Di Sessa David, Pecora Carla de Sanctis, de Vasconcelos Rossana Cantanhede Farias, Moreira Gustavo Limongi
DSL Clinica, Private Practice, São Paulo, Brazil.
Clinica Dermatologie, Private Practice, São Paulo, Brazil.
J Cosmet Dermatol. 2025 May;24(5):e70227. doi: 10.1111/jocd.70227.
While various techniques exist to treat the buttocks, few combine multiple products in a single session, offering both aesthetic and logistical benefits.
To evaluate the aesthetic improvement of the buttocks in patients treated with a combination of calcium hydroxylapatite-carboxymethylcellulose (CaHA-CMC), Incobotulinumtoxin A (IncoBoNT-A), and cohesive poly-densified matrix hyaluronic acid (CPM-HA V) in one session.
PATIENTS/METHODS: This retrospective observational study involved women aged from 35 to 55 years who underwent the combined technique. Data were collected from the patient's charts, and photos were taken before treatment, and at 30 and 90 days post-procedure. Two independent physicians evaluated cellulite (5-point scale) and flaccidity (4-point scale) in all patients. Aesthetic improvements were assessed by patients and physicians using the GAIS (5-point) scale.
Ten women aged 45.3 (±5.2) years participated. Initially, 80% presented moderate to severe flaccidity, and 30% and 90% presented moderate to very severe cellulite in relaxed and contracted buttocks, respectively. After 90 days, flaccidity improved in 9/10 patients, and cellulite in 4/10 and 9/10 patients in static and dynamic assessments, respectively. There was a moderate correlation between the assessments at baseline and after 90 days. The aesthetic appearance of the buttocks was rated as much improved or very much improved by 100% of the patients and 60% of the physicians after 90 days.
A single-session combined application of CaHA-CMC, IncoBoNT-A, and CPM-HA effectively improved flaccidity and cellulite, resulting in high patient satisfaction.
虽然存在多种治疗臀部的技术，但很少有技术能在一次治疗中联合使用多种产品，从而兼具美学和操作便利性优势。
评估在一次治疗中联合使用羟基磷灰石 - 羧甲基纤维素（CaHA - CMC）、注射用A型肉毒毒素（IncoBoNT - A）和凝聚型多密度基质透明质酸（CPM - HA V）治疗的患者臀部美学改善情况。
患者/方法：这项回顾性观察研究纳入了35至55岁接受联合技术治疗的女性。从患者病历中收集数据，并在治疗前、治疗后30天和90天拍摄照片。两名独立医生对所有患者的橘皮组织（5分制）和松弛度（4分制）进行评估。患者和医生使用全球美学改善量表（GAIS，5分制）评估美学改善情况。
10名年龄为45.3（±5.2）岁的女性参与了研究。最初，80%的患者表现为中度至重度松弛，30%和90%的患者在臀部放松和收缩状态下分别表现为中度至非常严重的橘皮组织。90天后，9/10的患者松弛度得到改善，在静态和动态评估中，分别有4/10和9/10的患者橘皮组织得到改善。基线评估和90天后的评估之间存在中度相关性。90天后，100%的患者和60%的医生将臀部的美学外观评为改善很多或非常改善。
一次联合应用CaHA - CMC、IncoBoNT - A和CPM - HA可有效改善松弛度和橘皮组织，患者满意度高。
