The antiretroviral therapy for patients with human immunodeficiency virus (HIV) causes lipodystrophy, or a change in the distribution of body. Treatment for the facial changes is well addressed and covered in the recent literature, but female patients also report changes in their buttocks and lower limbs. There is no treatment for the lower limb deformity, but plastic surgeons can do something for the buttock. The authors propose a classification for the deformities of these patients and a new solution to improve the contour of this area and to reduce the social impact of deformity on women with HIV. This consists of placing two silicone implants, in the buttock and on the hip, to give a rounder appearance. The authors think that hip implants may be indicated also for gender reassignment surgery and for women with masculine features.
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Carr A: HIV lipodystrophy: Risk factors, pathogenesis, diagnosis, and management. AIDS 17:S141, 2003
Carr A, Samaras K, Burton S, et al. A syndrome of peripheral lipodystrophy, hiperlipidaemia, and insulin resistance in patients receiving HIV protease inhibitors. AIDS 98:F51, 1998
Hodgkinson DJ: Facial atrophy in HIV-related fat redistribution syndrome: Anatomic evaluation and surgical reconstruction. Ann Plast Surg 50:328, 2003
Serra-Renom JM, Fontdevila J: Treatment of facial fat atrophy related to treatment with protease inhibitors by autologous fat injection in patients with human immunodeficiency virus infection. Plast Reconstr Surg 114:551–555, 2004
Strauch B, Baum T, Robbins N: Treatment of human immunodeficiency virus–associated lipodystrophy with dermafat graft transfer to the malar area. Plast Reconstr Surg 113:363–370, 2004
Talmor M, Hoffman LA, LaTrenta GS: Facial atrophy in HIV-related fat redistribution syndrome: Anatomic evaluation and surgical reconstruction. Ann Plast Surg 49:11–17, 2002
Valantin MA, Aubron-Olivier C, Ghosn J, et al. Polylactic acid implants (New-Fill) to correct facial lipoatrophy in HIV-infected patients: Results of the open-label study VEGA. AIDS 17:2471–2477, 2003
Vergara R, Marcos M: Intramuscular gluteal implants. Aesth Plast Surg 20:259–262, 1996
Viraben R, Aquilina C: Indinavir-associated lipodystrophy. AIDS 12:F37, 1998
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Benito-Ruiz, J., Fontdevila, J., Manzano, M. et al. Hip and Buttock Implants to Enhance the Feminine Contour for Patients with HIV. Aesth Plast Surg 30, 98–103 (2006). https://doi.org/10.1007/s00266-005-0098-9
- Buttock implants
- Hip implants