Mendieta Constantino G
Aesthet Surg J. 2003 Nov-Dec;23(6):441-55. doi: 10.1016/j.asj.2003.09.008.
The buttocks region has been associated with allure and sex appeal for centuries. Although gluteoplasty employing silicone implants has been practiced for more than 30 years, little has been written on how to evaluate and reshape the area or how to select and place the various implants that are available.
In this article, the clinical anatomy of the buttocks area is reviewed, the properties of silicone elastomer gluteal implants are summarized, and an approach to evaluation and augmentation of the gluteal area involving solid silicone elastomer implants is presented.
The buttocks were augmented through a single intergluteal incision with the use of implants placed in the intramuscular position. Lipoplasty and fat transfers were also performed in most patients to further contour the gluteal region.
Between February 2002 and May 2003, 73 gluteal augmentations were performed, with a high rate of patient satisfaction. Although wound dehiscence remained an issue (30%), implant removal and implant infection rates were low (2%).
An understanding of implant shapes, sizes, and firmness will aid the surgeon in the selection of the most appropriate implant on the basis of the individual patient's gluteal anatomy. Intramuscular implant placement will result in a more natural shape, help prevent implant migration, and, most important, help reduce implant removal rates. (Aesthetic Surg J 2003;23:441-455.).
几个世纪以来，臀部区域一直与魅力和性感联系在一起。尽管使用硅胶植入物的臀部整形手术已经开展了30多年，但关于如何评估和重塑该区域，以及如何选择和放置现有的各种植入物的相关文献却很少。
本文回顾了臀部区域的临床解剖结构，总结了硅胶弹性体臀部植入物的特性，并介绍了一种使用固体硅胶弹性体植入物评估和增大臀部区域的方法。
通过单一臀间切口，将植入物置于肌肉内位置来增大臀部。大多数患者还进行了脂肪抽吸术和脂肪移植，以进一步塑形臀部区域。
在2002年2月至2003年5月期间，共进行了73例臀部增大手术，患者满意度较高。尽管伤口裂开仍是一个问题（30%），但植入物取出率和植入物感染率较低（2%）。
了解植入物的形状、大小和硬度，将有助于外科医生根据个体患者的臀部解剖结构选择最合适的植入物。肌肉内植入物放置将产生更自然的形状，有助于防止植入物移位，最重要的是，有助于降低植入物取出率。（《美容外科杂志》2003年；23:441 - 455）
