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Plast Reconstr Surg 2022 06 5;149(6):1114e-1117e. Epub 2022 Apr 5.

From the Department of Plastic and Reconstructive Surgery, Wound Healing and Burn Units, Lapeyronie University Hospital; Department of Plastic and Reconstructive Surgery, Rangueil University Hospital; Department of Maxillofacial Surgery, Gui de Chauliac University Hospital; Department of Plastic and Reconstructive Surgery and Burn Units, Saint Louis University Hospital; and Department of Plastic and Reconstructive Surgery, South Hospital, University of Rennes.

Background: De-epithelialized flaps have been used in gluteal contouring over the last three decades, but most improve the projection rather than the upper quadrants. The authors provide a detailed description of their method of gluteal augmentation using parasacral perforator-pedicled propeller flaps. This technique achieves a volumetric increase and maximal buttock projection at the midlevel and in the medial half of the buttocks. Read More

Plast Reconstr Surg 2022 05 18;149(5):1197-1203. Epub 2022 Mar 18.

From Back Bay Plastic Surgery and the Cirumed Clinic.

Background: With the increase in popularity of fat transfer to the buttocks in body contouring surgery, new patient subsets are emerging. The gender confirmation patient has specific characteristics that must be addressed to achieve the best outcomes.

Methods: The authors performed an observational prospective study including 36 consecutive patients who underwent body feminization as a gender affirming operation using large-volume fat transplantation with or without gluteal implants. Read More

Plast Reconstr Surg 2022 Mar;149(3):624-627

From the Division of Plastic Surgery, Botucatu Medical School, São Paulo State University.

Summary: A recently introduced novel fragmentation technique has made it possible to convert fat tissue from apronectomy into large-scale viable lipograft, providing a glimpse of an alternative to traditional liposuction and its harvesting limitations. The purpose of this study was to assess the initial clinical evidence on fragmented fat transfer to restore volume and enhance deflated gluteal contours in a sample of massive weight loss patients. The authors retrospectively reviewed medical records of 20 women who received autologous buttock fat grafts that were harvested and fragmented following belt lipectomies and/or fleur-de-lis abdominoplasties. Read More

J Cosmet Dermatol 2022 May 20;21(5):1967-1972. Epub 2022 Jan 20.

Private Practice in Dermatology, Rio de Janeiro, RJ, Brazil.

Introduction: Enhancing and altering body contours has increasingly been the focus of new technologies and techniques in aesthetic treatments. The buttocks are seen as a symbol of beauty, sensuality, and attraction.

Patients And Methods: The authors described a technique for female and male gluteal augmentation. Read More

J Drugs Dermatol 2022 Jan;21(1):21-26

Poly-L-lactic acid (PLLA) is an injectable biodegradable biostimulator that promotes collagen production and is approved for use in aesthetic facial augmentation. PLLA is well tolerated with minimal downtime and has demonstrated an excellent safety profile, as well as a longevity benefit of at least 2 years following injection. The robust safety and efficacy profile associated with PLLA for facial rejuvenation has resulted in a growing interest in the use of PLLA for other body areas such as the buttocks, which are an increasingly popular target of aesthetic enhancement. Read More

Plast Reconstr Surg 2021 Dec;148(6):1270-1277

From Massachusetts General Hospital; the University of Texas School of Medicine; 4Beauty Aesthetic Institute for Plastic Surgery; Cirumed Clinic; the University of San Martin; Weymouth Hospital; and Swansea University Medical School.

Background: Although abdominoplasty is a mainstay of the plastic surgeon, the safety of the Brazilian butt lift (BBL) has been questioned, effectively being prohibited in some countries. The central rationale for the safety concern over the BBL stems from a publication stating a mortality rate of one in 3000. The question remains: What is the real safety of these procedures?

Methods: Focusing on mortality, literature searches were performed for BBL and for abdominoplasty. Read More

Plast Reconstr Surg 2021 Nov;148(5):727e-734e

From the Cosmetic Plastic Surgery Institute; California Health Sciences University College of Osteopathic Medicine; University of Arizona College of Medicine-Phoenix; and Touro College of Osteopathic Medicine.

