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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

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

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

Cosmetic Surgery Institute, Mumbai, India.

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

Boston, Mass.; New York, N.Y.; and Marbella, Spain 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

Rio de Janeiro and São Paulo, Brazil; and Boca Raton, Fla. 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

Munich, Germany; Marbella, Spain; New York and Albany, N.Y.; Rochester, Minn.; Coral Gables, Fla.; and Merida, Yucatan, Mexico 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

Gainesville, Fla.; and Irvine, Calif. 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

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

Shreveport, La.; Boston, Mass.; Santa Monica, Calif.; and Dallas, Texas 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

Pittsburgh, Pa.; and Akron, Ohio 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

Plast Reconstr Surg 2018 12;142(6):1468-1475

New York, N.Y.; Boston, Mass.; and Dallas, Texas From the Manhattan Eye, Ear & Throat Hospital; Harvard Plastic Surgery, Brigham & Women's Hospital, Massachusetts General Hospital; and the Department of Plastic and Reconstructive Surgery, University of Texas Southwestern Medical Center.

Background: The gluteal lift ("Brazilian butt lift") has improved significantly in technique and in outcomes. Some postulate that fat embolism occurs because of damage to veins superficial to the gluteus muscles and that fat must be injected intramuscularly to achieve satisfactory aesthetic results. The purpose of this article is to present data where gluteal lift is performed under local anesthesia, address safety concerns, and clarify these speculations. Read More

Clin Plast Surg 2019 Jan 22;46(1):61-70. Epub 2018 Oct 22.

Head of Scientific Council, IPSAC, 8 Quai Général Sarrail, Lyon 69006, France. Electronic address:

There are some precise rules to succeed with a buttock lift. The article begins with a reminder about the ideal buttock shape. It explains the different quality of skin that is essential to be aware of at the back part of the body. Read More

Aesthet Surg J 2019 01;39(2):233-237

Department of Plastic Surgery, at the La Conception Hospital, Assistance Publique - Hôpitaux de Marseille, Marseille, France.

Aesthet Surg J 2019 01;39(2):NP13-NP14

Department of Plastic Surgery, Royal Free Hospital, Hampstead, London, UK.

J Cosmet Laser Ther 2019 Aug 9;21(5):278-285. Epub 2018 Oct 9.

b Doctor, Postgraduate Program in Rehabilitation Sciences , Federal University of Alfenas , Alfenas , Minas Gerais , Brazil.

Objective: Evaluate the effects of the whole body vibration in improving of cellulite in the women's gluteal region.

Methods: Controlled clinical trial performed with 42 women, with cellulite in the gluteal region, detected by means of clinical examination. After evaluation, the women were divided into two groups: Whole-Body Vibration (WBV_G) and control (C_G). Read More

Aesthet Surg J 2019 01;39(2):174-184

Private practice in Zapopan, Jalisco, Mexico.

Background: Fat grafting for gluteal augmentation is one of the most popular aesthetic surgery procedures. It has an associated mortality to fat embolism of 0.2%. Read More

Aesthetic Plast Surg 2018 Dec 17;42(6):1591-1599. Epub 2018 Sep 17.

A-Plast Estetik, Akasya AVM, A1 Kule, D:117Acıbadem, Istanbul, Turkey.

Introduction: Combined and/or multistage operations often are needed in postbariatric surgery.

Aim: With this retrospective study of a series of 55 cases, we aim to determine the effectiveness and safety of one-stage combined postbariatric surgery.

Materials And Methods: A total of 248 postbariatric procedures were performed in one session (except one-staged gynecomastia case) in 55 patients. Read More

Surg Radiol Anat 2019 Jan 23;41(1):133-140. Epub 2018 Aug 23.

Digital Imaging and 3D Modelling Laboratory, Department of Anatomy, Faculty of Medicine, Ege University, Izmir, Turkey.

