Godoy Paulo Miranda, Munhoz Alexandre Mendonça
Hospital Moriah, São Paulo, São Paulo, Brazil.
Hospital Moriah, São Paulo, São Paulo, Brazil; Hospital Sírio-Libanês, São Paulo, São Paulo, Brazil; Cancer Institute of São Paulo, University of São Paulo, São Paulo, São Paulo, Brazil; Plastic Surgery Division, University of São Paulo School of Medicine, São Paulo, São Paulo, Brazil.
Clin Plast Surg. 2018 Apr;45(2):203-215. doi: 10.1016/j.cps.2017.12.004.
This article presents an overview of intramuscular gluteal augmentation involving primary and secondary augmentation with implants. Although gluteal augmentation is a well-studied procedure, few reports have described the intramuscular technique or this technique in association with lipofilling. This article presents experience with a combined technique; this recent innovation combines placement of an anatomic silicone gel implant underneath the gluteus maximus and immediate fat grafting. Primary and secondary gluteal augmentations using implants resulted in satisfactory outcomes. A majority of complications were minor, predictable, and did not affect aesthetic outcome or normal postoperative recovery. Success depends on patient selection and careful intraoperative and postoperative management.
本文概述了使用植入物进行的原发性和继发性臀肌增大术。尽管臀肌增大术是一项经过充分研究的手术，但很少有报告描述肌内技术或该技术与脂肪填充相结合的情况。本文介绍了一种联合技术的经验；这项最新创新结合了在臀大肌下方放置解剖型硅胶植入物和即时脂肪移植。使用植入物进行的原发性和继发性臀肌增大术取得了令人满意的效果。大多数并发症轻微、可预测，且不影响美学效果或术后正常恢复。成功取决于患者的选择以及术中及术后的精心管理。
