Background
Liposuction is the main technique to improve body contour, emphasize appealing curves and highlights one’s muscular definition. A vast increase has been observed in the number of procedures in which the harvested fat is being used for gluteal augmentation.
Objectives
The ultimate goal for the patient, as well as for the surgeon, should be a sculpted harmonious body obtained through a safe procedure.
Methods
Anatomical guidelines and preoperative markings are provided to guide the 3-step procedure: zones of maximal and mild liposuction, barbed wire suspension, and moderate fat grafting. Novel concepts are introduced as the anterior body diagonal (ABD), posterior body diagonal (PBD), the ISU line, the PLAISIR line, the pubic unit and a vertical ratio for the buttock, which are the basic foundations for sculpting the female body into a pleasing hour glass shape with a well-projected buttock. Recommendations for location of sacral diamond, sacral dimples and the maximally projected point of the buttock are given. The authors explain their philosophy through 4 principles: knowledge of anatomy; the relationship between specific body areas and surrounding zones; a balanced gluteal augmentation is not achieved through large-volume fat grafting alone; and grafting in the subcutaneous layer.
Results
101 patients were treated following the described technique and examples are shown. Complication rate was low. No serious adverse effects were recorded apart from one ruptured suspension loop.
Conclusions
The described anatomy-based approach including liposuction, suspension loops and fat grafting is a novel and safe technique leading to a desirable long-lasting outcome.