Division of Plastic Surgery, Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Av. Bandeirantes, 3900, 9º andar, Monte Alegre, Ribeirão Preto, SP, 14049-900, Brazil.
Aesthetic Plast Surg. 2017 Aug;41(4):872-877. doi: 10.1007/s00266-017-0823-1. Epub 2017 Feb 23.
Gluteoplasty has gained notoriety over the last decades, which has motivated the development of various surgical techniques. Nevertheless, the fear of dissection of the intramuscular plane without direct visualization may inhibit learning and development of gluteal augmentation with implants. Moreover, literature detailing the technical steps of intramuscular dissection for the construction of the implant pocket is scarce. This study presents a new approach to intramuscular dissection for gluteal augmentation with silicone implants, a variation of the conventional surgical technique.
We performed a retrospective analysis of a series of 12 female patients submitted to a variation of the intramuscular dissection technique for gluteal augmentation with silicone implants. Data from patients, implants, follow-up time, postoperative complications, and the degree of patient satisfaction were obtained. This technique follows the principle of alternating spatulas to perform the blunt dissection of the implant pocket.
In this series, the proposed technique is controlled and safe for intramuscular dissection, which can be used for both experienced and training surgeons. This technique is based on well-known anatomical points and references. We observed that the implant was well positioned and covered, the patients were satisfied with the result, and the number of complications was low.
This variation of the intramuscular dissection technique for gluteal augmentation with silicone implants provides an easily reproducible and safe procedure that involves well-controlled technical steps, especially during dissection of the intramuscular pocket. In this series of patients, training surgeons learned faster, results were satisfactory, and the number of complications was low.
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在过去几十年中，臀成形术声名鹊起，这促使各种外科技术得以发展。然而，由于担心在没有直接可视化的情况下解剖肌内平面，可能会阻碍学习和开展臀假体隆臀术。此外，详细描述用于构建植入物口袋的肌内解剖技术步骤的文献也很少。本研究提出了一种新的方法，用于使用硅胶植入物进行臀肌隆臀的肌内解剖，这是传统手术技术的一种变体。
我们对 12 名女性患者进行了回顾性分析，这些患者接受了硅胶植入物臀肌隆臀的肌内解剖技术的变体。获取了患者、植入物、随访时间、术后并发症和患者满意度的数据。该技术遵循交替使用解剖刀进行钝性解剖植入物口袋的原则。
在本系列中，该技术对于肌内解剖是可控且安全的，可用于有经验的和培训中的外科医生。该技术基于已知的解剖学要点和参考。我们观察到植入物位置良好且被覆盖，患者对结果满意，并发症数量较少。
硅胶植入物臀肌隆臀的这种肌内解剖技术变体提供了一种易于复制且安全的手术方法，涉及到经过良好控制的技术步骤，尤其是在解剖肌内口袋时。在本系列患者中，培训外科医生学得更快，结果令人满意，并发症数量较少。
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