Background: As buttocks region is one of the most characteristic features of the ideal female body figure, the popularity of gluteal region contouring is on the rise. Perception of body form is influenced by its shape and size. Interventions to modify the form of this region are often difficult due to influence. Read More

Plast Reconstr Surg 2018 11;142(5):1198-1208

Mérida, Yucatán; and Zapopan and Puerto Vallarta, Jalisco, México; and Bucaramanga and Bogota, Colombia From private practice; the Divisions of Plastic Surgery and Internal Medicine, Jalisco Institute of Reconstructive Surgery "Dr. José Guerrerosantoss"; the Jalisco College of Plastic, Esthetic and Reconstructive Surgery; Clínica "El Pinar," National University of Colombia, and the National Institute of Legal Medicine and Forensic Sciences Regional Colombia.

Background: Deaths secondary to gluteal lipoinjection are relatively recent events of major importance. However, little is known in relation to their behavior and clinical evolution. Therefore, an analysis was performed of case records from clinical cases that encountered this problem, correlating the results with the findings during autopsies. Read More

Plast Reconstr Surg 2018 10;142(4):910-919

Ribeirão Preto, São Paulo, Brazil From Rosique Plastic Surgery.

According to recent data, augmentation gluteoplasty continues to gain popularity in the United States and globally, especially in procedures involving fat grafts. However, serious concerns about its safety have been raised over the past 2 years. Will this trend continue or has it already reached its peak? The answer depends on how the technique is going to be performed hereafter. Read More

Aesthetic Plast Surg 2019 02 13;43(1):155-162. Epub 2018 Jun 13.

Department of Plastic Surgery, LH Clinic, Rua Xavier da Silveira 45/206, 22061-010, Rio de Janeiro, Brazil.

Introduction: Abdominoplasty is one of the most popular body-contouring procedures. Despite its popularity, classic abdominoplasty is still associated with a significant rate of complaints from patients such as: fullness of flanks and epigastric areas, lack of a posterior lumbar curve, hanging skin over the incision line, and visible scars over the flanks and beyond underwear or swimming suit coverage. This study reviews the authors' experience in redo abdominoplasty when the patient is not or partially satisfied with the primary procedure. Read More

Clin Plast Surg 2018 Jul;45(3):333-342

Private Practice, The Gender Confirmation Center of San Francisco, Suite 1010, 450 Sutter Street, San Francisco, CA 94108, USA. Electronic address:

Even after long-term hormone therapy, many transwomen still have challenges in the size and shape of their breasts and also of the contour of their trunk areas. Though distinct anthropomorphic differences in skeletal structure exist and pose limitations to an ideal result, considerable improvements can be obtained through breast augmentation and trunk feminization. There are challenges that are unique to the transfeminine chest and trunk, and important considerations for the priority of fat grafting to the buttocks and hips when grafted fat is in short supply. Read More

Plast Reconstr Surg 2018 06;141(6):1371-1382

Seoul, Republic of Korea From the BongBong Aesthetic Plastic Surgery Clinic.

Background: As interest in posterior body contour has increased, there has been an upward trend in the number of gluteal augmentations performed. However, there has also been a proportional increase in postoperative complications and subsequent revision operations. Nevertheless, there are currently few studies or reports on secondary gluteal augmentation. Read More

Clin Plast Surg 2018 Apr;45(2):277-293

Department of Plastic Surgery, The Ohio State University, 915 Olentangy River Road, Suite 2100, Columbus, OH 43212, USA; Private Practice, Columbus Institute of Plastic Surgery, 6499 East Broad Street, Suite 130, Columbus, OH 43213, USA. Electronic address:

Massive weight loss patients and aesthetic patients can present with significant gluteal contour abnormalities. Gluteal ptosis, skeletal deformities, severe platypgia, and a paucity of donor fat for autologous transfer are common problems. Excisional procedures are used to treat massive-weight-loss contour abnormalities. Read More

Clin Plast Surg 2018 Apr;45(2):249-259

Department of Plastic Surgery, University of Texas Southwestern Medical Center, 1801 Inwood Road, Dallas, TX 75390, USA.

