Gluteal Augmentation: A Historical Perspective on Aesthetic Practice

Buttock augmentation has emerged as a significant focus in cosmetic surgery, driven by advancements in techniques and increasing patient interest in body contouring. The evolution of this field, from early pioneering methods to modern, diverse approaches, highlights the need to understand the specific characteristics of each technique and their implications for aesthetic outcomes. The author aims to provide a detailed review of 4 major buttock augmentation techniques: gluteal implants, Brazilian butt lift (BBL), intramuscular polymethylmethacrylate (PMMA), and deep subcutaneous hyaluronic acid fillers. The goal is to assess the benefits and limitations of each method, helping practitioners and patients make informed decisions tailored to their preferences and needs. A comprehensive literature review was conducted, incorporating clinical studies, case reports, and expert opinions on these 4 techniques. Evaluation criteria included effectiveness, safety, recovery time, and patient satisfaction. Data were synthesized to provide a comparative analysis of each method. Gluteal implants offer predictable volume but involve surgical risks and lengthy recovery. The BBL, using autologous fat, delivers natural results and body contouring benefits but carries risks such as fat embolism and fat reabsorption. Intramuscular PMMA fillers provide permanent results with minimally invasive application but are challenging to remove. Hyaluronic acid fillers are reversible and minimally invasive but require periodic maintenance and may present risks like material migration. In this review, the author highlights the advantages and drawbacks of each technique, emphasizing individualized assessments and practitioner expertise. By outlining these methods, the author supports informed decision making in buttock augmentation.