Rosique Rodrigo G, Rosique Marina J F, De Moraes Carlos Gustavo
Goiás and São Paulo, Brazil; and New York, N.Y. From the Department of Plastic Surgery, Federal University of Goiás, Brazil; the Department of Plastic Surgery, at University of São Paulo, Ribeirão Preto School of Medicine; and the Department of Ophthalmology and Clinical Trials Unit, Edward S. Harness Eye Institute, Columbia University Medical Center.
Plast Reconstr Surg. 2015 May;135(5):1381-1389. doi: 10.1097/PRS.0000000000001167.
The female waist-hip ratio of around 0.7 is reachable through liposuction and gluteal fat grafting. The authors evaluated the reliability of this technique.
Prospective evaluation was performed of all female patients subjected to gluteoplasty with autologous fat tissue between July of 2010 and July of 2013 without a weight change greater than 10 percent during follow-up. Results were evaluated through photographs. The degree of satisfaction (patient and surgeon) was assessed on a scale of 1 (poor outcome) to 4 (excellent improvement), and agreement was measured by Kappa statistics. The technique involved epidural anesthesia, tumescent infiltration, liposuction around the buttocks, fat decantation, and grafting with retrograde injection in different planes.
A total of 106 patients were included. Patient age ranged between 18 and 62 years (mean, 33 years). The preoperative body mass index was between 19 and 31.6 kg/m (mean, 24.8 kg/m). The volume grafted to the buttocks ranged between 180 and 840 cc (mean, 505 cc). There were no medical complications. Five patients (4.7 percent) had seroma in the donor area, 103 patients felt satisfied (97.1 percent), scoring 3 and 4, one patient (0.94 percent) complained of volume resorption 4 months postoperatively, and two patients (1.88 percent) asked to diminish their lateral gluteal volume (score 2) and underwent revision surgery 6 months postoperatively.
This gluteoplasty technique is simple and inexpensive, with minimal morbidity and excellent results. A good result depends on harmoniously combining fat elimination by liposuction and fat grafting for buttocks sculpting, with lasting results.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
通过抽脂和臀脂肪移植可使女性腰臀比达到约0.7。作者评估了该技术的可靠性。
对2010年7月至2013年7月间接受自体脂肪组织臀成形术的所有女性患者进行前瞻性评估，随访期间体重变化不超过10%。通过照片评估结果。满意度（患者和外科医生）按1分（效果差）至4分（改善极佳）进行评分，一致性通过Kappa统计量衡量。该技术包括硬膜外麻醉、肿胀液浸润、臀部抽脂、脂肪倾析以及在不同平面逆行注射移植。
共纳入106例患者。患者年龄在18至62岁之间（平均33岁）。术前体重指数在19至31.6 kg/m之间（平均24.8 kg/m）。移植到臀部的脂肪量在180至840 cc之间（平均505 cc）。无医疗并发症。5例患者（4.7%）供区出现血清肿，103例患者感到满意（97.1%），评分为3分和4分，1例患者（0.94%）术后4个月抱怨脂肪吸收，2例患者（1.88%）要求减小臀外侧体积（评分为2分），并在术后6个月接受了修复手术。
这种臀成形术技术简单、成本低，发病率极低且效果极佳。良好的效果取决于抽脂消除脂肪与脂肪移植塑造臀部的和谐结合，效果持久。
临床问题/证据级别：治疗性，IV级。
