Gluteal Auto-augmentation

Abstract

After massive weight loss, patients suffer deformities secondary to severe laxity of skin, subcutaneous tissues, and superficial fascial suspensory ligamentous systems in most areas of the body including the gluteal region. Sequelae of massive weight loss in the gluteal area are a combination of fat atrophy with volume loss and skin laxity with relaxation of the superficial fascial apron, all contributing to gluteal ptosis making the surgical attempt to restore the aesthetics of the buttocks a reconstructive challenge. Several surgical modalities have been described to enhance gluteal contour. Autologous tissue augmentation can be achieved by using adipo-fascial flaps from the lower back that are normally resected in circumferential lower body lift. Large volume autologous fat transfers as well as alloplastic implants also contribute to the restoration of gluteal aesthetics in massive weight loss patients. Additional refinement of the results can be achieved by posterior thigh lift and infragluteal diamond lift.