From the Division of Plastic Surgery, Jalisco Institute of Reconstructive Surgery "Dr. José Guerrerosantos"; and Innovare.
Plast Reconstr Surg. 2020 Jul;146(1):53-63. doi: 10.1097/PRS.0000000000006918.
There are different procedures for gluteal augmentation. The authors describe their gluteal augmentation technique, which combines buttock implant placement, frame liposuction, and lipoinjection in the lateral third of the buttock and a plane superficial to the gluteal implant.
Patients of both sexes who underwent aesthetic gluteal augmentation with a volume deficit of the lateral third and limited fat available for grafting were included. Liposuction was performed on the periphery of the gluteus, silicone implants were placed, and lipoinjection was performed in different areas.
Fifty-two patients were included between October of 2007 and December of 2018. The average age of the patients was 33.3 years (range, 23 to 49 years); 42 women and 11 male-to-female transgender patients were included. The implants used consisted of anatomical cohesive silicone, with the most commonly used size being 300 cc (range, 200 to 500 cc). The average volume of infiltrated fat in each hip and buttock was 243.1 cc (range, 100 to 370 cc) and 141.6 cc (range, 50 to 200 cc), respectively. Partial wound dehiscence was reported in six patients (11.5 percent). In one patient who had been treated with biopolymers, the implant became exposed. All patients reported that they were highly satisfied with the results of the procedure.
The combination of liposuction, buttock implant placement, and lipoinjection of the buttocks and hips is a safe procedure with a low complication rate and high level of satisfaction. This procedure is recommended in patients who require augmentation of the central and lateral portions of the buttock with insufficient fat tissue for lipoinjection.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
臀隆术有多种方法。作者介绍了一种臀隆术，该术式结合了臀部假体的放置、框架式脂肪抽吸术、臀外侧三分之一的脂肪注射以及臀假体表面的浅层脂肪注射。
纳入了接受臀外侧三分之一容积缺失且用于移植的脂肪量有限的美学性臀隆术的男女患者。在臀外侧进行吸脂，放置硅胶假体，并在不同部位进行脂肪注射。
2007 年 10 月至 2018 年 12 月期间共纳入 52 例患者。患者平均年龄为 33.3 岁（范围 23 至 49 岁）；包括 42 名女性和 11 名男变女变性患者。使用的假体为解剖型粘性硅胶，最常用的型号为 300cc（范围 200 至 500cc）。每侧臀部和臀部注射的脂肪量平均为 243.1cc（范围 100 至 370cc）和 141.6cc（范围 50 至 200cc）。6 例（11.5%）患者报告出现部分伤口裂开。1 例接受生物聚合物治疗的患者假体外露。所有患者均对手术结果高度满意。
吸脂术、臀部假体放置术和臀部及髋部脂肪注射术相结合是一种安全的手术方法，并发症发生率低，满意度高。对于需要隆臀且臀外侧脂肪量不足以进行脂肪注射的患者，建议采用这种方法。
临床问题/证据水平：治疗，IV。