Gluteal augmentation with autologous fat transfer is an increasingly popular procedure that has the ability to transform a patient's entire body silhouette and gluteal appearance. Proper patient selection, preoperative evaluation, and planning are critical to the success of the procedure. Using the preoperative planning, surgical technique, and postoperative care described, the procedure can be performed safely with powerful and consistent results and avoidance of complications associated with gluteal fat transfer. Read More

Clin Plast Surg 2018 Apr;45(2):197-202

Faculty of Medicine, University San Martin de Porres, Alameda del corregidor 1531 avenue, Los Sirius Urbanization, Las Viñas, La Molina, Lima 12, Peru. Electronic address:

Submuscular gluteal augmentation is a very valid plane for buttocks implantation, even more so in North America, where surgeons can only use silicone elastomer implants. Irrespective of how soft elastomer implants are made, they are much firmer than the silicone gel implants that can be used in other countries. A deeper plane with more soft tissue coverage provides more natural results, as long as the anatomic boundaries are respected. Read More

Clin Plast Surg 2018 Apr;45(2):145-157

Mercy Clinic Research Institute, 901 Patients First Drive, Washington, MO 63090, USA.

Despite the acceptance of gluteal augmentation procedures into today's mainstream of plastic surgery procedures, clinical anatomy continues to play a critical role in improving outcomes in aesthetic gluteal contouring. In this rapidly growing and evolving field, avoiding complications is imperative for the continuing advancement and acceptance of this group of procedures into the armamentarium of every plastic surgeon. This article highlights the clinically relevant anatomy important to improving patient satisfaction and avoiding complications. Read More

Aesthet Surg J 2018 Sep;38(10):1099-1114

Plastic Surgery Division, Hospital São Lucas, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, Brazil.

Background: Cellulite is one of the most common skin and subcutaneous tissue conditions, affecting predominantly the thighs and hips in postadolescent women. Its etiology is not well defined, and multiple available treatments show variable efficacy.

Objectives: To describe a technique for treatment of cellulite of the gluteal region, thighs, and hips through superficial liposuction utilizing a special cannula, combined with subcutaneous autologous fat grafting. Read More

Plast Reconstr Surg 2018 02;141(2):306-311

Miami, Fla. From private practice and the University of Miami School of Medicine.

Dr. Constantino Mendieta demonstrates and details his personal technique for gluteal augmentation. The video demonstration is divided into three parts: Part I, Aesthetic Analysis and Preoperative Marking; Part II, Creating the Female Silhouette with Circumferential Lipoplasty; and Part III, Autogenous Gluteal Augmentation. Read More

Aesthet Surg J 2018 Jul;38(8):861-869

Division of Plastic and Reconstructive Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA.

Background: As the popularity of aesthetic gluteoplasty continues to grow, there is renewed focus on defining the ideal buttocks. However, the literature lacks studies characterizing an ideal thigh, despite the impact of thigh contour on overall gluteal aesthetic.

Objectives: The authors performed the first population analysis of the characteristics of perception of attractive thighs, to identify a role for fat grafting of the thigh in gluteoplasty. Read More

J Gen Intern Med 2018 04 16;33(4):573-574. Epub 2018 Jan 16.

Department of Medicine, The Johns Hopkins Hospital, Baltimore, MD, USA.

J Invest Surg 2019 Apr 29;32(3):228-231. Epub 2017 Dec 29.

c Instituto Jaliscience de Ciencias Forenses Batalla de Zacatecas #2395 Col. Revolución, San Pedro Tlaquepaque , Jalisco.

Introduction: Liposuction is one of the most popular plastic surgery procedures. As in any surgery, there are risks and complications, especially when combined with fat injection. Case reports of fat embolism have been reported. Read More

Plast Reconstr Surg 2018 04;141(4):880-890

Zapopan, Jalisco, and Mérida, Yucatán, México; and Bucaramanga, Colombia From Innovare Cirugía Plástica Especializada, the Divisions of Plastic Surgery and Internal Medicine, Jalisco Institute of Reconstructive Surgery "Dr. José Guerrerosantos"; the Jalisco College of Plastic, Esthetic and Reconstructive Surgery; private practice; and Clínica "El Pinar."

Background: Liposuction and gluteal lipoinjection are two of the most frequent surgical procedures in body contouring surgery, and two of the most important complications are microscopic (MIFE) and macroscopic (MAFE) fat embolism. Despite a high index of morbidity and mortality, few reports exist about these complications, and although they have the same causal agent, their etiopathogenesis, clinical evolution, treatment, prognosis, and prevention are totally different. Therefore, the authors performed a comprehensive review of the literature to exhaustively analyze both pathologic conditions and present the differences between them. Read More

Health Qual Life Outcomes 2017 Nov 25;15(1):227. Epub 2017 Nov 25.

