Autologous augmentation gluteoplasty with a dermal fat flap.

BACKGROUND: Buttock contouring represents a surgical challenge, particularly when both ptosis and volume deficit are present. Isolated buttock lifts may cause a flattened buttock contour, whereas augmentation with implants or fat injections alone my not correct the ptosis.

OBJECTIVE: We describe a buttock lift with a dermal fat flap that provides correction of the buttock contour in such cases.

METHODS: A retrospective review was conducted of 10 patients, aged 26 to 57 years, who underwent a buttock lift with autologous dermal flap augmentation. Patients were followed up between 6 months and 2 years.

RESULTS: A comparison of preoperative and postoperative photographs indicated improved buttock contour and maximum augmentation at the midlevel of the buttocks. There were no major or minor complications. Patient satisfaction was high.

CONCLUSIONS: Autologous dermal flap gluteal augmentation is a versatile technique that addresses both buttock ptosis and volume deficit. Drawbacks include an extended incision line that, however, is easily concealed by underwear or a bikini.