Background: Post-bariatric patients suffer from laxity of
skin and redundancy in different parts of the body, with
resultant unaesthetic appearance. Concerning the lower body,
different surgeons have introduced lower body lift and buttock
augmentation and have discussed different approaches and
techniques. In this study, we compare between buttock autoaugmentation
with fat injection and buttock auto-augmentation
with gluteal implant application as regards the maximum
aesthetic outcome in post-bariatric patients.
Patients and Methods: 26 post-bariatric patients with
redundancy of the skin of the abdomen and buttocks. All
patients had belt lipectomy/abdominoplasty and buttock
augmentation (auto-augmentation) in addition to fat injection
(Group A, 15 cases), or application of intramuscular gluteal
implants (Group B, 11 cases).
Results: All patients had follow-up for one year with no
major complications. The p-value was calculated for both
groups and was found that there is a highly significant statistical
difference in the post-operative measurements in Group A
(fat injection).
Conclusion: Dual autoaugmentation for post bariatric
ptotic buttocks give more appealing results for patients, either
objectively by measurements or subjectively by high satisfaction
scores with a higher preference for fat injection.