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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.
Plastic and Reconstructive Surgery
|February 2, 2023
Summary
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.
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.
