Multiple Serratus- and High-Oblique LipoTransfer guided by Ultrasound (Multi-SHOT): Cadaveric and Clinical Study

Abstract

Abstract Background Body contouring procedures are now increasingly popular among male patients who desire a lean and athletic appearance. Dynamic Definition Liposculpture (HD2) employs a comprehensive, 360-degree approach to achieve natural-looking results. Several authors have highlighted the efficacy and safety of fat grafting techniques in body contouring, which are strategically applied to enhance muscle definition. Objectives We are reporting our experience with ultrasound-guided intramuscular fat grafting to the serratus anterior muscles and the superior third of the internal and external oblique muscles (Multi SHOT) in addition to High Definition Liposculpture. Methods We conducted a retrospective cohort study across 2 specialized plastic surgery centers. Our study included adult male patients with ectomorph and mesomorph body biotypes who underwent Multi SHOT in addition to HD2. Descriptive statistical analysis was used to summarize demographic, surgical, and clinical variables. Given the sample size, high satisfaction rates, and low complication rates, no bivariate analysis was performed. Results A total of 81 consecutive male patients underwent High Definition Liposculpture combined with the Multi-SHOT technique. Mean age was 40.27 years (SD = 8,34 years), and the mean Body Mass Index (BMI) was 26.79 kg/m2 (SD = 2,47 kg/m2). Additional fat grafting of trunk muscles was performed to enhance the aesthetic outcomes. No complications associated with the technique were reported. Conclusions Our findings provide valuable insights about the safety and efficacy of the Multi-SHOT technique to enhance the athletic and muscular appearance of the male anterior torso. Further studies with greater sample size are required to support our findings.