摘要

Objectives: THE OBJECTIVE IS TO DEMONSTRATE THE ASSOCIATION OF SAFE AUTOLOGOUS AND BIODEGRADABLE SUBSTANCES, IN AN APPROPRIATE SEQUENCE, FOR GLUTEAL AUGMENTATION. Introduction: BUTTOCK AUGMENTATION IS A TREND IN MANY COUNTRIES. THERE ARE SUBSTANCES SUCH AS POLYMETHYLMETHACRYLATE THAT CAN HAVE ADVERSE EFFECTS EVEN AFTER MORE THAN A DECADE. SILICONE PROSTHESIS DOES NOT ALWAYS PRODUCE NATURAL RESULTS AND MAY BE ACCOMPANIED BY COMPLICATIONS. THE SAFEST SUBSTANCES FOR BUTTOCK ENLARGEMENT ARE HYALURONIC ACID, FAT, CALCIUM HYDROXYAPATITE AND POLYATIC ACID. WE WILL PRESENT THE BEST APPLICATION SEQUENCES TO OBTAIN GREATER INTERACTION AND BETTER RESULTS. IN ADDITION, WE WILL PRESENT A SIMPLE AND PRACTICAL TECHNIQUE FOR USING FAT. Materials / method: FORTY PATIENTS WERE MONITORED WITH THE COMBINATION OF TWO OR THREE AUTOLOGOUS OR BIODEGRADABLE SUBSTANCES FOR FOUR YEARS. ALL PATIENTS WERE PHOTOGRAPHED BEFORE AND AFTER THESE APPLICATIONS. Results: ALL PATIENTS WERE SATISFIED IMMEDIATELY AFTER THE PROCEDURE, HOWEVER AFTER AN AVERAGE OF THREE MONTHS THE SATISFACTION INDEX INCREASED DUE TO THE BIOSTIMULATORY EFFECT. ALL PATIENTS, ACCORDING TO OBSERVATION AND PHOTOGRAPHIC FOLLOW-UP, REPORTED AN AVERAGE DURATION TIME OF TWO YEARS. Conclusion: THE SAFEST SUBSTANCES FOR BUTTOUS ENLARGEMENT ARE HYALURONIC ACID, FAT, CALCIUM HYDROXYAPATITE AND POLY-LACTIC ACID. BY UNDERSTANDING THE INTERACTION OF THESE SUBSTANCES WITH OUR CELLS IT IS POSSIBLE TO PROGRAM A CORRECT SEQUENCE FOR GREATER EFFECTIVENESS AND SATISFACTION.