Autologous gluteal lipograft.

Area of Science:

• Plastic Surgery
• Regenerative Medicine
• Aesthetic Surgery

Background:

• Lipoinjection techniques for body contouring have evolved over 25 years.
• Autologous fat grafting is a widely used method for gluteal augmentation.

Purpose of the Study:

• To prospectively evaluate patient satisfaction and complication rates following autologous gluteal lipografting.
• To assess long-term outcomes of fat grafting for buttock augmentation.

Main Methods:

• A prospective study involving 351 patients undergoing gluteal fat augmentation between 2002 and 2008.
• Patient satisfaction was rated on a 5-point scale at 12 and 24 months post-procedure.
• Complications such as liponecrosis and infection were recorded and managed.

Main Results:

• At 12 months, 70% of patients reported "very good" to "excellent" satisfaction; at 24 months, 66% reported "very good" to "excellent".
• Complications included liponecrosis (9 cases) and infection (4 cases), managed with aspiration or incision and antibiotics.
• 16 out of 21 patients desiring further augmentation underwent a second grafting session; 5 received silicone implants due to insufficient donor fat.

Conclusions:

• Autologous gluteal fat grafting can achieve high patient satisfaction and acceptable complication rates.
• Successful outcomes depend on surgical technique, anatomical knowledge, and managing patient expectations regarding potential secondary procedures.