Memorial Sloan-Kettering Cancer Center, 1275 York Ave, New York, NY, 10065, USA.

Background: Recent systematic reviews have identified that current patient-reported outcome instruments have content limitations when used to measure change following bariatric surgery. The aim of this study was to measure change after bariatric surgery using the BODY-Q, a PRO instrument designed for weight loss and body contouring.

Methods: The BODY-Q is composed of 18 independently functioning scales and an obesity-specific symptom checklist that measure appearance, health-related quality of life (HR-QOL) and experience of health-care. Read More

Plast Reconstr Surg 2018 03;141(3):625-636

Paris, France From the Department of Plastic and Reconstructive Surgery, Groupe Hospitalier Paris Saint Joseph.

Background: An often-neglected part of the lower body lift procedure is the gluteal region. The objective of this study was to classify massive weight loss patients undergoing a body lift procedure and provide a safe, standardized approach for gluteal augmentation.

Methods: A retrospective review of all body lift procedures performed between January of 2012 and January of 2017 was conducted. Read More

Aesthet Surg J 2018 Jun;38(7):751-762

Background: Autologous buttock augmentation with fat grafting has emerged as one of the preeminent modalities for body contouring employed by plastic surgeons today. Since 2009, we have used the roller pump injection technique.

Objectives: This procedure can be performed safely without specialized equipment and eliminates the tasks of manual graft preparation and injection. Read More

Aesthet Surg J 2017 07;37(7):852-853

Aesthetic Surgery Journal.

Ann Chir Plast Esthet 2017 Dec 1;62(6):659-663. Epub 2017 Aug 1.

Department of plastic reconstructive and aesthetic surgery, university hospital of Picardie, 80054 Amiens, France.

The increase in the number of patients who undergo massive weight loss surgery has led to an increasing number of patients who complain of circumferential abdominal skin and soft tissue excess. Currently, the only surgical option to treat soft tissue excess is vertical median abdominal lipectomy (fleur-de-lys technique). However, many patients are reluctant to undergo this surgery because of the position of the scar. Read More

Ann Chir Plast Esthet 2017 Aug 16;62(4):295-302. Epub 2017 Jun 16.

Service de chirurgie plastique, reconstructrice et esthétique, pavillon chirurgical B, hôpitaux universitaires de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg cedex, France.

Introduction: There is a growing demand for weight loss sequelae. Some women have a particular morphology with a major trochanteric excess that warrants specific treatment.

Materials And Methods: On the basis of the technique published in 1964 by Pitanguy, the authors suggest a lift of the external face of the thigh with the scar redrawing the lower part of the buttock, from the gluteal fold to the inguinal region by crossing the trochanteric region. Read More

Aesthetic Plast Surg 2017 Oct 19;41(5):1150-1154. Epub 2017 May 19.

Division of Plastic Surgery, University of Miami, 1120 NW 14th Street 4th Floor, Miami, FL, 33136, USA.

Mycobacterium chelonae is a nontuberculous mycobacterium, classified as a Runyon type IV mycobacterium. In relation to humans, it is most commonly associated with tissue trauma or pulmonary infections. The majority of medical reports describe finding M. Read More

J Invest Surg 2018 Aug 9;31(4):292-297. Epub 2017 May 9.

a University of Guadalajara, Centro Universitario de la Costa , Puerto Vallarta , Jalisco , México.

Introduction: Liposuction is a popular surgical procedure. As in any surgery, there are risks and complications, especially when combined with fat injection. Case reports of fat embolism have described a possible explanation as the puncture and tear of gluteal vessels during the procedure, especially when a deep injection is planned. Read More

Int J Surg Pathol 2017 Oct 19;25(7):606-607. Epub 2017 Apr 19.

1 Department of Pathology, Fundación Universitaria de Ciencias de la Salud. Hospital San José, Bogotá, Colombia.

Aesthet Surg J 2017 07;37(7):796-806

ASERF Gluteal Fat Grafting Task Force.

Background: Gluteal fat grafting is among the fastest growing aesthetic procedures in the United States and around the world. Given numerous anecdotal and published reports of fatal and nonfatal pulmonary fat embolism resulting from this procedure, the Aesthetic Surgery Education and Research Foundation (ASERF) formed a Task Force to study this complication.

