Composite Buttock Augmentation: The Next Frontier in Gluteal Aesthetic Surgery

Area of Science:

• Plastic Surgery
• Aesthetic Surgery

Background:

• Gluteal fat transplantation has safety concerns and inadequate projection.
• Gluteal implants alone present significant complication risks.
• Combining implants and fat (composite technique) is explored for buttock augmentation.

Purpose of the Study:

• To evaluate the safety and efficacy of composite buttock augmentation.
• To introduce a novel technique for gluteal reshaping using implants and fat.

Main Methods:

• Review of 147 consecutive composite buttock augmentation cases.
• Average follow-up of 18 months.
• Utilized progressive instrument dissection for precise intramuscular implant pocket creation.

Main Results:

• Average operating time: 1 hour 55 minutes.
• Average fat volume: 380 cc; Average implant volume: 300 cc.
• Complications included implant displacement and infection; no cases of fat embolism or death.

Conclusions:

• Composite buttock augmentation merges implant projection with natural fat feel.
• Progressive instrument dissection ensures safe and accurate intramuscular pocket creation.
• Intramuscular implant placement mitigates the risk of fatal fat pulmonary embolism.