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The thigh's motion is primarily governed by muscles originating in the pelvic girdle and inserted into the femur. One crucial muscle, the iliopsoas, is a combination of the psoas major and the iliacus muscles, sharing a common insertion point on the lesser trochanter of the femur.
Three other significant muscles are the gluteus maximus, gluteus medius, and gluteus minimus. The gluteus maximus originates from the posterior surface of the ilium, sacrum, and coccyx, and the thoracolumbar...
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Split gluteal muscle flap for autoprosthesis buttock augmentation.

Sadri O Sozer1, Francisco J Agullo, Humberto Palladino

  • 1El Paso, Texas; and Rochester, Minn. From El Paso Cosmetic Surgery Center; the Department of Surgery, Texas Tech University Health Sciences Center; and the Department of Plastic Surgery, Mayo Clinic.

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Summary

This study refines autologous buttock augmentation using a split gluteal musculocutaneous flap, significantly reducing fatty necrosis and improving projection. The versatile flap offers reliable and efficient gluteal augmentation with sustained results.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Aesthetic Surgery

Background:

  • Autologous augmentation of the gluteal area has evolved with various flap techniques.
  • The authors previously described a dermal fat flap for buttock augmentation in 2005.
  • Refinements have focused on improving projection and reducing complications like fatty necrosis.

Purpose of the Study:

  • To evaluate the efficacy and safety of a refined split gluteal musculocutaneous flap for autologous buttock augmentation.
  • To assess the impact of incorporating a split gluteus maximus muscle section on flap outcomes.
  • To compare complication rates and long-term results with previous techniques.

Main Methods:

  • A retrospective review of 200 patients undergoing autologous buttock augmentation between 2004 and 2010.
  • The last 50 patients received a split gluteus maximus muscle flap.
  • Patient follow-up ranged from 6 months to 4 years.

Main Results:

  • The split gluteus maximus muscle flap facilitated caudal flap rotation and enhanced vascularity.
  • Minor complications (delayed healing, partial fat necrosis) occurred in 10% of patients.
  • No instances of fatty necrosis were observed in the split musculocutaneous flap group, with sustained aesthetic results.

Conclusions:

  • The split gluteal musculocutaneous flap is a reliable, versatile, and efficient method for autologous buttock augmentation.
  • Recent modifications have substantially decreased the incidence of fatty necrosis.
  • This technique provides excellent gluteal projection and durable outcomes.