoinjection; Fat grafting.

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