Buttocks Augmentation



The authors focus on the treatment of buttock hypoplasia and discuss the basic anatomy of the region. Preoperative markings are described as well as the operative procedure. Postoperative care and potential postoperative complications are discussed as well as observed complications and the management of those complications. Special attention is paid to the postoperative care of sciatic pain that may be associated with the procedure. There is a comparison of buttock augmentation with implants to fat with specific reference to published data to that effect.


Capsular Contracture Seroma Formation Gluteus Maximus Gluteal Region Compression Garment 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    ASAPS. 2006 Cosmetic Surgery National Data Bank Statistics. New York: ASAPS; 2007.Google Scholar
  2. 2.
  3. 3.
    2008 American Academy of Cosmetic Surgery Procedural Census. Accessed 14 Sept 2013.
  4. 4.
    Singh D. Universal allure of the hourglass figure: an evolutionary theory of female physical attractiveness. Clin Plast Surg. 2006;33(3):359–70.PubMedCrossRefGoogle Scholar
  5. 5.
    Lee EI, Roberts TL, Bruner TW. Ethnic considerations in buttock aesthetics. Semin Plast Surg. 2009;23(3):232–42.PubMedCentralPubMedCrossRefGoogle Scholar
  6. 6.
    Cardenas-Camarena L, Paillet JC. Combined gluteoplasty: liposuction and gluteal implants. Plast Reconstr Surg. 2007;119(3):1067–74.PubMedCrossRefGoogle Scholar
  7. 7.
    Centeno RF. Gluteal aesthetic unit classification: a tool to improve outcomes in body contouring. Aesthetic Surg J. 2006;26(2):200–8.CrossRefGoogle Scholar
  8. 8.
    Mendieta CG. Classification system for gluteal evaluation. Clin Plast Surg. 2006;33(3):333–46.PubMedCrossRefGoogle Scholar
  9. 9.
    Bartels RJ, O’Malley JE, Douglas WM, Wilson RG. An unusual use of the Cronin breast prosthesis. Plast Reconstr Surg. 1969;44(5):500.PubMedCrossRefGoogle Scholar
  10. 10.
    Cocke WM, Ricketson G. Gluteal augmentation. Plast Reconstr Surg. 1973;52(1):93.PubMedCrossRefGoogle Scholar
  11. 11.
    Douglas WM, Bartels RJ, Baker JL. An experience in aesthetic buttocks augmentation. Clin Plast Surg. 1975;2(3):471.Google Scholar
  12. 12.
    Buchuk L. Gluteoplastia de aumento. Cir Plast Iberolatinoamericana. 1980;6(1):29.Google Scholar
  13. 13.
    Robles JM, Tagliaprietra JC, Grandi MA. Gluteoplastia de aumento: implantes submusculares. Cir Plast Iberolatinoamericana. 1984;10:4.Google Scholar
  14. 14.
    Gonzalez Ulloa M. Gluteoplasty: a ten year report. Aesthetic Plast Surg. 1991;15(1):85–91.PubMedCrossRefGoogle Scholar
  15. 15.
    Vergara R, Amezcua H. Intramuscular gluteal implants: 15 years’ experience. Aesthet Surg J. 2003;23(2):86–91.PubMedCrossRefGoogle Scholar
  16. 16.
    Gonzalez Ulloa M. A review of the present status of the correction for sagging buttocks. In: Annals of the IV Congress of the International Society of Aesthetic Plastic Surgery, Mexico City, Apr 1977.Google Scholar
  17. 17.
    Chugay N. Modification of buttock augmentation. Am J Cosmet Surg. 1997;14(4):405–11.Google Scholar
  18. 18.
    Vergara R, Marcos M. Intramuscular gluteal implants. Aesthetic Plast Surg. 1996;20(3):259–62.PubMedCrossRefGoogle Scholar
  19. 19.
    Bortoluzzi Daniel MJ, Maluf I. What is the durability of gluteal prostheses? Rev Bras Cir Plast. 2012;27(1):93–6.CrossRefGoogle Scholar
  20. 20.
    Peren PA, Gomez JB, Guerrerosantos J, Salazar CA. Gluteus augmentation with fat grafting. Aesthetic Plast Surg. 2000;24(6):412–7.PubMedGoogle Scholar
  21. 21.
    de la Pena JA. Subfascial technique for gluteal augmentation. Aesthet Surg J. 2004;24(32):265–73.PubMedGoogle Scholar
  22. 22.
    Gonzalez R. Augmentation gluteoplasty: the XYZ method. Aesthetic Plast Surg. 2004;28(6):417–25.PubMedCrossRefGoogle Scholar
  23. 23.
    Mendieta C. Intramuscular buttock implant augmentation. In: Presented at the annual meeting of the American Society of Plastic Surgery, Chicago, 27 Sept 2005.Google Scholar
  24. 24.
    Badin A, Vieira J. Endoscopically assisted buttocks augmentation. Aesthetic Plast Surg. 2007;31(6):651–6.PubMedCrossRefGoogle Scholar
  25. 25.
    De la Pena JA, Rubio OV, Cano JP, Cedillo MC, Garces MT. History of gluteal augmentation. Clin Plast Surg. 2006;33(3):307–19.PubMedCrossRefGoogle Scholar
  26. 26.
    Rocha R. Surgical anatomy of the gluteal region’s subcutaneous screen and its use in plastic surgery. Aesthetic Plast Surg. 2001;25(2):140–4.PubMedCrossRefGoogle Scholar
