Objectives: Evaluate the effects of gluteal lipofilling and select patients to be filled with macromolecular hyaluronic acid, always respecting maximum safety
Introduction: The lipostructure represents a significant stage in the evolution of the surgical approach to body contouring. More and more often, we face surgically various regions of the body in a more complete way, following the modern aesthetic concepts of three-dimensionality. In particular, in the specific case of the gluteal region, in our surgical experience we do not just remove fat through liposuction in various locations of accumulation, but associate lipofilling with the goal of increasing volume, both to improve the tone of the tissues.
Materials / method: The goal of treatment in buttock remodeling is to improve the profile especially of the upper pole, creating a more pleasant curve. To improve buttock profile we perform liposuction in aroun it and, at the same time, perform lipofilling to increase tissue volume and consistency and to improve the skin surface. In patients with low availability of adipose tissue or in those who did not want to undergo more invasive surgery, we performed hyaluronic macromolecular acid injection. The treatment consists in the injection subcutaneously and over the muscle.
Results: The results obtained with the association of liposuction at the periphery of the gluteal region and the lipofilling of the buttock are certainly good and stable over time. The cases treated with hyaluronic acid all present the problem of resorption and the need to repeat the treatment.
Conclusion: Liposuction and lipofilling are the treatment of choice for gluteus remodeling but in selected cases the macromolecular hyaluronic acid can be considered an alternative for patients who do not want undergo more invasive surgery.
Any surgical procedure, especially of Aesthetics, must be carried out with the utmost safety. Knowledge of anatomy, not infiltrating into the gluteal muscle, implant site, cannula size and injection speed are the key points for performing lipofilling or HA injection of the buttocks in extreme safety.
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