Reyes Luis F, Echeverry Nicole G, Aguilar Hugo A, Velasco Juan M, Ramírez Brian, Villabona Silvia, Serrano Hector M, Varela Agustina
From the Majestic Plastic Surgery, Bogota, Colombia.
Private Practice, Bogota, Colombia.
Plast Reconstr Surg Glob Open. 2025 Jul 9;13(7):e6940. doi: 10.1097/GOX.0000000000006940. eCollection 2025 Jul.
Augmentation gluteoplasty performed through autologous fat grafting is a surgical technique that volumizes the buttock and shapes the gluteal region according to the patient's expectations, but it is one of the most dangerous aesthetic surgical procedures due to the high rate of the complication and mortality. The aim of the study was to assess the safety of subcutaneous gluteal fat grafting using ultrasound-guided cannulation.
A retrospective study of the clinical outcomes of gluteal augmentation with Doppler ultrasound-assisted fat grafting was conducted. The medical records of 177 patients who underwent gluteal augmentation between February and May 2024 were analyzed.
In a sample of 177 patients who received gluteal fat grafting, we found that the visualization of perforating arteries had a median of 9 arteries (interquartile range: 2) per buttock. Distribution by quadrants varied among patients. The use of Doppler ultrasound-guided fat grafting was shown to be safe; related complications included 5 patients with hematomas, 2 with seromas, and 1 with suture dehiscence; no cases of infection, deep vein thrombosis, pulmonary embolism, or death were reported.
Subcutaneous gluteal lipoinjection with Doppler ultrasound indirect vision is a procedure that meets patient safety standards. It allows visualization of the tissue where the fat is grafted, reducing the risk of developing thrombotic events by identifying risk structures such as the intramuscular plane and vascular structures. Achieving a good aesthetic result and a low complication rate requires prior training in the use of ultrasound specifically for gluteal lipoinjection using Doppler.
通过自体脂肪移植进行的臀部增大成形术是一种外科技术，可根据患者期望增加臀部体积并塑造臀区，但由于并发症发生率和死亡率较高，它是最危险的美容外科手术之一。本研究的目的是评估使用超声引导插管进行皮下臀脂肪移植的安全性。
对多普勒超声辅助脂肪移植隆臀术的临床结果进行回顾性研究。分析了2024年2月至5月期间接受隆臀术的177例患者的病历。
在177例接受臀脂肪移植的患者样本中，我们发现每侧臀部穿支动脉的可视化数量中位数为9条（四分位间距：2条）。各象限的分布在患者之间有所不同。结果表明，使用多普勒超声引导脂肪移植是安全的；相关并发症包括5例血肿患者、2例血清肿患者和1例缝线裂开患者；未报告感染、深静脉血栓形成、肺栓塞或死亡病例。
采用多普勒超声间接可视化进行皮下臀脂肪注射是一种符合患者安全标准的手术。它可以可视化脂肪移植的组织，通过识别肌肉内平面和血管结构等风险结构来降低发生血栓事件的风险。要获得良好的美学效果和低并发症发生率，需要事先接受专门针对使用多普勒进行臀脂肪注射的超声使用培训。