  27. 27.
    Gray H. Anatomy of the human body. Philadelphia: Lea & Febiger; 1918.Google Scholar
  28. 28.
    Pan WR, Taylor GI. The angiosomes of the thigh and buttock. Plast Reconstr Surg. 2009;123(1):79–86.Google Scholar
  29. 29.
    Clawson DK, Seddon HJ. The late consequences of sciatic nerve injury. J Bone Joint Surg. 1960;42(2):213–26.Google Scholar
  30. 30.
    Senderoff DM. Buttock augmentation using solid silicone implants. Aesthet Surg J. 2011;31(3):3200–327.Google Scholar
  31. 31.
    Mendietta CG. Gluteoplasty. Aesthetic Surg J. 2003;23(6):441–55.CrossRefGoogle Scholar
  32. 32.
    Ford RD, Simpson WD. Massive extrication of traumatically ruptured buttock silicone prosthesis. Ann Plast Surg. 1992;29(1):86–8.PubMedCrossRefGoogle Scholar
  33. 33.
    Alperovich M, Schreiber J, Singh NK. Infection after augmentation gluteoplasty in a pregnant patient. Aesthet Surg J. 2007;27(6):622–5.PubMedCrossRefGoogle Scholar
  34. 34.
    Buchuk L. Complication with gluteal prosthesis. Plast Reconstr Surg. 1986;77(6):1012.PubMedCrossRefGoogle Scholar
  35. 35.
    Chugay PN, Chugay NV. Buttock augmentation with implants and fat grafting: a comparative study. Am J Cosmet Surg. 2012;29(3):180–6.Google Scholar
  36. 36.
    Bruner TW, Roberts 3rd TL, Nguyen K. Complications of buttocks augmentation: diagnosis, management and prevention. Clin Plast Surg. 2006;33(3):449–66.PubMedCrossRefGoogle Scholar
  37. 37.
    Cardenas-Camarena L, Lacouture AM, Tobar-Losada A. Combined gluteoplasty: liposuction and lipoinjection. Plast Reconstr Surg. 1999;104(5):1524–31.PubMedCrossRefGoogle Scholar
  38. 38.
    Wang HD, Zheng JH, Deng CL, Liu QY, Yang SL. Fat embolism syndromes following liposuction. Aesthetic Plast Surg. 2008;32(5):731–6.PubMedCrossRefGoogle Scholar
  39. 39.
    Mellor A, Soni N. Fat embolism. Anesthesia. 2001;56(2):145–54.CrossRefGoogle Scholar
  40. 40.
    Henson JT, Roberts CS, Giannoudis PV. Gluteal compartment syndrome. Acta Orthop Belg. 2009;75(2):147–52.PubMedGoogle Scholar
  41. 41.
    Coleman SR. Long-term survival of fat transplants: controlled demonstration. Aesthetic Plast Surg. 1995;19(5):421–5.PubMedCrossRefGoogle Scholar
  42. 42.
    Aiache AE. Gluteal re-contouring with combination treatments: implants, liposuction, and fat transfer. Clin Plast Surg. 2006;33(3):395–403.PubMedCrossRefGoogle Scholar
  43. 43.
    Coleman SR. Structural fat grafting: more than a permanent filler. Plast Reconstr Surg. 2006;118(3 Suppl):108S–20.PubMedCrossRefGoogle Scholar
  44. 44.
    Coleman SR. Facial augmentation with structural fat grafting. Clin Plast Surg. 2006;33(4):567–77.PubMedCrossRefGoogle Scholar
  45. 45.
    Niechajev I, Sevcuk O. Long term results of fat transplantation: clinical and histological studies. Plast Reconstr Surg. 1994;94(3):496–506.PubMedCrossRefGoogle Scholar
  46. 46.
    Cardenas-Camarena L, Silva Gavarrete JF, Arenas-Quintana R. Gluteal contour improvement: different surgical alternatives. Aesthetic Plast Surg. 2011;35(6):1117–25.PubMedCrossRefGoogle Scholar
  47. 47.
    Pereira LH, Radwanski HN. Fat grafting of the buttocks and lower limbs. Aesthetic Plast Surg. 1996;20(5):409–16.PubMedCrossRefGoogle Scholar
  48. 48.
    Harrison D, Selvaggi GJ. Gluteal augmentation surgery: indications and surgical management. Plast Reconstr Aesthet Surg. 2007;60(8):922–8.CrossRefGoogle Scholar
  49. 49.
    Pedroza LV. Fat transplantation to the buttocks and legs for aesthetic enhancement or correction of deformities: long term results of large volumes of fat transplant. Dermatol Surg. 2000;26(12):1145–9.PubMedCrossRefGoogle Scholar
  50. 50.
    Restrepo JC, Ahmed JA. Large volume lipoinjection for gluteal augmentation. Aesthetic Surg J. 2002;22(1):33–8.CrossRefGoogle Scholar
  51. 51.
    Murillo WL. Buttock augmentation: case studies of fat injection monitored by magnetic resonance imaging. Plast Reconstr Surg. 2004;114(6):1606–14.PubMedGoogle Scholar
  52. 52.
    Har-Shai Y, Lindenbaum ES, Gamliel-Lazarovich A, Beach D, Hirshowitz B. An integrated approach for increasing the survival of autologous fat grafts in the treatment of contour defects. Plast Reconstr Surg. 1999;104(4):945–54.PubMedCrossRefGoogle Scholar
  53. 53.
    Guerrerosantos J. Autologous fat grafting for body contouring. Clin Plast Surg. 1996;23(4):619–31.PubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  1. 1.Long BeachUSA
  2. 2.TustinUSA

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