Abstract

The buttock, positioned between the trunk and lower limbs, plays a pivotal role in body contour aesthetics. Achieving the ideal combination of shape and volume is crucial for natural-looking gluteal augmentation, particularly when employing hyaluronic acid (HA). This study seeks to establish an anthropometrically informed protocol for optimal HA infiltration, aiming to avoid unnatural outcomes. The study utilized Genefill Contour Plus for buttock reshaping. An oval was delineated, strategically positioned in relation to anatomical landmarks, and HA was injected through an 18-gauge cannula on the suprafascial plane. The protocol involved meticulous considerations of gluteal geometry. Sixty participants (55 females, 5 males) with a mean age of 35.5 years underwent HA buttock augmentation. The HA quantities ranged from 30 to 50 ml per buttock to enhance gluteal projection. All participants attended follow-ups at 7 to 14 days and 3 to 6 months. Satisfaction evaluation, utilizing aesthetic improvement ratings, involved assessments from both patients and physicians. The complexity of infiltrating semi-dense material for buttock augmentation demands a meticulous protocol grounded in an understanding of gluteal geometry. Gluteal augmentation using HA, guided by anthropometric measures, emerges as a secure and effective approach, yielding optimal aesthetic results while minimizing complications. This study contributes to refining the protocol for HA infiltration, ensuring a natural and harmonious gluteal contour. All participants attended regular follow-ups at 7 to 14 days and 3 to 6 months post-injection for a comprehensive evaluation of aesthetic outcomes and patient well-being. This anthropometrically guided HA injection protocol ensures a meticulous and tailored approach to gluteal remodeling, emphasizing natural contours and aesthetic satisfaction while minimizing complications.Level of evidence: Level IV, Therapeutic.

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