9910-1524 Cardenas-Camarena
Cardenas-Camarena L, Lacouture AM, Tobar-Losada A.
Combined gluteoplasty: liposuction and lipoinjection.
Plast Reconstr Surg. 1999 Oct;104(5):1524-31; discussion 1532-3. PMID: 10513938
Reconstructive Surgery Institute of Jalisco, Mexico.
From April of 1995 to August of 1998, 62 female and four male patients had
gluteoplasties. To improve the gluteal region, two techniques that create
excellent results in other parts of the body, liposuction and lipoinjection,
were combined. The ages of the patients ranged from 18 to 52 years (mean, 31
years). Liposuction was done with a tumescent technique in the lumbosacral,
trochanteric, and subgluteal region to improve gluteal shape. The amount of fat
aspirated was only that necessary to obtain the desired contour. In all cases,
liposuction was also performed in other areas. Lipoinjection was done with
round-tip cannulas in different planes of the gluteal region, and the fat was
applied in small strips. The quantity of fat infiltrated varied from 120 to 280
cc per gluteus, with a mean of 210 cc. The results were evaluated by the
patients and the surgical team with preoperative and postoperative photographs.
Follow-up ranged from 3 months to 3 years and 5 months, with a mean of 17
months. No patient was dissatisfied with the results, and more than 90 percent
considered their results good or excellent. Liposuction complications consisted
of four seromas, six visible irregularities, and two palpable irregularities.
Lipoinjection complications occurred in 16 gluteus regions (12 percent); all had
gluteal temporal hyperemia and erythema, which resolved with conservative
treatment except in one case (4 cc of sterile material corresponding to fat
necrosis was drained in that patient). No irregularities or depressions occurred
in the gluteus. One case of probable fat embolism syndrome had a satisfactory
evolution. This gluteoplasty technique is simple and low in cost, with minimal
morbidity and very good results. It is important to note that a good result does
not depend on a great amount of fat infiltration but rather on a harmonious way
of combining both surgical procedures: fat elimination by liposuction and
gluteus augmentation by lipoinjection.
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