Cardenas Restrepo Juan Carlos, Muñoz Ahmed Jaime Alberto
Columbian Society of Plastic, Esthetic, Maxillofacial and Hand Surgery, Service of Plastic Surgery, Department of Surgery, University of Antioquia, Medellin, Colombia.
Aesthet Surg J. 2002 Jan;22(1):33-8. doi: 10.1067/maj.2002.121960.
Although placement of silicone implants remains the standard technique for gluteal augmentation, lipoinjection of autologous fat obtained from lipoplasty is emerging as an alternative procedure.
We report the results of large-volume lipoinjection of the gluteal region in a series of 96 patients.
Lipoplasty was performed by using the wet-technique conventional method with previous infiltration of approximately 0.5 mL of solution for each mL of fat extracted. Autologous fat was injected through incisions from 5 to 8 mm long in the intergluteal fold and infragluteal groove of each side. Lipoinjection continued until the desired aesthetic contour was achieved or until the tension of the soft tissues became evident. Most patients received between 300 and 500 mL of autologous fat.
A durable increase of the gluteal regions was achieved in all patients; all but 2 patients were satisfied with the results. Complications included paresthesias, small irregularities or asymmetries that did not require special treatment or cause patient dissatisfaction, and 1 case of septic shock as a result of gluteal cellulitis.
Large-volume lipoinjection is an alternative to silicone implants for augmentation of the gluteal area that can provide greater volume increase while eliminating the risk of implant rupture and the need for follow-up surgery. (Aesthetic Surg J 2002;22:33-38.).
尽管硅胶植入物的放置仍然是臀部增大的标准技术，但从脂肪抽吸术中获取的自体脂肪注射正成为一种替代方法。
我们报告了96例患者进行大剂量臀部脂肪注射的结果。
采用湿技术传统方法进行脂肪抽吸术，每抽吸1 mL脂肪预先注入约0.5 mL溶液。通过在每侧臀间沟和臀下沟5至8 mm长的切口注射自体脂肪。持续注射脂肪直到达到理想的美学轮廓或软组织张力明显。大多数患者接受了300至500 mL的自体脂肪。
所有患者的臀部区域均实现了持久增大；除2例患者外，所有患者对结果满意。并发症包括感觉异常、无需特殊治疗或未引起患者不满的小的不规则或不对称，以及1例因臀部蜂窝织炎导致的感染性休克。
大剂量脂肪注射是硅胶植入物用于臀部增大的一种替代方法，它可以提供更大的体积增加，同时消除植入物破裂的风险和后续手术的需要。（《美容外科学杂志》2002年；22:33 - 38。）
