Improving the Female Silhouette and Gluteal Projection: An Anatomy-Based, Safe, and Harmonious Approach Through Liposuction, Suspension Loops, and Moderate Lipofilling

Abboud, Marwan H.; Geeroms, Maxim; Hajj, Hiba El; Abboud, Nicolas M

doi:10.1093/asj/sjaa157

Cited by 17 publications

(4 citation statements)

References 34 publications

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“…Such a method combined with implant and liposuction is frequently used in gluteal contouring. [9][10][11][12][13][14][15] It can be solely used to improve physiologic gluteal ptosis. In 2017, a Korean team published a new classification of gluteal ptosis.…”

Section: Thighmentioning

confidence: 99%

Gluteal Fold: Cadaveric Dissection of the Superficial Fascial System in the Buttock and Anatomy-based Gluteal Liposculpture

et al. 2023

Plastic &Amp; Reconstructive Surgery

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he gluteal fold (GF) is one of the key factors determining the attractiveness of the buttocks. It is widely accepted that a desirable buttock should consist of a short and indistinct GF and a proper width of the thigh base. 1,2 The superficial fascial system (SFS) of the buttocks consists of superficial and deep layers of fat, which are wrapped in septae by the retinaculum cutis superficialis (RCS) and retinaculum cutis profundus (RCP), respectively, and separated by the superficial fascia. 3,4 To refine the buttock contouring procedures, our team dissected the SFS of the GF region in fresh specimens, aiming to explore the anatomy of the GF, present a theory about the GF formation mechanism, provide anatomical explanations of GF deformities, and thus put forward a set of corresponding methods for contouring improvement. METHODSTen fresh specimens (mean age, 62 years; age range, 47 to 80 years) were dissected. All specimens were intact, without signs of buttock and thigh trauma or surgery. Dissections were made on the upper, middle, and lower levels of the buttock Background: The anatomy and formation mechanism of the gluteal fold (GF) remain unclear. Given that understanding the anatomy of the superficial fascial system (SFS) may facilitate the improvement of liposuction techniques, this study aimed to clarify and define the anatomical components of the GF. Methods: A total of 20 fresh female buttocks and thighs were dissected sagittally to observe the changes of the SFS along the GF and were dissected horizontally to observe the SFS on the upper, middle, and lower levels of the buttock. Results: Through these dissections, 2 patterns of the SFS in the GF region were identified. The retinaculum cutis (RC)-dominant SFS, named the fascial condensation zone, features an extremely dense and tough RC, originating from the bony structures (eg, the ischium) and radially anchored by the dermis. The fat-dominant SFS features a classic double-layered SFS structure. The RC-dominant SFS is mainly distributed at the medial GF, thus forming the depressed fold. It gradually disappears along the GF and the SFS becomes fatdominant, making the fold increasingly less visible. At the lateral buttock, the SFS of the buttock and thigh reach an identical status in terms of morphologic features, showing a smooth curve between the buttock and the thigh instead of a fold. Thus, based on these findings, different liposuction methods were formulated to manage GF contouring. Conclusions: The SFS of the GF region shows a regional variation pattern. Topographic anatomy of the SFS in the GF region helps us understand GF contour deformities and provide an anatomical basis for surgical correction.

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Section: Thighmentioning

confidence: 99%

Gluteal Fold: Cadaveric Dissection of the Superficial Fascial System in the Buttock and Anatomy-based Gluteal Liposculpture

et al. 2023

Plastic &Amp; Reconstructive Surgery

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“…In the case of moderate-to-severe abdominal skin laxity, surgery (abdominoplasty and liposuction) is usually proposed. 83 For patients with mild skin laxity, non-invasive strategies are available like radiofrequency, ultrasound, shock waves and cryolipolysis which have demonstrated their efficiency in dermal remodeling. 102 Some results have been obtained with CaHA.…”

Section: Plla and Abdomenmentioning

confidence: 99%

“…Surgery is being used to lift thighs. 83 , 114 The use of collagen stimulators is increasing. One study included subjects treated with CaHA for thighs among other areas.…”

Section: Plla and Limbsmentioning

confidence: 99%

Collagen Stimulators in Body Applications: A Review Focused on Poly-L-Lactic Acid (PLLA)

Christen¹

2022

CCID

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The number of aesthetic procedures performed worldwide continues to grow together with an increase in the population seeking the restoration or preservation of a youthful appearance. Requests for non-surgical body rejuvenation are increasing. Patients are looking for safe and effective minimally invasive aesthetic procedures. Soft-tissue dermal fillers can meet these expectations. Based on the beneficial outcomes of these treatments in many facial areas, a new trend is developing to target body areas. Different dermal fillers are available and include collagen stimulators initially developed to restore facial volume. Furthermore, they are associated with long-lasting efficiency, a high level of patient satisfaction and a good safety profile, with mainly minor adverse events reported. In appropriate conditions of use, they are now used for body rejuvenation in clinical practice. Their use is expanding and allows addressing various issues including volume loss, skin laxity, cellulite, striae distensae and wrinkles. This review focuses on poly-L-lactic acid (PLLA), used in the first collagen stimulator and one of the most investigated in facial and in off-facial body applications. The available published data, although still limited, are presented by body area, neck and chest, buttocks, abdomen, upper arms, thighs, knees, and hands. Key features of the concerned zones and the main clinical signs affecting the body part as well as the injection modalities are provided along with the aesthetic results. This represents the state of the art on which to base further developments necessary for optimal and safe outcomes of treatment with the PLLA-based collagen stimulators and others in this class for body rejuvenation.

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“…We managed to treat fatty breasts mini-invasively by emptying the breast from its volume and molding it accordingly to its desired form and position utilizing loops [34]. The use of internal threads has proven its effectiveness in other breast and body contouring procedures [35][36][37][38][39][40]. Nevertheless, in breast reduction, this approach is limited to more massive glandular breasts necessitating glandular resection [34].…”

Section: Introductionmentioning

confidence: 99%

Power-Assisted Liposuction Mammaplasty (PALM): A Short Scar Mammaplasty in Gigantomastia

Abboud¹,

Abboud²

2022

Enhanced Liposuction - New Perspectives and Techniques

Self Cite

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Breast reduction has been widely studied throughout the years, with different types of resection and breast reshaping techniques being described based on one or two pedicles. This chapter introduces the combination of parenchymal resection and liposuction to treat Gigantomastia, leaving a short scar. Liposuction improves breast remodeling, whereas breast glandular resection and repositioning enhances the upper pole fullness. The Power-Assisted Liposuction Mammaplasty (P.A.L.M.) technique is a safe and reliable procedure, insuring an optimal vascularization to the breast through the preservation of the central, superior and lateral pedicle, thus reducing the complication rate. In this chapiter we emphasize the importance of the preoperative markings, considered as essential for optimal results.

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Improving the Female Silhouette and Gluteal Projection: An Anatomy-Based, Safe, and Harmonious Approach Through Liposuction, Suspension Loops, and Moderate Lipofilling

Cited by 17 publications

References 34 publications

Gluteal Fold: Cadaveric Dissection of the Superficial Fascial System in the Buttock and Anatomy-based Gluteal Liposculpture

Gluteal Fold: Cadaveric Dissection of the Superficial Fascial System in the Buttock and Anatomy-based Gluteal Liposculpture

Collagen Stimulators in Body Applications: A Review Focused on Poly-L-Lactic Acid (PLLA)

Power-Assisted Liposuction Mammaplasty (PALM): A Short Scar Mammaplasty in Gigantomastia

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