Gluteoplasty with autologous fat tissue: experience with 106 consecutive cases

Area of Science:

• Plastic Surgery
• Aesthetic Medicine
• Body Contouring

Background:

• The female waist-hip ratio of 0.7 is aesthetically desirable.
• Liposuction and gluteal fat grafting are surgical techniques to achieve this ratio.
• The reliability of this combined approach requires evaluation.

Purpose of the Study:

• To evaluate the reliability of liposuction and gluteal fat grafting for achieving a 0.7 waist-hip ratio.
• To assess patient and surgeon satisfaction with the procedure.
• To document complications and outcomes of the technique.

Main Methods:

• Prospective evaluation of 106 female patients undergoing gluteoplasty with autologous fat grafting.
• Standardized photographic assessment and patient/surgeon satisfaction scores (1-4).
• Technique included epidural anesthesia, tumescent infiltration, liposuction, fat decantation, and retrograde grafting.

Main Results:

• High patient satisfaction (97.1%) with excellent outcomes (scores 3-4).
• Minimal medical complications; 4.7% seroma in donor areas.
• Low rates of volume resorption (0.94%) and need for revision surgery (1.88%).

Conclusions:

• Gluteoplasty using liposuction and autologous fat grafting is simple, inexpensive, and effective.
• The technique yields excellent, lasting results with minimal morbidity.
• Successful outcomes depend on harmonizing fat removal and grafting for buttock sculpting.