Augmentation gluteoplasty

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Enlargement gluteoplasty is indicated for patients with small buttocks or who, after losing weight, had a large reduction in volume without significant decrease in the buttocks.

Gluteal prostheses, like breast prostheses, have evolved a lot in recent years and provide increasingly natural results and with a lower complication rate for patients.

Due to quality improvement in the latest generation of gluteal prostheses, it is estimated that they should be replaced on average 20 years after their placement, because after this period there may be wear on the surface of the prostheses and change in their shape.

Anesthesia Type:

Epidural with sedation or general, depending on each patient.

Surgical technique:

The surgery is performed through a hidden scar in the buttock (natural fold between the buttocks), of about 6 cm and difficult to perceive. After the incision, the appropriate plane for the placement of the prosthesis is detached, that is, within the gluteus maximus muscle (intramuscular plane). After this detachment, the cohesive silicone gel prosthesis is placed in the formed space. The open structures are sutured and a drain is placed for 24 to 48 hours, preventing the collection of secretions in the space around the prosthesis.

Gluteus Prosthesis Types:

There are several types and models of gluteal prosthesis, indicated depending on the type of patient's buttocks. Buttock prostheses may vary in profile and wrap. The profile (shape) can be round or anatomical (oval), according to the projection of the prosthesis. The content is of high cohesive silicone gel. The prosthesis wrap may also vary, being textured or smooth. In Brazil, the most commonly used gluteal prostheses are the smooth surface round prostheses.

Due to the variety of gluteal prostheses, the choice of the ideal one will be made during the medical appointment, when the plastic surgeon, through a thorough physical examination, will indicate the prosthesis that will provide the patient with the best aesthetic result of gluteal augmentation, which is different in each patient.

Length of hospital stay:

Generally 24 hours.


The postoperative period of augmentation gluteoplasty surgery is usually a little more painful than breast prosthesis surgery, because there is a distension of the gluteus muscle fibers. However, this pain often subsides with common painkillers and anti-inflammatory drugs. Avoid lying on your back for the first three weeks and sitting for extended periods of time for the first two weeks. The drain will remain for 24 to 48 hours avoiding the accumulation of secretions around the prosthesis. Physical activities will generally be released after the first postoperative month.

Possible complications:

Complications in the augmentation gluteoplasty procedure are very rare, but it is important to understand that each organism is unique and may react differently to the surgery. To mention some possible complications:

• Skin necrosis due to circulatory deficiency, with smoking being the major cause;

• Occurrence of hematoma, infection and seroma;

• Anesthetic complications;

• Venous thrombosis;

• Capsular contracture of the gluteal prosthesis (mistakenly called “prosthetic rejection”);

• poor healing;

• Opening of the stitches made.

The end result of augmentation gluteoplasty, as in all cosmetic surgeries, will depend on the reaction of the patient's body and zeal with pre and postoperative indications.


Preoperative Recommendations:

The patient's lifestyle and care before the operation are decisive factors for every surgical outcome. Check out the most important ones:

• Fasting at least 8 hours before surgery, including water, avoiding drinks and overeating on the days preceding the procedure;

• Smoking should be stopped 30 days before surgery;

• Communicate changes in health and medication use on the eve of the surgery;

• Do not wear dark colored nail polish on the day of the surgery and avoid wearing jewelry and watches;

• Attend surgery with a companion.


Definitive Result:

The immediate result of augmentation gluteoplasty is very good, however it is only in the late period (after about 6 months) that the buttocks will reach their definitive form, with the regression of all operative swelling. However, most of the edema (about 90%) is reduced about two months after the gluteal implant placement surgery. In addition, the scar gains resistance and gradually matures during this period. Regression of the edema will make buttocks look more natural and beautiful, and the outcome of the surgery progressively gets better up to the 6th postoperative month.

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