Intramuscular Gluteal Augmentation with Implants Associated with Immediate Fat Grafting

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Reconstructive Surgery

Background:

• Gluteal augmentation is a common cosmetic procedure.
• The intramuscular technique for gluteal implants is less documented.
• Combining implants with fat grafting (lipofilling) is an emerging innovation.

Purpose of the Study:

• To present experience with a combined gluteal augmentation technique.
• To evaluate outcomes and complications of intramuscular implants with fat grafting.
• To highlight the importance of patient selection and management.

Main Methods:

• Overview of intramuscular gluteal augmentation using anatomic silicone gel implants placed beneath the gluteus maximus muscle.
• Inclusion of immediate autologous fat grafting (lipofilling) as a combined technique.
• Review of primary and secondary augmentation cases.

Main Results:

• Satisfactory aesthetic outcomes were achieved in primary and secondary gluteal augmentations.
• Most complications were minor, predictable, and did not compromise aesthetic results or recovery.
• The combined technique demonstrated a favorable safety profile.

Conclusions:

• Intramuscular gluteal augmentation with implants, especially when combined with fat grafting, is a viable option.
• Careful patient selection and meticulous perioperative care are crucial for success.
• The technique offers satisfactory results with manageable complications for both primary and secondary augmentation.