Determining the Safety and Efficacy of Gluteal Augmentation: A Systematic Review of Outcomes and Complications

Sinno, Sammy; Chang, Jessica B.; Brownstone, Nicholas; Saadeh, Pierre B.; Wall, Simeon

doi:10.1097/prs.0000000000002005

Cited by 120 publications

(44 citation statements)

References 18 publications

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“… 31 In 2016 Sinno et al published a comparison of satisfaction and complications between silicone implants and lipoinjection. 32 They identified a total of 3567 gluteal augmentation patients in the studies that fulfilled their search criteria. They concluded that the rate of complications was lower with lipoinjection, although there were deaths in their review of gluteal augmentation with fat but not with silicone buttock implants.…”

Section: Discussionmentioning

confidence: 99%

“…Also in 2016, Conde-Green et al published a systemic review of the literature and meta-analysis, and found 19 articles made up of 17 case studies and two retrospective studies for a total of 4105 patients (these include the cases in the Sinno review). 32 They found that 46.7% of the articles recommended fat injections into both the subcutaneous and intramuscular planes, 26.7% into only the intramuscular planes, and 26.7% into the subcutaneous or subfascial planes. 25 Cárdenas-Camarena first reported on nonfatal PFE in 1999 and Astarita first described a fatal PFE in a 2015 case report.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Report on Mortality from Gluteal Fat Grafting: Recommendations from the ASERF Task Force

Mofid

Teitelbaum

Suissa

et al. 2017

Aesthetic Surgery Journal

234

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BackgroundGluteal fat grafting is among the fastest growing aesthetic procedures in the United States and around the world. Given numerous anecdotal and published reports of fatal and nonfatal pulmonary fat embolism resulting from this procedure, the Aesthetic Surgery Education and Research Foundation (ASERF) formed a Task Force to study this complication.ObjectivesTo determine the incidence of fatal and nonfatal pulmonary fat embolism associated with gluteal fat grafting and provide recommendations to decrease the risks of the procedure.MethodsAn anonymous web-based survey was sent to 4843 plastic surgeons worldwide. Additional data on morbidity and mortality was collected through confidential interviews with plastic surgeons and medical examiners, public records requests for autopsy reports in the United States, and through the American Association for the Accreditation of Ambulatory Surgical Facilities (AAAASF).ResultsSix hundred and ninety-two (692) surgeons responding to the survey reported 198,857 cases of gluteal fat grafting. Over their careers, surgeons reported 32 fatalities from pulmonary fat emboli as well as 103 nonfatal pulmonary fat emboli. Three percent (3%) of respondents experienced a patient fatality and 7% of respondents reported at least one pulmonary fat embolism in a patient over their careers. Surgeons reporting the practice of injecting into the deep muscle experienced a significantly increased incidence rate of fatal and nonfatal pulmonary fat emboli. Twenty-five fatalities were confirmed in the United States over the last 5 years through of autopsy reports and interviews with surgeons and medical examiners. Four deaths were reported from 2014 to 2015 from pulmonary fat emboli in AAAASF facilities.ConclusionsDespite the growing popularity of gluteal fat grafting, significantly higher mortality rates appear to be associated with gluteal fat grafting than with any other aesthetic surgical procedure. Based on this survey, fat injections into the deep muscle, using cannulae smaller than 4 mm, and pointing the injection cannula downwards should be avoided. More research is necessary to increase the safety of this procedure.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Report on Mortality from Gluteal Fat Grafting: Recommendations from the ASERF Task Force

Mofid

Teitelbaum

Suissa

et al. 2017

Aesthetic Surgery Journal

234

View full text Add to dashboard Cite

show abstract

“…They found that the most commonly reported complications in 2375 patients receiving silicone implants were wound dehiscence (9.6%), seroma (4.6%), infection (1.9%), and transient sciatic paresthesias (1.0%), with an overall complication rate of 21.6%. 19 No distant silicone complications were reported using implants.…”

Section: Discussionmentioning

confidence: 97%

Silicone Migration after Buttock Augmentation

Biguria

Ziegler

2017

Plastic and Reconstructive Surgery - Global Open

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Summary:We present the case of a 30-year-old woman who presented with enlarged inguinal lymph nodes and sacral hyperpigmentation 4 months after gluteal augmentation with silicone implants. Inguinal lymph node biopsy revealed granulomatous lymphadenitis due to foreign material. Upon right buttock implant revision, a 1.5-cm-thick capsule was noted with the absence of peri-implant inflammatory fluid and no macroscopic implant defects. Analysis of the implant by the manufacturer revealed a microscopic silicone leak. The patient’s recovery was uneventful, and her symptoms resolved shortly after her reoperation.

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“…Despite the relative paucity of data, the complication profile of gluteal augmentation has been reviewed. Sinno et al 1 conducted an extensive database analysis and found the overall complication rate of gluteal fat grafting to be 9.9%, whereas the rate of sciatic pain was reported at 1.7%. In their world literature review, Oranges et al 2 reported a complication rate of 10.5% and 1 incident of bilateral sciatic nerve axonotmesis (0.04%) following autologous fat grafting.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Sciatic Neuropathy following Gluteal Augmentation With Autologous Fat Grafting

Vasilakis

Hamade

et al. 2018

Plastic and Reconstructive Surgery - Global Open

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Summary:As gluteal augmentation continues to gain in popularity among patients seeking aesthetic enhancements, a thorough knowledge of the postoperative complications associated with this procedure is crucial. This case report concerns a 31-year-old woman who suffered bilateral foot drop secondary to sciatic neuropathy and as a result was wheelchair-bound for several months, following gluteal autologous fat grafting in the Dominical Republic. One year later, the patient had persistent left foot drop and sensory deficits. This is a devastating but seldom reported complication that all plastic surgeons need to be aware of when performing this operation.

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Determining the Safety and Efficacy of Gluteal Augmentation: A Systematic Review of Outcomes and Complications

Cited by 120 publications

References 18 publications

Report on Mortality from Gluteal Fat Grafting: Recommendations from the ASERF Task Force

Report on Mortality from Gluteal Fat Grafting: Recommendations from the ASERF Task Force

Silicone Migration after Buttock Augmentation

Bilateral Sciatic Neuropathy following Gluteal Augmentation With Autologous Fat Grafting

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