Augmentation gluteoplasty with intramuscular implants

ABSTRACT

Introduction:

The buttocks are composed of muscles that control leg movement, with the gluteus maximus muscle playing an important role. In addition, as an erogenous zone, they are associated with sex-related function. Voluminous buttocks incite greater scrutiny and sexual desire, which has increased the demand for augmentation gluteoplasty with the use of silicone implants. Gluteal implants allow for effective reshaping and augmentation of the buttocks, in sharp contrast with the results obtained with other techniques. The implant pockets can be inserted in four different planes, namely the subcutaneous, subfascial, intramuscular, and submuscular planes. The ideal location of the gluteal implant is currently controversial, with arguments in favor of both the subfascial and intramuscular planes. The aims of this study were to introduce gluteoplasty techniques described in the literature that use the intramuscular plane as the implant insertion route and to determine the degree of patient satisfaction with results, as well the safety, applicability, and reproducibility of the technical procedures.

Methods:

This literature review is based on online electronic searches on the MEDLINE database in November 2011. The most frequently described immediate adverse effects of the technique include pain, wound dehiscence, seroma, and infection.

Results:

The patients were greatly satisfied. The XYZ procedure, which includes marking anatomical reference points to guide the intramuscular dissection, provides technical insight that ensures reproducible results and prevents complications such as palpable or perceptible implants.

Conclusion:

This procedure has been demonstrated to produce natural and satisfactory results, with low complication rates.

Keywords:
Intramuscular; Gluteus; Implants