摘要

Objectives: Describing the technique used by the author for 17 years to augment the gluteal region with intramuscular filling. Introduction: The demand for gluteal volume continues to rise, traditional invasive techniques like liposuction and silicone implants face limitations. Injectable fillers provide a minimally invasive and natural alternative. This article shares the author's 17-year of employing long-lasting fillers, particularly polymethylmethacrylate, at the muscular level. A comprehensive review involving over 1 million cc of filler product underscores the significance of this approach. Materials / method: Conducted across Brazilian cities—Sao Paulo, Rio de Janeiro, and Porto Alegre—this multicentric study tracks the journey of volumetric gluteal enhancement through intramuscular filling. I will provide an update on an article I published in 2019 in the journal "Plastic and Reconstructive Surgery" (PRS) regarding gluteal volumetric augmentation using filler products. Results: More than 1 million cc  (more than 6,000 procedures) of polymethylmethacryl product was applied to increase muscle volume. The outcomes proved remarkable, displaying substantial volumetric gains while ensuring the product seamlessly integrates within the muscles, providing structural support rather than burdening the skin. Conclusion: The study's conclusions are striking. Both medical professionals and patients endorse the highly satisfactory and natural results achieved through this approach, as substantiated by accompanying visuals. Minimal adverse effects were notably observed, particularly when compared to established methods like liposuction and silicone implants. Injectable fillers emerge as a natural, secure, and promising solution for achieving gluteal volumetric enhancement.