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Autologous augmentation gluteoplasty with a dermal fat flap
Sadri O Sozer1, Francisco J Agullo, Humberto Palladino
1El Paso Cosmetic Plastic Surgery Center, 1600 Medical Center Suite 400, El Paso, Texas 79902, USA.
Aesthetic Surgery Journal
|December 17, 2008
Summary
This study presents a dermal fat flap technique for buttock contouring, effectively addressing both sagging (ptosis) and volume loss. The procedure yielded high patient satisfaction with no major complications.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Reconstructive Surgery
Background:
- Buttock contouring presents challenges, especially with coexisting ptosis and volume deficit.
- Standard buttock lifts can flatten contours, while implants or fat grafts may not correct ptosis.
- A combined approach is often necessary for optimal aesthetic outcomes.
Purpose of the Study:
- To describe a novel buttock lift technique using a dermal fat flap.
- To evaluate its efficacy in correcting buttock ptosis and volume deficit simultaneously.
- To assess patient outcomes and satisfaction with this surgical approach.
Main Methods:
- Retrospective review of 10 patients undergoing buttock lift with autologous dermal flap augmentation.
- Patient age range: 26 to 57 years.
- Follow-up duration: 6 months to 2 years.
Main Results:
- Preoperative and postoperative comparisons showed improved buttock contour.
- Maximum augmentation was observed at the mid-buttock level.
- High patient satisfaction reported with no major or minor complications.
Conclusions:
- Autologous dermal flap gluteal augmentation is a versatile technique for addressing both ptosis and volume deficit.
- The procedure offers significant aesthetic improvement.
- A potential drawback is an extended incision, though it is concealable.

