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Abdominal dermal-fat grafts for buttock augmentation

As U.S. demand for augmentation gluteoplasty continues to grow, plastic surgeons are exploring novel techniques for meeting that demand.

With this in mind, three plastic surgeons—Gary Brownstein, M.D., Berlin, N.J., and Claude Muresan, M.D., and Samir Shureih, M.D., both of Baltimore—conducted a study to validate one of those techniques: The abdominal dermal-fat graft augmentation gluteoplasty.

The authors retrospectively reviewed a series of lower abdominal dermal-fat graft augmentation gluteoplasties. They focused on nine female patients, with a mean age of 46, who had undergone abdominoplasty or torsoplasty in which two oval dermal-fat grafts were excised, de-epithelialized and then implanted into subfascial gluteal pockets for augmentation.

The mean dermal-graft size was 188 cm2, the mean graft weight, 288 g. One complication occurred: A graft became infected and required excision 39 days after the procedure. The authors report that all surviving grafts provided a substantial increase in posterior projection and long-lasting gluteal volume.

“Large-volume dermis fat graft obtained from an abdominoplasty procedure has proven to be a good alternative for buttock-enhancement surgery, with minimal to no loss of volume over the long term,” Dr. Shureih tells Cosmetic Surgery Times. “A dermis fat graft derived from abdominoplasty has the advantage of contouring the abdomen and enhancing the buttocks in one procedure.”

The study was published in the November 2014 issue of the Aesthetic Surgery Journal.

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