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Secondary Gluteal Augmentation: Surgical Technique and Outcomes
Jun Wook Lee1,2, Min Gu Kang1,2, Seong Soo Park1,2
1Seoul, Republic of Korea.
Plastic and Reconstructive Surgery
|May 26, 2018
Summary
Secondary gluteal augmentation using the hybrid technique shows promise for managing complications. This method, involving deeper dissection and fat grafting, resulted in low complication rates in a study of 18 cases.
Area of Science:
- Plastic Surgery
- Aesthetic Medicine
- Reconstructive Surgery
Background:
- Increasing demand for posterior body contouring has led to more gluteal augmentations.
- This trend is associated with a rise in postoperative complications and revision surgeries.
- Limited research exists on secondary gluteal augmentation procedures.
Observation:
- A review of 18 secondary gluteal augmentation cases was conducted.
- New, deeper intramuscular pockets were created, and previous capsules were managed.
- The "no-touch technique" and autologous fat grafting (hybrid technique) were employed.
Findings:
- Nine cases used the hybrid technique, and seven used implants alone.
- Two complications occurred: rippling with the hybrid technique and implant palpability with implants alone.
- No surgical revisions were necessary for the observed complications.
Implications:
- Secondary gluteal augmentation can be successful with the hybrid technique.
- Accurate gluteus maximus dissection, proper capsule management, and strict infection control are crucial.
- This approach offers a viable solution for patients requiring revision or secondary augmentation.
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