Background: The buttock is an essential feature of the female silhouette. This has led to the rise of the Brazilian butt lift as one of the most popular plastic surgery procedures in recent years. Despite this popularity, there remains no prevailing standard for the ideal buttock size and shape. Read More

Ann Med Surg (Lond) 2021 Sep 3;69:102771. Epub 2021 Sep 3.

Mount Lebanon Hospital, Department of Urology, Lebanon.

Introduction: Synthol injection for body contouring has been used by bodybuilders for some time. We report two extremely rare systemic complications; pulmonary granulomatosis and hypercalcemia, in a woman who has received Synthol injections for buttocks augmentation.

Presentation Of Case: The case discussed in this report is of a 36-year-old lady who presented for severe hypercalcemia and nephrocalcinosis. Read More

J Plast Reconstr Aesthet Surg 2021 Oct 30;74(10):2580-2587. Epub 2021 Mar 30.

Chief of Service, Plastic and Reconstructive Surgery Service, Hospital Universitario Ramon y Cajal, Madrid, Spain.

Background: Although without a widespread popularity, the septocutaneous gluteal artery perforator flap (sc-GAP) can be an excellent choice in breast reconstruction. The purpose of the article is to further study the preoperative imaging anatomy and surgical technique for a safe operation.

Patients And Methods: A clinical experience in four unilateral breast reconstructions is reported, and an analysis is made of the computed tomography angiography (CTA) variables (36 studies/72 sides) that might define the microsurgical consistency and reliability of the technique. Read More

J Cosmet Dermatol 2021 Jun 18;20(6):1655-1662. Epub 2021 Apr 18.

Galderma Aesthetics, Global Medical Affairs, Uppsala, Sweden.

Introduction: Clinical data on body contouring with injectable poly-L-lactic acid are sparsely reported in published literature. This study describes the lead author's clinical experience using injectable poly-L-lactic acid for body contouring in various anatomic locations.

Methods: Twenty consecutive patients undergoing body contouring treatments with poly-L-lactic acid were prospectively followed. Read More

Lasers Surg Med 2021 01 8;53(1):79-88. Epub 2020 Nov 8.

AbbVie Inc, Irvine, California, 92612.

Background And Objective: Magnetic muscle stimulation (MMS) is a relatively new energy-based technology that provides a non-invasive option for body contouring through stimulation and toning of underlying skeletal muscles. This study was conducted to examine the safety, efficacy, and body satisfaction scores of MMS using a CoolToneTM prototype for the aesthetic improvement of abdominal and buttock contour.

Study Design/materials And Methods: This was a prospective, non-comparative, non-randomized, 12-week, multicenter study. Read More

Dermatol Surg 2020 10;46 Suppl 1:S46-S53

A Medical Corp, Pasadena, California.

Background: Poly-L-lactic acid (PLLA) is a well-established biostimulator that induces neocollagenesis, allowing for volume loss correction. Although PLLA is FDA approved to treat mid-to-lower facial wrinkling, it has grown increasingly popular as a nonsurgical, minimally invasive procedure for soft-tissue volume augmentation of other extremities. However, research detailing PLLA buttock injections is still lacking. Read More

Dermatol Surg 2020 10;46 Suppl 1:S38-S45

Clinical Professor of Dermatology and Adjunct Professor of Surgery (Plastic Surgery), Tulane University Health Sciences Center, New Orleans, Louisiana.

Background: Fat transplantation is becoming increasingly popular for off-face rejuvenation.

Objective: To provide an update in the literature of current knowledge and emerging concepts in the use of fat transplantation for nonfacial applications.

Materials And Methods: This update includes the potential benefits and risks of using fat transfer techniques on the body. Read More

J Plast Reconstr Aesthet Surg 2020 Nov 26;73(11):1966-1975. Epub 2020 Aug 26.

