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Cirugía Plástica Ibero-Latinoamericana

versión On-line ISSN 1989-2055versión impresa ISSN 0376-7892


TAVARES FILHO, João M; FRANCO, Diogo; DEMOLINARIO, Iván  y  FRANCO, Talita. Sacral contouring in gluteal lifts after massive weight loss. Cir. plást. iberolatinoam. [online]. 2021, vol.47, n.4, pp.359-364.  Epub 28-Mar-2022. ISSN 1989-2055.

Background and objective.

Alterations in the gluteal region after significant weight loss or bariatric surgery appear as sagging skin, reduced adipose tissue and loss of muscle mass, causing a variety of complaints from patients. Unlike the authors who pre-define the amount of tissue to be resected in the sacral region, we performed this refinement at the end of the operation, allowing the removal of more skin, correcting asymmetric aspects and shaping the gluteal sulcus, depending on the individual anatomy.


Fifteen patients underwent gluteal lifting. In 12 we used an adipose flap to project the upper half of the gluteal region. In 3 of them, in addition to the adipose flap, we included a silicone prosthesis through the same incision.


Among our 15 patients we noticed the following occurrences: 1 case of hematoma treated only with aspiration puncture; 2 cases of seroma with spontaneous drainage through the surgical wound; and 2 cases of partial dehiscence of the sutures, with scar revision required in only 1 of these cases.


In our experience, the skin adjustment of the sacral region performed at the end of a gluteal lifting, provides better symmetry and more precise positioning of the new gluteal groove.

Palabras clave : Gluteal region; Buttocks; Buttocks surgery.

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