Body-contouring aesthetic surgery focused on the gluteal region has been increasingly in demand. This article aims to describe the surgical technique, the results, and the complications for 28 women who underwent endoscopically assisted gluteoplasty using high-profile, high-cohesion round silicone implants between 1996 and 2006. The procedure involves precise dissection of the area for implant inclusion under endoscopic visualization, allowing optimization of the aesthetic gain, while minimizing the risks of sciatic nerve injury. Complications requiring surgical reintervention occurred for 7% of the patients. The technique demonstrated itself to be safe, dependable, and easy to learn.
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