The London Clinic, London, UK.

Background: The BAAPS advice against Brazilian butt lift (BBL) surgery in the UK was set in October 2018. A Delphi study conducted by BAAPS highlighted the importance of defining current practice and perceptions amongst UK surgeons, as this is currently unknown.

Objectives: To evaluate BAAPS members' current practice and perceptions around BBL surgery to ensure patient safety and propose better recommendations. Read More

Aesthetic Plast Surg 2020 08 18;44(4):1241-1251. Epub 2016 Feb 18.

University of Pittsburgh Medical Center, 3109 Forbes Avenue, Pittsburgh, PA, 15213, USA.

Background: Whereas body contouring surgery after massive weight loss in women emphasizes sculptured adipose and broader lower torso, little attention has been devoted to accentuating the male physique.

Objective: To determine if boomerang excision pattern correction of gynecomastia with J torsoplasty combined with an abdominoplasty with oblique excisions directly over bulging flanks provide effective and safe optimizing of muscle visibility and upper torso dominance.

Methods: A description of comprehensive body contouring through an abdominoplasty and a series of obliquely oriented ellipses of the male torso is followed by review of 19 consecutive patients. Read More

Dermatol Surg 2021 06;47(6):849-851

Department of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

Plast Reconstr Surg 2020 08;146(2):284-293

From private practice.

Background: Gluteal prominence is a unique characteristic that is widely acknowledged in female contouring but ignored in the male population. This study focuses on male gluteal aesthetics based on a muscular anatomical approach.

Methods: A retrospective review of gluteal contouring in men from January of 2012 to September of 2019 was conducted. Read More

Plast Reconstr Surg 2020 10;146(4):502e-503e

Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, Basel, Switzerland.

Semin Plast Surg 2020 Feb 15;34(1):38-46. Epub 2020 Feb 15.

Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.

Autologous fat grafting is now considered the gold standard for buttock augmentation. Although a variety of techniques are currently being used by surgeons around the world, methods of fat grafting to the buttocks remain unsystematized, poorly understood, and controversial in terms of their safety and efficacy. Nonetheless, buttock augmentation by fat grafting has a satisfaction rate of 97. Read More

Plast Reconstr Surg 2020 01;145(1):281-283

From the Division of Plastic Surgery, Massachusetts General Hospital; and the Dallas Plastic Surgery Institute.

Dermatol Surg 2021 02;47(2):294-296

Cosmetic Laser Dermatology, A West Dermatology Company, San Diego, California.

Plast Reconstr Surg 2019 12;144(6):1128e-1129e

Cosmetic Surgery Institute, Mumbai, India.

Plast Reconstr Surg 2019 12;144(6):1312-1321

From the Massachusetts General Hospital; the Manhattan Eye Ear and Throat Hospital; and the Cirumed Clinic.

Background: Despite rapid growth, gluteal fat transplantation has a dismal safety record and often results in inadequate domal projection. Implants alone for gluteal augmentation have also been reported to be less than ideal, with significant complication rates. The idea of combining both implants and fat, as has been described in the breast, was therefore applied to surgery of the buttocks. Read More

Plast Reconstr Surg 2019 09;144(3):601-609

From the Department of Plastic Surgery, Universidade Iguaçu, Hospital da Plástica; private practice; and the University Hospital of Ribeirao Preto Medical School, University of São Paulo.

Background: Gluteal fat augmentation has increased worldwide, and so have major complications. Brazilian plastic surgeons have been performing this procedure for more than 30 years, and more often every year. Therefore, the authors performed a study among board-certified plastic surgeons, members of the Brazilian Society of Plastic Surgery, to evaluate their techniques; identify their preferences, complications, and outcomes with this procedure; and make some recommendations. Read More

Plast Reconstr Surg 2019 07;144(1):83-92

From the Department for Hand, Plastic, and Aesthetic Surgery, Ludwig Maximilian University; Ocean Clinic; private practice; the Department of Plastic Surgery, Lenox Hill Hospital; the Department of Anatomy and Department of Surgery, Division of Plastic Surgery, Mayo Clinic College of Medicine and Science, Mayo Clinic; Skin Associates of South Florida; and the Department of Medical Education, Albany Medical College.

