TRIDIMENSIONAL COMBINED GLUTEOPLASTY: LIPOSUCTION, BUTTOCK IMPLANTS AND FAT TRANSFER.

INTRODUCTION: There are different procedures for gluteal augmentation. We describe our gluteal augmentation technique, which combines buttock implant placement, frame liposuction and lipoinjection in the lateral third of the buttock and a plane superficial to the gluteal implant. MATERIALS AND METHODS: Patients of both sexes who underwent aesthetic gluteal augmentation with a volume deficit of the lateral third and limited fat available for grafting were included. Liposuction was performed on the periphery of the gluteus, silicone implants were placed, and lipoinjection was performed in different areas. RESULTS: Fifty-two patients were included between October 2007 and December 2018. The average age of the patients was 33.3 years (23-49 years); 42 women and 11 male to female transgender patients were included. The implants used consisted of anatomical cohesive silicon, with the most commonly used being 300 cc (200-500 cc) in size. The average volume of infiltrated fat in each hip and buttock was 243.1 cc (100-370 cc) and 141.6 cc (50-200 cc), respectively. Partial wound dehiscence was reported in 6 patients (11.5%). In one patient who had been treated with biopolymers, the implant became exposed. All patients reported that they were highly satisfied with the results of the procedure. CONCLUSIONS: The combination of liposuction, buttock implant placement and lipoinjection of the buttocks and hips is a safe procedure with a low complication rate and high level of satisfaction. This procedure is recommended in patients who require augmentation of the central and lateral portions of the buttock with insufficient fat tissue for lipoinjection.