Abstract

A Revista Brasileira de Cirurgia Plástica é o órgão oficial de divulgação da Sociedade Brasileira de Cirurgia Plástica (SBCP), tem como objetivo registrar a produção científica em Cirurgia Plástica, fomentar o estudo, aperfeiçoamento e atualização dos profissionais da especialidade.

Highlights

  • The buttocks are composed of muscles that control leg movement, with the gluteus maximus muscle playing an important role

  • This study consisted of a literature review performed through an electronic bibliographical search on the MEDLINE database in November 2001, using the following keywords: “intramuscular,” “gluteal, and “implants.” The inclusion criteria were papers that were published in English between 1996 and 2011, and focused on the use of gluteal intramuscular implants in augmentation gluteoplasty

  • The most commonly reported late complications were muscle atrophy and implant rotation due to late formation of the pocket; both complications can lead to perceptible implants

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Summary

Introduction

The buttocks are composed of muscles that control leg movement, with the gluteus maximus muscle playing an important role. Gluteal implants allow for effective reshaping and augmentation of the buttocks, in sharp contrast with the results obtained with other techniques. 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. 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. Gluteal implants effectively augment the buttocks area, producing a more desirable shape, which is not easy to achieve with other approaches. The desired round shape of the implant is achieved through a concentrated projection, which is not always the case with the fat flap

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