Background: The deep intramuscular approach during buttock augmentation with fat grafting has been associated with a significantly increased risk for pulmonary fat embolism. This study was designed to provide guidance for injection into the subcutaneous fat.

Methods: The authors investigated 150 Caucasian individuals with an equal distribution of men and women (n = 75 each) and a balanced distribution of age (n = 30 per decade: 20 to 29, 30 to 39, 40 to 49, 50 to 59, and 60 to 69 years) and body mass index (n = 50 per group: ≤24. Read More

Plast Reconstr Surg 2019 06;143(6):1625-1632

From the Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Florida Health; and the Department of Plastic Surgery, University of California, Irvine.

Given the widespread utility and therapeutic potential of autogenous fat grafting, plastic surgeons should be familiar with its safety profile and associated adverse events. This article provides a critical review of the literature and delineates risk factors associated with various complications when grafting to the breast and gluteal regions. The majority of adverse events are related to fat necrosis and require minimal diagnostic or therapeutic intervention. Read More

Aesthet Surg J 2019 08;39(9):NP380-NP383

Massachusetts Eye and Ear, Brigham and Women's Hospital; and is an Assistant Professor of Anesthesia, Harvard Medical School, Boston, MA.

Gluteal augmentation with fat has become one of the most common cosmetic procedures worldwide. Gluteal augmentation is designed to increase the volume and contour of the gluteal region. Intramuscular lipoinjection has been linked to multiple reports of severe complications, including death due to macro fat embolism (MAFE). Read More

Plast Reconstr Surg 2019 05;143(5):1343-1351

From The Wall Center for Plastic Surgery; Back Bay Plastic Surgery; private practice; the Department of Plastic Surgery, University of Texas Southwestern Medical Center; and the Dallas Plastic Surgery Institute.

Background: Recent anatomical studies have demonstrated that fat placed subjacent to the fascia of the gluteus maximus muscle can migrate deep through the muscle into the submuscular space, possibly causing tears in the gluteal veins, leading to fat embolisms. The purpose of this study was to define and to study subcutaneous migration and to determine whether fat placed in the subcutaneous space under a variety of pressures and fascial integrity scenarios can indeed migrate into the deep submuscular space.

Methods: Four hemibuttocks from two cadavers were used. Read More

J Plast Surg Hand Surg 2019 Aug 12;53(4):189-197. Epub 2019 Apr 12.

b Printzlau Private Hospital, Appointed Centre for Public Massive Weight Loss Plastic Surgery , Virum , Denmark.

The 'Danish Scale' (DS) is a visual rating scale of massive weight loss body contour deformities and excessive skin in female MWL-patients with current BMI 30 kg/m and massive weight loss defined as BMI loss (delta-BMI) 15 kg/m, regardless of weight loss method. The scope of the scale is to simplify the reporting of objective findings by a three-step grading of minor, moderate and severe body contour changes in six different body regions: breasts, abdomen, upper back, buttocks, arms and legs. The DS is presented with descriptions of the conceptualization and construct of the scale. Read More

Plast Reconstr Surg 2019 05;143(5):960e-972e

From the University of Pittsburgh Medical Center; and the Cleveland Clinic-South Pointe Hospital.

Background: Designed in response to the failure of circumferential lower body lifts to deepen waists, oblique flankplasty with lipoabdominoplasty aesthetically reshapes not only the waist, but also the hips, buttocks, and upper lateral thighs with minimal morbidity.

Methods: The oblique flankplasty with lipoabdominoplasty technique was standardized, with 5 of 56 cases presented. Operative records on the lower torso from March of 2000 to January of 2018 yielded 30 initial oblique flankplasty with lipoabdominoplasty cases and hundreds of lower body lifts. Read More