[Esthetic gluteal remodeling by fat grafting]

The most common surgical techniques performed for gluteal augmentation employ gluteal implants. Gluteal augmentation is today a consultation request for many patients. The results can be interesting, but this surgical procedure can provide some complications. Fat grafting is reliable technique to remodel the buttocks. The aim of this study is to describe our experience for buttocks remodeling with fat grafting.

A prospective study has been performed, including patients that have been operated for buttocks remodeling with fat grafting in our department during one year. We have recorded the average age and body mass index of each patient, the total volume transferred for each patient, and the postoperator complications (infection, hemorrhage, seroma, fat embolism). The end result was evaluated by the patient and the surgical team using four criteria: very satisfying, satisfying, fair and poor.

A prospective study including 24 cases of buttocks remodeling corrected with fat grafting. The average age was 43 years (30 to 65 years) and the average body mass index was 20.4 (18 to 24,2). The average volume transferred for each patient was 280cm(3) (from 140 to 440cm(3)). The patients and the surgical team were very satisfied or satisfied in 87,5% of cases. In this series we had no complications (infection, hemorrhage, fat embolism). We only had one seroma.

Fat grafting is a reliable technique, simple and safe procedure. Fat grafting is an excellent indication for moderate buttocks remodeling. Surgery for correction of the buttocks may involve more than projection and volume. However, these must be in a balanced proportion with the rest of the body.