Safety and Efficiency of Minimally Invasive Buttock Augmentation: A Review

Atiyeh, Bishara S.; Ghieh, Fadi; Oneisi, Ahmad

doi:10.1007/s00266-022-03049-5

Cited by 7 publications

(5 citation statements)

References 69 publications

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“…The patient was very satisfied with her postoperative result, Figs. (1)(2)(3)(4)(5)(6) show the pr-operative and late post-operative results.…”

Section: Resultsmentioning

confidence: 98%

“…With the wide acceptance of biodegradable fillers, many patients can easily imagine permanent fillers having the same safety profile but for a longer period of time. Permanent fillers are quickly gaining popularity for gluteal augmentation because it applied easily in the plastic surgeon's office after local anesthesia, unlike autologous fat transfer, which is a surgical procedure with requirement for an operating room and sedation [1].…”

Section: Introductionmentioning

confidence: 99%

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Challenging Gluteal Augmentation Due to Late Complication of Permanent Filler: Case Report and Literature Review

Ibrahim,

El Kholosy,

Abulhassan

2024

The Egyptian Journal of Plastic and Reconstructive Surgery

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Polyacrylamide hydrogel (PAAG) has been used for more than two decades as a permanent injectable for facial and soft tissue augmentation. With the advent of so-called "minimally invasive" techniques, permanent injectables became popular with both patients and physicians. However, several late complications have been reported worldwide.Here, we present a 43-year-old female patient who experienced late complications 8 years after buttock augmentation with PAAG injections with a difficult reconstruction of the gluteal region.We also reviewed the literature on clinical management issues and available reconstructive options for this problem. The search in the clinical key using the term polyacrylamide hydrogel yielded 169 results in various fields of medicine, limiting the search in plastic surgery yielded 67 results, 14 in facial rejuvenation, 9 in breast augmentation, 7 in buttock augmentation, 2 literatures on the use of u/s in the diagnosis of PAAG complications, and 35 literatures on the composition, histologic analysis, and general complications from the use of PAAG.Searching for the term gluteal augmentation after excluding augmentation modalities other than PAAG ends at 7 literatures, however, the total number of these clinical reports on complications of PAAG use for buttock augmentation is striking, accounting for more than 50% of the studies.All literatures conclude that the PAAG filler is easy to inject, but once complications occur, they are difficult to manage.

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“…The patient was very satisfied with her postoperative result, Figs. (1)(2)(3)(4)(5)(6) show the pr-operative and late post-operative results.…”

Section: Resultsmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Challenging Gluteal Augmentation Due to Late Complication of Permanent Filler: Case Report and Literature Review

Ibrahim,

El Kholosy,

Abulhassan

2024

The Egyptian Journal of Plastic and Reconstructive Surgery

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“…The long-term durability of dermal fillers in the gluteal area is uncertain. Studies have focused on the safety and efficiency of minimally invasive buttock augmentation using HA [5]. These studies indicated that gluteal augmentation with HA is effective in restoring volume and improving contour, with mild and expected adverse events.…”

Section: Discussionmentioning

confidence: 99%

A Non-Surgical Approach to Treat Gluteal Asymmetry Due to Large Hemangioma: A Case Report

Arantes

2024

JOJDC

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his case report details the successful non-surgical correction of gluteal asymmetry resulting from hemangioma using hyaluronic acid (HA) dermal fillers. The treatment plan involved injecting a reticulated multiphasic HA-based dermal filler, into the left buttock to achieve harmonization with the right side. A Total of 30 mL of the product was injected into the subcutaneous gluteal plane, resulting in excellent aesthetic outcomes with no complications. Aesthetic satisfaction was assessed using the Global Aesthetic Improvement Scale, with the patient reporting complete satisfaction and a “much improved” rating score. This report underscores the crucial role of comprehensive patient discussions regarding treatment options for body deformity correction. The increasing demand for minimally invasive procedures, such as HA dermal fillers, is noted, showing positive outcomes and high patient satisfaction. Thorough planning, precise skin marking, and appropriate product selection contribute to successful outcomes. Although studies indicate the effectiveness of HA fillers in gluteal augmentation, more research is needed to determine the long-term durability of results.

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“…According to the American Society for Aesthetic Plastic Surgery (ASAPS), the placement of dermal fillers is the second most commonly performed minimally invasive cosmetic procedure in the USA. ASAPS data show that there is an increase in buttock augmentation procedures from 2015 to 2019 by 90.3% [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Fatal pulmonary embolism following injectable gluteal filler usage: a case report

Shaheen,

Al-Habbaa,

Riad

et al. 2023

Egypt Heart J

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Background Despite the fact that injectable filler usage in the gluteal region has not been recommended in formal medical institutions, illegal procedures are performed in many clinics and beauty centers across Egypt. This case report illustrates the illegal practice culminating in a fatal complication. Case presentation A 26-year-old female with no relevant medical history presented to the ER with acute onset shortness of breath. The complaint started 16 h before, with a rapidly progressive course, shortly after undergoing a gluteal filler injection at a center in Cairo. At ER, the patient was severely distressed, yet fully conscious and oriented. She was shocked (BP 70/40 mmHg), tachycardic (130 BPM), and tachypneic (30/min) with normal temperature. She had congested pulsating neck veins with positive Kussmaul sign. Chest auscultation revealed normal vesicular breathing with equal air entry and no adventitious sounds. Her O2 saturation was 60% on room air that improved to 85% on O2 mask. ECG showed sinus tachycardia. Echocardiography showed dilated right side, D-shaped septum with systolic flattening, dilated IVC, mild tricuspid regurgitation and estimated RV systolic pressure 53 mmHg. Her ABG showed compensated metabolic acidosis with elevated lactate level. At the ICU, CVP was 18 mmHg. Saline infusion was continued along with noradrenaline infusion initiation. A provisional diagnosis of high-risk pulmonary embolism was made, though CT pulmonary angiography was not available. Accordingly, thrombolytic therapy was initiated with alteplase (100 mg) over 2 h. Also, a dose of pulse steroids (methylprednisolone 200 mg) was given. Chest X-ray showed bilateral heterogenous opacity and ABG showed deteriorating hypoxia and combined metabolic and respiratory acidosis. The patient was intubated upon deterioration of conscious level and was put on mechanical ventilation. Her ET tube showed frequent blood-tinged secretions. Echocardiography showed more right-side dilatation that was consistent with deterioration of clinical status. Three hours after admission the patient developed cardiac arrest and died 2 h later. Conclusions This case report highlights the dangers associated with injectable filler usage in the gluteal region. Physicians and patients should be aware of the possible complications and how to avoid it.

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Safety and Efficiency of Minimally Invasive Buttock Augmentation: A Review

Cited by 7 publications

References 69 publications

Challenging Gluteal Augmentation Due to Late Complication of Permanent Filler: Case Report and Literature Review

Challenging Gluteal Augmentation Due to Late Complication of Permanent Filler: Case Report and Literature Review

A Non-Surgical Approach to Treat Gluteal Asymmetry Due to Large Hemangioma: A Case Report

Fatal pulmonary embolism following injectable gluteal filler usage: a case report

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