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Hyaluronic Acid Gluteal Augmentation: New Marking and Application Technique
Rufino Iribarren-Moreno1, Jessica Juliana Pradel-Mora2, Gerardo Marin3
1From the Plastic and Reconstructive Private Practice, Hospital Christus-Muguerza Saltillo, Saltillo, Coahuila, Mexico.
Plastic and Reconstructive Surgery. Global Open
|November 24, 2025
Summary
This study introduces a new hyaluronic acid (HA) gluteal augmentation technique using precise markings for optimal results with minimal HA volume. The method proved reproducible and teachable, enhancing patient satisfaction and buttock aesthetics.
Area of Science:
- Aesthetic Medicine
- Plastic Surgery
- Dermatology
Background:
- Current gluteal augmentation with hyaluronic acid (HA) lacks standardization.
- A novel technique for volume assessment, marking, and HA application is proposed.
- Focus on achieving optimal results with minimal injection volume.
Purpose of the Study:
- To present a standardized technique for hyaluronic acid gluteal augmentation.
- To assess the efficacy and safety of the proposed technique.
- To evaluate the reproducibility and teachability of the method.
Main Methods:
- Twenty-six women received HA injections guided by anatomical landmarks and aesthetic goals.
- A laser level and specific points defined an ovoid base with 3 key areas for targeted HA distribution.
- A maximum of 100 mL HA was used per patient, averaging 40.4 mL.
Main Results:
- Statistically significant increases in hip circumference and Danilla D point measurements were observed post-treatment.
- The technique demonstrated high reproducibility and teachability, with participants reporting confidence.
- Patient satisfaction and desired aesthetic outcomes were positively evaluated.
Conclusions:
- The standardized marking and application technique effectively utilizes limited HA volume.
- Strategic targeting of specific gluteal regions achieves optimal buttock augmentation.
- The proposed method aims for optimal results with minimal complications.

