Division of Plastic Surgery, Department of Surgery, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.
Department of Plastic Surgery and Burn Unit, King Saud Medical City, Riyadh, Saudi Arabia.
Aesthetic Plast Surg. 2023 Dec;47(6):2719-2733. doi: 10.1007/s00266-023-03458-0. Epub 2023 Jul 5.
There has been a rapid increase in the number of patients undergoing non-surgical gluteal augmentation in recent years, leading to an increase in the number of articles in the literature regarding the use of hyaluronic acid (HA) for gluteal augmentation. No systematic review has been published on the effectiveness of HA for gluteal augmentation. This study aimed to provide a comprehensive review regarding the effectiveness and role of using HA for gluteal augmentation.
This review was conducted according to the PRISMA guidelines for reporting systematic reviews and meta-analyses. We conducted a search across MEDLINE, EMBASE, Cochrane, and Google Scholar, using the following search keywords: gluteus, buttocks, gluteoplasty, gluteal augmentation, hyaluronic acid, and filler.
Ten articles published between 2013 and 2022 that included 168 patients. The estimated duration of product effectiveness is 16.16 months. Most studies showed statistically significant improvements in patients' satisfaction. Mean volume of HA injected for optimal gluteal fat augmentation was 206.71 ml. Of included studies, two reported major complications, five patients experienced bruising and erythema as minor complications, five patients experienced effusion and inflammation at the injection site, three patients experienced gel dislocation, and one patient experienced irregular contours.
Based on our findings, HA is a predictable method for gluteal augmentation. Patients were satisfied with their outcomes. Despite gluteal augmentation with HA having a modest complication rate, it can still involve serious complications such as diffuse alveolar hemorrhage and death. There is a need for further research in a randomized control trial.
This journal requires that authors assign a level of evidence to each article. For a full description of these evidence-based medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
近年来，接受非手术性臀部增大的患者数量迅速增加，导致文献中关于使用透明质酸（HA）进行臀部增大的文章数量也有所增加。目前尚未发表关于 HA 用于臀部增大的有效性的系统评价。本研究旨在提供关于 HA 用于臀部增大的有效性和作用的综合评价。
本综述按照 PRISMA 系统评价和荟萃分析报告指南进行。我们在 MEDLINE、EMBASE、Cochrane 和 Google Scholar 上进行了搜索，使用了以下搜索关键词：臀部、臀部整形术、臀部增大、透明质酸和填充物。
10 篇发表于 2013 年至 2022 年的文章，共纳入 168 例患者。产品有效性的估计持续时间为 16.16 个月。大多数研究表明患者满意度有统计学显著改善。为了达到最佳臀部脂肪增大效果，平均注射 HA 体积为 206.71ml。纳入的研究中，有 2 项研究报告了主要并发症，5 例患者出现轻微并发症如瘀斑和红斑，5 例患者在注射部位出现积液和炎症，3 例患者出现凝胶移位，1 例患者出现轮廓不规则。
根据我们的研究结果，HA 是一种可预测的臀部增大方法。患者对其结果感到满意。尽管 HA 臀部增大的并发症发生率适中，但仍可能涉及严重并发症，如弥漫性肺泡出血和死亡。需要进一步进行随机对照试验研究。
证据等级 III：本杂志要求作者为每篇文章分配一个证据等级。如需详细了解这些循证医学评级，请参考目录或在线作者指南 www.springer.com/00266 。
