From Back Bay Plastic Surgery and the Cirumed Clinic.
Plast Reconstr Surg. 2022 May 1;149(5):1197-1203. doi: 10.1097/PRS.0000000000009049. Epub 2022 Mar 18.
With the increase in popularity of fat transfer to the buttocks in body contouring surgery, new patient subsets are emerging. The gender confirmation patient has specific characteristics that must be addressed to achieve the best outcomes.
The authors performed an observational prospective study including 36 consecutive patients who underwent body feminization as a gender affirming operation using large-volume fat transplantation with or without gluteal implants.
Thirty-six consecutive male-to-female transgender patients have undergone large-volume fat transplantation to the buttocks performed by the authors, between July of 2016 and January of 2019. In 12 of these 36 cases, large-volume fat grafting was supplemented by intramuscular placement of silicone implants. The mean waist-to-hip ratio before surgery was 1.11, and this improved to 0.81 after surgery (fat transfer-only group, 0.88; fat transfer plus implants group, 0.75).
The transgender patient is a unique patient requiring a specific set of surgeon's skills and intraoperative strategies to achieve good outcomes. Composite solutions with both implants and lipofilling lead to better outcomes in terms of waist-to-hip ratio in these patients.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
随着脂肪移植隆臀术在形体塑造手术中的普及，新的患者群体不断涌现。性别肯定患者具有特殊的特征，必须加以解决才能获得最佳效果。
作者进行了一项观察性前瞻性研究，纳入了 36 例连续接受大容量脂肪移植进行身体女性化作为性别肯定手术的患者，其中包括或不包括臀肌植入物。
作者在 2016 年 7 月至 2019 年 1 月期间对 36 例连续的男性到女性的跨性别患者进行了大容量脂肪移植到臀部。在这 36 例患者中，有 12 例患者接受了大容量脂肪移植补充肌内硅胶植入物。手术前的腰围与臀围比为 1.11，手术后改善至 0.81（仅脂肪移植组为 0.88，脂肪移植加植入物组为 0.75）。
跨性别患者是一类独特的患者，需要特定的一套外科医生的技能和术中策略才能获得良好的效果。对于这些患者，使用植入物和脂肪填充的组合解决方案可以在腰围与臀围比方面获得更好的效果。
临床问题/证据水平：治疗，IV。
