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Surgical Pocket Location for Gluteal Implants: A Systematic Review

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  • Aesthetic
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Abstract

Background

The safest pocket location for gluteal augmentation surgery using implants still is unknown. This study conducted a systematic review to derive evidence-based recommendations concerning the safest type of pocket location (sub-muscular, subfascial, intramuscular, or intramuscular XYZ method) for silicone implants in terms of acute and long-term complication rates.

Methods

Articles from medline that met predetermined criteria were included in the study. The outcomes of interest included wound dehiscence, wound infection, seroma, hematoma, implant asymmetry, and capsular contracture. Pooling of statistical data was performed when possible.

Results

The authors reviewed 30 articles regarding five different types of pocket locations for gluteal implants described since 1969. The most common complications after gluteal augmentation surgery using implants are wound dehiscence (10.29 %), seroma (2.49 %), wound infection (1.12 %), and hematoma (0.24 %). Fulfilled expectations after surgery were assessed differently among studies and could not be compared.

Conclusions

The pocket locations for gluteal augmentation surgery with implants that have the lowest complication rates are the following: intramuscular XZY method (13.18 %), sub-muscular (17.60 %), intramuscular (18.05 %), and subfascial (54.84 %).

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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Acknowledgment

The authors declare that they have no conflicts of interest to disclose.

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Authors and Affiliations

  1. Clínica Gerardo Flores-Lima, Hospital de Diagnostico de El Salvador, 91 Avenida Norte #541 Colonia Escalón, San Salvador, El Salvador

    Gerardo Flores-Lima

  2. Indiana University Health North Hospital, 11700 North Meridian Street, Carmel, IN, 46032, USA

    Barry L. Eppley

  3. Universidad Centro Americana José Simeon Cañas, Boulevard de Los Proceres, San Salvador, El Salvador

    Joaquín R. Dimas & David E. Navarro

Authors
  1. Gerardo Flores-Lima
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  2. Barry L. Eppley
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  3. Joaquín R. Dimas
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  4. David E. Navarro
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Corresponding author

Correspondence to Gerardo Flores-Lima.

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Flores-Lima, G., Eppley, B.L., Dimas, J.R. et al. Surgical Pocket Location for Gluteal Implants: A Systematic Review. Aesth Plast Surg 37, 240–245 (2013). https://doi.org/10.1007/s00266-012-0018-8

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  • DOI: https://doi.org/10.1007/s00266-012-0018-8

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