Dr de Benito is a plastic surgeon in private practice in Barcelona, Spain.
Aesthet Surg J. 2013 Sep;33(3 Suppl):82S-9S. doi: 10.1177/1090820X13499364.
The authors present their minimally invasive gluteopexy technique, using polypropylene 2-0 sutures with 10 absorbable polylactic cones in their distal section (Silhouette Lift, Irvine, California) to improve the anteroposterior projection of the gluteal region. Histological study of the reaction of adipose tissue surrounding the cones previously has shown that, 3 months after insertion of the sutures, fibrous scar tissue is sufficiently developed to resist the weight of the tissues. On the basis of this finding, the authors decided to perform the gluteopexy with sutures, in 2 surgical steps. During the first step, the sutures are inserted in the adipose tissue without any proximal fixation. In the second step, performed 3 months after the first procedure when the fibrous reaction is more solid, the sutures are tightened to obtain the gluteopexy. Among the advantages of this technique are its simplicity, the fact that it produces no traumatic effects, and the fact that it can be performed with local anesthetic, reducing surgical time. It is also possible to combine this procedure with lipofilling or liposuction techniques.
作者提出了他们的微创臀提升技术，使用带有 10 个可吸收聚乳酸锥体的 2-0 聚丙烯缝线（Silhouette Lift，加利福尼亚州欧文），以改善臀部区域的前后投影。先前对锥体周围脂肪组织反应的组织学研究表明，缝线插入 3 个月后，纤维性瘢痕组织已充分发育，足以抵抗组织的重量。基于这一发现，作者决定分两步进行臀提升术，使用缝线。在第一步中，缝线插入脂肪组织中，近端不固定。在第二步中，在第一次手术后 3 个月进行，此时纤维反应更加牢固，收紧缝线以获得臀提升效果。该技术的优点包括操作简单、无创伤、可在局部麻醉下进行，从而缩短手术时间。还可以将该手术与脂肪填充或吸脂技术相结合。
