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Intramuscular Gluteoplasty: A Comparative Study between Different Incisional Access Routes.

Cláudio G Ramos da Silva1, Fernando S Guimarães1, José H Aboudib1

  • 1Rio de Janeiro, Brazil.

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|February 2, 2023
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Summary
This summary is machine-generated.

The vertical incision technique for buttock augmentation resulted in fewer complications like wound dehiscence and seroma compared to preserving the intergluteal groove. This suggests a simpler approach may yield better surgical outcomes.

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Area of Science:

  • Plastic Surgery
  • Surgical Techniques
  • Aesthetic Surgery

Background:

  • Silicone implants have been used for buttock augmentation for nearly 45 years.
  • Intramuscular placement is standard, but incision techniques vary.
  • Surgeons debate vertical incisions versus preserving the intergluteal groove.

Purpose of the Study:

  • To compare the outcomes of two intramuscular gluteoplasty incision techniques.
  • To evaluate complication rates associated with vertical incisions versus intergluteal groove preservation.

Main Methods:

  • Two randomized groups (53 patients each) were compared.
  • Group A: Intramuscular gluteoplasty with a vertical incision (no groove preservation).
  • Group B: Intramuscular gluteoplasty with triangular dissection (groove preservation).
  • Complications assessed: dehiscence, hematoma, seroma, infection.

Main Results:

  • Group A had 7.5% dehiscence and 1.9% seroma.
  • Group B had 28.3% dehiscence and 7.5% seroma/dehiscence within 21 days.
  • No hematoma or infection occurred in either group.

Conclusions:

  • The vertical incision technique resulted in fewer surgical wounds, dehiscences, and seromas.
  • This technique appears to offer a lower complication profile than preserving the intergluteal groove.