Search Our Scientific Publications & Authors

J Cosmet Dermatol 2021 Apr 8. Epub 2021 Apr 8.

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

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

Aesthet Surg J 2019 06;39(7):NP253-NP258

Keck Hospital of University of Southern California, Los Angeles, CA.

Anaplastic large-cell lymphoma (ALCL) is a very rare but life-threatening complication that has largely been demonstrated to be associated with breast implants (BIA-ALCL). Patients are at risk of BIA-ALCL with the placement of breast implants for either cosmetic or reconstructive purposes, with the highest risks associated with textured breast implants. In the past decade, an increasing number of publications have focused on BIA-ALCL, but there has yet to be a reported case outside of the breast. Read More

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

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

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