Objectives: Despite recent recommendations to avoid intramuscular fat grafting in the buttocks due to the increase of fatal complications by fat embolism, we have seen many surgeons considering performing intramuscular fat grafting again despite knowing the risk, as they cannot achieve an aesthetically outcome performing subcutaneous only fat grafting. Our objective is to demonstrate a standardized, customazible, and easily reproduced technique that allows even surgeons with less experience to systematically obtain satisfactory results, thereby increasing the safety of our patients.
Introduction: There are many publications in gluteal fat augmentation analyzing different aspects of this procedure, but there isn’t a standardized technique for gluteal fat injection. We sought to facilitate the learning curve and help plastic surgeons with little experience, to perform this procedure in a controlled and reproducible manner.
Materials / method: We present a standardization of the gluteal fat injection technique, which consists of dividing the buttocks into aesthetic subunits and injecting fat in pre- established proportions and subcutaneous planes according to the different gluteal shapes. We applied the similar principles of the MD CodesTM technique for injection of fillers to the face.
Conclusion: The Gluteal Codes showed to be a versatile and reproducible technique to enhance the gluteal contour with high patient satisfaction and long-term outcomes. This technique can be used by any plastic surgeon, and may be helpful in teaching trainees and young plastic surgeons that are beginning to perform this procedure.
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