Gluteoplastia de aumento con injerto graso autólogo y plasma rico en plaquetas activado

Introduction: Plastic surgeons have faced the challenge of treating the various deformities of the gluteal region, in search of the technique that provides greater safety and better aesthetic results. The use of the fatty tissue of the body is an option within the fillers. In recent years, a procedure has been incorporated that consists of infiltrating plasma, rich in platelets, to increase the survival of the autologous graft and reduce its reabsorption. Objective: To describe the changes in gluteal volume after lipoinjection of the autologous fat graft enriched with activated platelet-rich plasma. Methods: A prospective descriptive study was carried out in patients who attended the Plastic Surgery consultation of “Hermanos Ameijeiras” Clinical Surgical Hospital from September 2013 to January 2016. The main variables studied were the infiltrated fat volume (measured by ultrasound) and the complications of the procedure. The analysis of variance test was applied for repeated measures with intra-subjects contrast tests, the analysis of differences with Bonferroni a posteriori. The sample consisted of 30 patients who met the inclusion criteria. Results: The permanence of the fat graft in the right gluteal muscle tissue was 94.4% and 95.6% in the left; 93% was permanent in the right gluteal subcutaneous tissue and 92.5% in the left one. Only two cases were complicated. Conclusions: The main changes in the volume of the autologous adipose tissue graft plus activated platelet-rich plasma were noted in the first six months with poor resorption and high graft survival, which showed greater permanence in the muscular plane and evolutionary stability between the ages of six and twelve months with few complications.