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Buttock Lifting Using Elastic Thread (Elasticum®) with a New Classification of Gluteal Ptosis

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  • Body Contouring
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A Correction to this article was published on 09 July 2018

This article has been updated

Abstract

Purpose

Conventional buttock lifting is invasive, so it is difficult to recommend it to patients especially to those who do not have severe gluteal ptosis. In addition, the gluteal area is a large area change among the joints. Therefore, this surgery can cause pain during hip flexion after lifting using a conventional thread. The authors report on buttock lifting using an elastic thread with high satisfaction from patients.

Methods

From July 2016 to June 2017, 60 patients were enrolled in this study. The degree of gluteal ptosis was graded from Grade 0 to Grade 6. All patients underwent lifting of both buttocks using Elasticum®. We drew a circle along the outer edge of the buttock and another small circle inside the first circle. A stab incision was done at 5 points (A, B, C, C′, and D), and then according to the circle, lifting was done. Postoperative grade changes and complications were evaluated.

Result

Grades 2–5 were lifted to at least Grade 2 after surgery, but Grade 6 was at most Grade 3 (14.2%), with 85.8% of these to either Grade 5 or Grade 6. Seven patients (11.67%) complained of postoperative pain, and 6 patients (10.00%) showed skin dimpling or creases 10 days after surgery, all of which disappeared at 1 month after surgery.

Conclusion

Buttock lifting with elastic thread is effective in pre-ptosis to moderate gluteal ptosis. Because of the elasticity of the thread, postoperative pain is low on hip flexion, so the lifting is done naturally.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Change history

  • 09 July 2018

    The original version of this article unfortunately contained a mistake. On page 8, in Table 2, the superscripts for the vertical and horizontal axes are incorrect. The correct information is shown below.

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Author information

Authors and Affiliations

  1. BS The Body Aesthetic Plastic Surgery Clinic, Busan, Republic of Korea

    Chang Hyun Oh

  2. Department of Plastic and Reconstructive Surgery, School of Medicine, Catholic University of Daegu, Duryugongwon-ro 17-gil, Nam-gu, Daegu, 705-718, Republic of Korea

    Seung Bin Jang, Chang Min Kang & Jeong Su Shim

Authors
  1. Chang Hyun Oh
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  2. Seung Bin Jang
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  3. Chang Min Kang
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  4. Jeong Su Shim
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Corresponding author

Correspondence to Jeong Su Shim.

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Conflict of interest

The authors have no conflict of interest to declare.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Video 1. Elasticity of Elasticum®. Elastic thread consists of silicone core with polyester sheath, so it can be stretched up to 100%

Video 2. Intraoperative video of buttock lifting with Elasticum®. The needle is being pulled out from point B; we cannot find the scale mark on the tissue end of the needle; at point B, leaving 2.5 cm at the tissue end of the needle and leaving the end of the thread held at point A with a Kelly, it is pulled out at point B (B → C → D); the needle is rotated 180° while maintaining the depth of the needle; the thread, which has returned to point A after passing points A, B, C, and D, is caught with the Kelly; the tie is done after confirming that lifting is proper by pulling the pre-caught Kelly and the newly caught Kelly

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Oh, C.H., Jang, S.B., Kang, C.M. et al. Buttock Lifting Using Elastic Thread (Elasticum®) with a New Classification of Gluteal Ptosis. Aesth Plast Surg 42, 1050–1058 (2018). https://doi.org/10.1007/s00266-018-1124-z

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  • DOI: https://doi.org/10.1007/s00266-018-1124-z

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