Autoprosthesis buttock augmentation during lower body lift.

Area of Science:

• Plastic Surgery
• Reconstructive Surgery

Background:

• Bariatric surgery leads to increased body contour deformities, particularly in the abdomen, thighs, and buttocks.
• Lower body lift procedures effectively address these deformities but often result in reduced gluteal projection and flattened buttocks.

Purpose of the Study:

• To describe a novel technique for creating an autologous buttock implant using local myocutaneous flaps during lower body lift.
• To evaluate the efficacy and complication rates of this technique in restoring gluteal projection.

Main Methods:

• A local myocutaneous flap, sourced from supragluteal tissue, was rotated caudally to serve as an autologous buttock implant.
• The technique was performed on 20 consecutive female patients undergoing lower body lift.

Main Results:

• The procedure successfully created an autologous buttock implant with reliable circulation and customizability.
• No major complications were reported; common minor complications included delayed wound healing and local hardness (fat necrosis), which resolved spontaneously.

Conclusions:

• This autologous myocutaneous flap technique is a reliable and versatile method to enhance buttock projection following lower body lift.
• The procedure demonstrates high patient satisfaction and a low complication rate, making it a valuable adjunct to lower body lift surgery.