Objectives: To determine the incidence of fatal and nonfatal pulmonary fat embolism associated with gluteal fat grafting and provide recommendations to decrease the risks of the procedure. Read More

J Cosmet Laser Ther 2017 Jun 2;19(3):165-173. Epub 2017 Feb 2.

a Brazilian Center for Studies in Dermatology , Porto Alegre , RS , Brazil.

Background: Cellulite is a common aesthetic condition that affects almost every woman.

Objective: To evaluate the efficacy of acoustic wave therapy (AWT) for cellulite and body shaping.

Methods: In this open-label, single-centre trial, 30 women presenting moderate or severe cellulite underwent 12 sessions of AWT on the gluteus and back of the thighs, over six weeks. Read More

Acta Chir Belg 2017 Apr 8;117(2):84-88. Epub 2016 Dec 8.

a Department of Plastic Surgery , Ghent University Hospital , Ghent , Belgium.

Introduction: Patients requesting body-contouring surgery after massive weight loss often present with abdominal and lumbar skin excess as well as gluteal ptosis and loss of gluteal projection. In order to restore gluteal projection a circular abdominoplasty in combination with an autologous gluteal augmentation (all-in-one technique) can be performed.

Objective: To compare outcomes for patients who underwent a circular abdominoplasty with or without autologous gluteal augmentation. Read More

Ann Plast Surg 2016 Feb;77 Suppl 1:S53-9

From the Department of Surgery, Division of Plastic Surgery, Section of Body Contouring After Weight Loss, University of California Davis, Sacramento, CA.

With the rise in obesity in the United States, there has been a similar increase in bariatric surgery. This has resulted in numerous patients losing significant weight with accompanying circumferential body contouring issues. This has led to an amazing increase in the number of body contouring procedures performed, both traditional excisional techniques as well as new emerging techniques emphasizing tissue preservation, rearrangement, and dermal reshaping. Read More

Aesthetic Plast Surg 2016 Oct 10;40(5):652-68. Epub 2016 Jun 10.

Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital Sud, University of Rennes 1, Rennes, France.

Background: Increasing obesity prevalence and development of bariatric surgery have led to the development of skin re-draping techniques. Several contouring techniques have been described for treating the circumferential excess of the lower trunk.

Materials And Methods: We performed a systematic review to summarize surgical indications, operative techniques, peri-operative management (nutritional supplementation, antibiotic prophylaxis, thrombo-prophylaxis), outcomes, complications, patient satisfaction, and impact on quality of life of circumferential contouring of the lower trunk procedures. Read More

Lasers Surg Med 2016 Jan 18;48(1):14-22. Epub 2015 Nov 18.

Palos Verdes Plastic Surgery Medical Center, Torrance, California.

Background And Objectives: Cellulite and lipodystrophy are often found together, especially in areas of the buttocks and thighs, causing skin surface irregularities. Each of these conditions is currently treated independently as two separate surgical procedures. In our practice, we developed a novel combined approach for the simultaneous treatment of cellulite and lipodystrophy, as a single stage procedure in the same anatomic area. Read More

Plast Reconstr Surg 2015 Feb;135(2):433-6

Pittsburgh, Pa. From the Hurwitz Center for Plastic Surgery, University of Pittsburgh Medical Center.

Background: After excess skin and fat are removed, a body-lift suture advances skin and suspends ptotic breasts, the mons pubis, and buttocks. For women, the lift includes sculpturing adiposity. While some excess fat may need removal, muscular men should receive a deliberate effort to achieve generalized tight skin closure to reveal superficial muscular bulk. Read More

Clin Plast Surg 2014 Oct;41(4):775-88

Department for Plastic and Reconstructive Surgery, Dreifaltigkeits-Hospital, Bonner Strasse 84, Wesseling 50389, Germany.

A 2-position circumferential approach for body contouring of the lower trunk is presented. Mostly indicated in patients after massive weight loss, this approach allows the simultaneous skin resection and reshaping in the abdominal, flank, lateral thigh, back, and gluteal region in the same operation, with only one position change during surgery. Reconstruction of the abdominal wall and gluteal restoration allow volume and shape enhancement with autologous tissue transpositioning. Read More