Postbariatric Buttock Contouring With Dermolipectomy and Gluteal Implants

Abstract

The authors present their experience with the use of silicone implants in the buttocks after massive weight loss. The procedure is used in combination with gluteal dermolipectomy with or without dermal fat flaps. This report highlights the simplified method of identifying the gluteal muscles, recommends using the superior margin of the gluteus maximus muscle to access the space for implant placement, and prescribes placement of the implants in either the submuscular or the intramuscular space. The described procedure has been performed for two patients to date, with encouraging and long-lasting results.

Fragmented Fat Transfer for Massive Weight Loss Gluteal Contouring

“…Especially in extremely deflated patients, whose buttocks really need both lifting and augmentation, liposuction alone is not likely to provide the required amount of lipograft. 16–20…”

“…Especially in extremely deflated patients, whose buttocks really need both lifting and augmentation, liposuction alone is not likely to provide the required amount of lipograft. [16][17][18][19][20] Fat fragmentation has proved useful and effective in providing greater amounts of viable fat graft in a safe, simple, and reproducible technique without noticeable complications. The method eliminates the organic response to the insult of liposuction while using the entirety of formerly discarded apronectomy tissue to provide fine, transferable, autologous fat without increasing operative time.…”

Assessment of Different Modalities in Gluteoplasty

“…Also, post massive weight loss patients were not included, as it is frequent that when those patients will reach their desired weight, they will have buttock ptosis of a degree that may require different surgical approaches than those in the scope of our study. 27 Similarly, any patients with grade 2 or 3 ptosis on Mendieta classification were not included. 18 Because each of the women included in the study had her specific body form, and her particular aesthetic needs, the plan for the surgical procedure for each was customized to individually fit each patient.…”