Gluteal Reduction A New Technique With Tightening

Authors: Jorge Alirio Mejia

Publish Date: 2012/01/28

Volume: 36, Issue: 3, Pages: 550-556

PDF Link

Abstract

Currently patient demand is increased for procedures to improve the form and size of the gluteal region Although gluteal augmentation and lifting are the most common aesthetic requirements for the gluteal area some patients need gluteal reduction Most surgeons reduce the gluteal volume only by liposuctioning the buttocks This procedure however is inadequate when patients do not have good skin quality Very few techniques have been described for gluteal reduction and all of them leave noticeable scars that are unacceptable to most patients The author presents a new technique to reduce lift and tighten the gluteal region using wellhidden incisionsFive female patients who requested gluteal reduction were included in this study Two of these patients had primary gluteal lipodistrophy and two had excessive gluteal volume as a consequence of liquid silicone injections in the buttocks The remaining patient had previously undergone gluteal implants but after pregnancy ended up having very big buttocks and wanted to reduce the gluteal volume Gluteal reduction was performed using bilateral incisions that began from the sacral triangle and proceeded downward slightly off the gluteal midline to continue along the infragluteal fold A flap involving the whole gluteal area was dissected superficially to the gluteal fascia Excess tissue was removed and wound closure was performed in multiple layersThe mean operating time was 210 min and the volume resected ranged from 550 to 640 g in each of the gluteal areas No major complications or infections occurred One of the patients presented with wound dehiscence bilaterally limited to the central area This case required wound care for 1 month after which the wound was closed satisfactorily with the patient under local anesthesia In all the patients the gluteal area was reduced reshaped and tightened satisfactorily All five patients were extremely satisfied with the new gluteal shape the degree of the gluteal reduction the quality and location of the scars and the lifting effect associated with this gluteoplasty techniqueA new technique for gluteal reduction that effectively reduces tightens and reshapes the buttocks is presented Patient acceptance of this surgery is very high because unlike previous gluteal reduction techniques this procedure leaves wellconcealed scars that can be hidden even with the small type of swimsuits used currently

Keywords: