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Gluteal Augmentation Using Subfascial Silicone Implants and Selective Autologous Fat Grafting
Christopher J Salgado1, Mariana D Hoyos2, Camila M Quinones3
1Constructive Surgery Associates, 1330 Coral Way, Suite 306, Miami, FL, 33145, USA. constructivesurgery@gmail.com.
Aesthetic Plastic Surgery
|January 6, 2026
Summary
Subfascial gluteal augmentation using silicone implants, with or without fat grafting, offers safe and effective aesthetic improvement. This method demonstrates acceptable complication rates and high patient satisfaction for gluteal enhancement.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Reconstructive Surgery
Background:
- Gluteal augmentation demand has increased, with implants and fat grafting being common but having limitations.
- This study evaluates subfascial gluteal augmentation outcomes using silicone implants, with or without fat grafting.
Purpose of the Study:
- To assess the safety and efficacy of subfascial gluteal augmentation with silicone implants.
- To evaluate the adjunctive benefits of autologous fat grafting in gluteal augmentation.
Main Methods:
- Retrospective single-centre study of 30 patients undergoing subfascial gluteal augmentation with silicone implants (2023-2024).
- Eleven patients received simultaneous autologous fat grafting.
- Outcomes assessed via Global Aesthetic Improvement Scale (GAIS), Objective Buttocks Assessment Scale (OBAS), Gluteal Ptosis Classification Scale, complication rates, and satisfaction scores up to 1 year.
Main Results:
- Approximately 90% of patients achieved significant aesthetic improvement (GAIS ≤2).
- OBAS scores improved, indicating enhanced gluteal volume and projection.
- Low complication rates observed, with only three implant-related issues (malrotation, infection, extrusion); no capsular contracture or nerve injury.
Conclusions:
- Subfascial silicone gluteal implant placement with selective fat grafting is a safe and effective gluteal enhancement technique.
- The procedure yields acceptable complication rates, patient satisfaction, and aesthetic results.
