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What Makes Buttocks Beautiful? A Review and Classification of the Determinants of Gluteal Beauty and the Surgical Techniques to Achieve Them



No reports can be found in medical literature describing the anatomic details that make the buttocks beautiful, nor the defects in this region that can help the surgeon decide whether gluteal prostheses are necessary or not, and, if so, which type, design, and volume of prostheses should be used, in which plane they should be placed, and so forth.


The authors studied 1,320 photographs of nude women and measured 132 female patients ages 16 to 62 years. They found that four characteristics determine attractive buttocks. They also found the balanced anatomic dimension of the maximal gluteal projection.


On the basis of the information obtained, the defects of the gluteal region were classified into five types, resulting in surgical recommendations intended to achieve buttocks as close as possible to the standard of beauty, with the right volume and projection.


The authors concluded that surgery for correction of the buttocks involves more than projection and volume. The surgeon must be familiar with the “signs” of beauty so an attempt can be made to recreate them. Most importantly, the surgeon should achieve buttocks with projection and volume. However, these must be in a balanced proportion with the rest of the body.

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  1. L Cardenas-Camarena A Lacouture A Tobar-Losada (1999) ArticleTitleCombined gluteoplasty: liposuction and lipoinjection Plast Reconstr Surg 104 1524

    Google Scholar 

  2. M Gonzalez-Ulloa (1979) ArticleTitleTorsoplasty Aesth Plast Surg 3 357

    Google Scholar 

  3. T Lockwood (1991) ArticleTitleTransverse flank–thigh–buttock lift with superficial fascial suspension Plast Reconstr Surg 87 1019

    Google Scholar 

  4. M Murray A Seireg R Scholtz (1967) ArticleTitleCenter of gravity, center of pressure, and supportive forces during human activities J App Physiol 23 831

    Google Scholar 

  5. G Otero (1990) ArticleTitleGluteoplasty Ann RAPS 5 247

    Google Scholar 

  6. I Pitanguy (1964) ArticleTitleTrocantheric lipodistrophy Plast Reconstr Surg 34 280

    Google Scholar 

  7. P Regnault R Baroudi C da Silveira (1979) ArticleTitleCorrection of lower limb lipodystrophy Aesth Plast Surg 3 233

    Google Scholar 

  8. J Robles J Tagliapietra M Grandi (1984) ArticleTitleGluteoplastia de aumento: implante submuscular Cir Plast Iberolatinoamericana 4 365

    Google Scholar 

  9. R Vergara M Marcos (1996) ArticleTitleIntramuscular gluteal implants Aesth Plast Surg 20 259 Occurrence Handle10.1007/s002669900030

    Article  Google Scholar 

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Correspondence to Ramon Cuenca-Guerra M.D..

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Cuenca-Guerra, R., Quezada, J. What Makes Buttocks Beautiful? A Review and Classification of the Determinants of Gluteal Beauty and the Surgical Techniques to Achieve Them. Aesth Plast Surg 28, 340–347 (2004).

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