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Buttock augmentation with solid silicone implants.
1aestheticdoc@aol.com
Aesthetic Surgery Journal
|February 25, 2011
Summary
Buttock augmentation using solid silicone implants is safe and effective, with seroma being the most common complication. Subfascial placement offers better aesthetic outcomes for gluteal fullness.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Outcomes Research
Background:
- Buttock augmentation with solid silicone implants is a popular cosmetic procedure in the US.
- Limited outcomes studies exist evaluating the safety and efficacy of this procedure.
Purpose of the Study:
- To examine the outcomes of buttock augmentation using solid silicone implants in a private practice setting.
- To determine complication rates, need for surgical revision, and aesthetic outcomes.
Main Methods:
- Retrospective chart review of 200 patients undergoing buttock augmentation with 400 solid silicone implants over eight years.
- Implants were placed in subfascial (154 patients) or intramuscular (46 patients) positions.
- Analysis of complication rates, reoperations, and aesthetic results.
Main Results:
- Overall reoperation rate was 13%. Seroma formation (28%) was the most frequent complication.
- Infection rate was 6.5%, with an implant infection rate of 3.8%. Other complications included hematoma, wound dehiscence, and capsular contracture.
- Patients with intramuscular implants reported less inferior gluteal fullness.
Conclusions:
- Buttock augmentation with solid silicone implants is a safe and satisfying procedure.
- Seroma formation is the most common complication, manageable with aspiration.
- Subfascial implant placement yields superior aesthetic results, particularly for inferior gluteal fullness.
