Background: Gluteal contouring surgeries gained a growing
public interest. No single procedure can correct different
deformities. The patient's existing anatomy determines the
best way to recontour the buttocks.
Patients and Methods: The study included nine female
patients with gluteal contour deformity in the form of: Long
buttocks, double inferior gluteal crease, excess tissue of the
lower lateral buttock area and banana roll deformity of the
upper posterior thigh. They underwent lower buttock and
upper thigh lifting with restoration of the inferior gluteal
crease. Two of them were post-bariatric patients and needed
additional transverse medial thigh lifting at the same operation.
Liposuction of the related anatomical areas was done in all
patients. Lipofilling of deficient areas of the buttocks for
augmentation or adjusting contour asymmetry was done in 5
patients including the 2 post-bariatric ones.
Results: Medical photographs were collected preoperatively
and 3 months post-operatively. The average
patients' follow-up period was 3.1 months. All patients were
satisfied with the results. Only one patient had mild buttock
contour asymmetry. No other complications were recorded.
Conclusion: The lower buttock and upper posterior thigh
lifting can be safely combined with preservation of the inferior
gluteal crease. It's a useful procedure for correction of the
recorded gluteal contour deformities with high patient's
satisfaction rate