Combined gluteoplasty: liposuction and gluteal implants.

Throughout time, body contouring has been part of the feminine standard par excellence, with the breast and buttocks being the most relevant and important areas. Today, there is a constant evolution in surgical procedures that seek to improve the areas of sparse volume and harmonize areas that exhibit excess tissue. A considerable number of alternatives for improving gluteal contour have been pointed out in multiple studies. Some authors claim good results using liposuction together with fat infiltration.1–4 Others use liposuction exclusively in adjacent areas, producing better gluteal projection, volume, and appearance, without the necessity of specific manipulation of the area.5–8 Still other authors demonstrate the efficacy of using gluteal prostheses, and their indications and advantages over fat infiltration. Each one demonstrates the virtues and advantages with regard to the placement plane, the surgical technique, and the type of implants.9–13 This constant evolution impels us to seek treatment alternatives for patients with marked gluteal hypoplasia and fat deposits in adjacent areas that exacerbate gluteal deformity and simply do not improve their aesthetic appearance. For this reason, we are presenting our casuistic on the combination of liposuction and gluteal implant placement to improve the contour of this area, a combination that up to now has been detailed very little in the medical literature.