Autologous gluteal augmentation with circumferential body lift in the massive weight loss and aesthetic patient.

Massive weight loss (MWL) patients have unique and severe gluteal deformities that demand alternative body contouring solutions because they are rarely candidates for gluteal implants. Techniques for autologous gluteal augmentation (AGA) with circumferential body lift (CBL) are offered as a solution to this problem. Experience with these techniques will allow surgeons to extend AGA to other aesthetic patients presenting with flattened buttocks. Flap indications, surgical planning, techniques,results, complications, and postoperative management are discussed.