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Bilateral sciatic nerve axonotmesis after gluteal lipoaugmentation.

Alexander Cardenas-Mejia¹, Jorge Rodríguez Martínez, David León

¹Department of Plastic and Reconstructive Surgery, Postgraduate Division of Medical School, Universidad Nacional Autónoma de México, México City, Mexico. alexcardenas@hotmail.com

Annals of Plastic Surgery

|September 12, 2009

Summary

Gluteal lipoaugmentation can cause sciatic nerve damage, a rare but serious complication. Prompt surgical intervention may be necessary for nerve recovery after this cosmetic procedure.

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Area of Science:

Plastic Surgery
Neurology
Anatomy

Background:

Gluteal lipoaugmentation procedures have surged in popularity.
This cosmetic surgery aims to enhance body contouring.
Potential risks, including nerve damage, are often underestimated.

Observation:

A 35-year-old woman developed sciatic nerve axonotmesis after gluteal lipoaugmentation.
Direct lipoinjection into the sciatic nerve sheath caused the injury.
Initial conservative management showed no improvement.

Findings:

The patient underwent internal and external neurolysis for the nerve injury.
Eighteen weeks post-surgery, signs of peripheral neuropathy persist.
Early indicators of nerve regeneration are now apparent.

Implications:

This case underscores the critical need for detailed anatomical knowledge in gluteal lipoaugmentation.
It highlights the potential for severe nerve injury from deep structure injections.
Awareness of these risks is crucial for patient safety in cosmetic procedures.