摘要

Objectives: The aim of this study is to evaluate the efficacy and safety of the combination of collagen biostimulators and HA-based fillers in volumizing and improving the gluteal contour, analyzing the impact of the therapeutic combination on the projection and definition of the gluteal contour, determining the duration and evaluating patient satisfaction with the results obtained. Introduction: The search for minimally invasive aesthetic procedures has grown exponentially in recent years, driven by the demand for natural results, safety and shorter recovery times. Gluteal volumization through the combination of collagen biostimulators and hyaluronic acid-based fillers has emerged as a promising alternative to traditional surgical procedures, offering improved contour, projection and skin quality in the gluteal region. Collagen biostimulators in association with hyaluronic acid-based fillers offer an innovative alternative that enhances results, providing a harmonious and long-lasting Materials / method: The patients selected were women aged between 18 and 45, with no previous history of treatments in the gluteal region, who were suitable to undergo an injectable procedure involving HA and biostimulators. The buttocks were assessed in terms of shape, validated by a scale by Mendieta et. al 2018, and also by the degree of skin laxity at the site to be treated. A diagnosis was then made to determine the product rationale required for the best aesthetic performance. The patients were then followed up periodically for 1 year, assessing satisfaction with the treatment, possible AE and USG mapping. Results: The HA was applied in the superficial subcutaneous plane and the collagen biostimulator in the juxta-dermal plane, safely and without reports of complications that required intervention by the researcher. There was an increase in dermal thickness proven by USG and maintenance of the filler at the treated site, even 1 year after application. Patient satisfaction was over 80% throughout the period and the photographic results were progressively satisfactory. Conclusion: A proper assessment of the shape of the buttocks, which varies according to the patient's biotype, leads to an assertive diagnosis for a detailed approach to the patient's complaint and the degree of sagging. The combination of injectable HA promotes immediate, long-lasting volumization with a high level of satisfaction. Further studies are needed to assess the maximum dosage of products for patient safety.