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Gluteal augmentation surgery: indications and surgical management
Douglas Harrison1, Gennaro Selvaggi
1Department of Plastic Surgery, Mount Vernon Hospital, Northwood, Middlesex, The Wellington Hospital, St. John's Wood, London NW8, UK. dhharrison@hotmail.com
Summary
Gluteal augmentation commonly uses implants or fat grafting. Both methods have specific indications, techniques, and potential complications, with implants being widely used for aesthetic enhancement.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Reconstructive Surgery
Background:
- Gluteal augmentation is frequently achieved through surgical implants or liposuction/lipo-injection.
- These procedures address various aesthetic and reconstructive needs, including contouring, malformations, asymmetry, trauma, and post-radiotherapy defects.
Observation:
- A review of major literature focuses on gluteal implants, detailing indications, surgical techniques, and complications.
- The use of custom-made or regular implants, liposuction, lipo-injection, and free flaps are discussed for contour reconstruction.
- Gluteal implants are popular for aesthetic augmentation, especially in South America, offering a high success rate and ease of performance.
Findings:
- Liposuction and lipo-injection procedures, particularly Coleman fat injection, demand significant surgical expertise.
- Gluteal implants are a well-established and successful option for gluteal augmentation.
Implications:
- Understanding the nuances of each technique is crucial for successful gluteal augmentation outcomes.
- Further research may refine fat grafting techniques and implant material safety for improved patient results.

