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

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

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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.

References

  1. 1.

    Ramon CG, Jorge Q (2004) What makes buttocks beautiful? A review and classification of the determinants of gluteal beauty and the surgical techniques to achieve them. Aesthetic Plast Surg 28:340–347

    Article  Google Scholar 

  2. 2.

    Rio J (1964) Trochanteric lipodystrophy. Plast Reconstr Surg 34:280–286

    Article  Google Scholar 

  3. 3.

    Ted EL (1991) Transverse flank-thigh-buttock lift with superficial fascial suspension. Plast Reconstr Surg 87:1019–1027

    Article  Google Scholar 

  4. 4.

    Cassio ER et al (2006) Bilateral lumbar hip dermal fat rotation flaps: a novel technique for autologous augmentation gluteoplasty. Plast Reconstr Surg 117:1781–1788

    Article  CAS  Google Scholar 

  5. 5.

    Javier B, Roberto P (2012) Suspension of the gluteal region with Silhouette sutures. Aesthetic Surg J 33(3S):82S–89S

    Google Scholar 

  6. 6.

    Ballivian RJ, Esteche A, Hanke CJ, Ribeiro RC (2016) Buttock lifting with polypropylene strips. Aesthetic Plast Surg 40(2):215–222

    Article  Google Scholar 

  7. 7.

    Kang MS, Shin JS, Nam SM, Park ES (2016) Evaluation of elastic lift for facial rejuvenation. Arch Aesthetic Plast Surg 22(1):20–27

    Article  Google Scholar 

  8. 8.

    Constantino GM (2006) Classification system for gluteal evaluation. Clin Plast Surg 33:333–346

    Article  Google Scholar 

  9. 9.

    Raul G (2006) Etiology, definition, and classification of gluteal ptosis. Aesthetic Plast Surg 30:320–326

    Article  Google Scholar 

  10. 10.

    Richard JH, Kark EF, Jeffrey BK, Bryan CM (2007) Histologic and ultrastructural evaluation of sutures used for surgical fixation of the SMAS. Aesthetic Plast Surg 31:719–724

    Article  Google Scholar 

Download references

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Correspondence to Jeong Su Shim.

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The authors have no conflict of interest to declare.

Electronic supplementary material

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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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Keywords

  • Buttock rejuvenation
  • Thread lift
  • Elastic thread