Submuscular Buttock Augmentation With Silicone Implants in 80 Female Patients

Abstract

Background Over the past 4 decades, gluteal augmentation has increased tremendously in popularity. Therefore, numerous techniques have been developed to provide patients with the best possible outcomes. The submuscular technique has been proven to be a reliable option for a broad cohort of patients. Objectives The main objective of the present retrospective study is to describe the characteristics and clinical outcomes of a group of patients that underwent gluteal augmentation using the submuscular technique. Methods A retrospective analysis was conducted on 80 female patients that underwent submuscular gluteal augmentation with silicone implants from August 2019 to May 2022. All of the patients were operated on by the authors of the present study. Results Information about the patient demographic, implants, complications, and treatments was analyzed. Moreover, the satisfaction of the patients was assessed with a short survey. The most frequent complication was wound dehiscence. Only 7 patients necessitated surgical revisions, while two required isolated antibiotic therapy. All complications were effectively addressed, and no implants had to be removed. Furthermore, the retrospective analysis revealed a noteworthy association between the size of the implant and the occurrence of complications. Conclusions In the authors’ opinion, the submuscular method provides the best aesthetic results and adequate safety for the patients. It significantly minimizes the possibility of complications, such as fluid collection due to muscle fiber dissection or implant exposure/extrusion.

Buttock Augmentation with Ultrasonic Liposuction and Ultrasound-Guided Fat Grafting: A Retrospective Analysis Based on 185 Patients

“…Both methods involve unique considerations, including the positioning of implants in different planes (such as submuscular, intramuscular, or subfascial) and the plane of fat graft injection (such as subcutaneously or intramuscularly). Recent reports have highlighted the effectiveness of the submuscular technique, which is associated with a lower risk of complications like fluid accumulation resulting from muscle fiber dissection or implant exposure/extrusion [ 12 , 13 ]. In a systematic review assessing the safety and efficacy of gluteal augmentation [ 14 ], the overall complication rate was found to be lower with autologous fat grafting (9.9%) compared to silicone buttock implants (21.6%).…”

Enhancing Buttock Contours: A Safer Approach to Gluteal Augmentation with Ultrasonic Liposuction, Submuscular Implants, and Ultrasound-Guided Fat Grafting

“…Before the injection of the fat graft, the insertion of the silicone implants into the submuscular plane was performed. We have demonstrated this technique in a previous paper [5], which was based on the one described by Petit et al [14]. The instruments used in this surgical technique included a Keller-funnel 2 (Allergan, Inc., Dublin, Ireland), curvedtip Mayo scissors, a Collin Hartmann retractor, and two spacers, one with a heart-shaped tip and one with a round tip.…”

“…The incisions for the ultrasonic liposuctioning were marked in the following locations: bilateral markings superiorly to the superior posterior iliac spine, a singular incision at the upper apex of the intergluteal cleft, and bilateral markings at the midpoint of the subgluteal cleft. The preoperative markings for the submuscular implantbased operation have been described by us in the past [5]. We marked the inferior dissection limit as a horizontal line running from the tip of the coccyx to the greater trochanters.…”

“…Subsequently, the solution was injected into the submuscular layer using a 15 cm long, 2.5 mm smooth infiltration cannula with the same volume on each side of the buttocks. The surgical technique used in the present study has been described in the literature [5,14]. It started by making an incision on the skin using a 15-scalpel blade on the marked incision lines and dissecting the area until the lateral border of the sacrum was reached.…”

“…Implants offer a favorable option for patients lacking sufficient adipose tissue for fat grafting. Gluteal augmentation with implants involves variations in implant types and placement planes, each presenting distinct advantages and disadvantages, such as implant protrusion and palpability issues in the lateral gluteal region [3][4][5].…”