Gluteoplasty (Greek gloutόs, rump +
plassein, to shape) denotes the
plastic surgery and the liposculpture
procedures for the correction of the
congenital, traumatic, and acquired
defects and deformities of the buttocks
and the anatomy of the gluteal region;
and for the aesthetic enhancement (by
augmentation or by reduction) of the
contour of the buttocks. The corrective
procedures for buttock augmentation and
buttock repair include the surgical
emplacement of a gluteal implant
(buttock prosthesis); liposculpture (fat
transfer and liposuction); and body
contouring (surgery and liposculpture)
to resolve the patient’s particular
defect or deformity of the gluteal
region. Moreover, in the praxis of
sexual reassignment surgery, the
prosthetic and liposclupture
augmentation of the buttocks can be
performed on transsexual and transgender
women to enhance the anatomic curvature
of the gluteal region in order to
establish the markedly feminine buttocks
and hips that project more (to the rear
and to the side) than do masculine hips.
The functional purpose of the buttocks
musculature is to establish a stable
gait (balanced walk) for the man or the
woman who requires the surgical
correction of either a defect or a
deformity of the gluteal region;
therefore, the restoration of anatomic
functionality is the therapeutic
consideration that determines which
gluteoplasty procedure will effectively
correct the damaged muscles of the
buttocks. The applicable techniques for
surgical and fat-transfer correction
include the surgical emplacement of
allopathic gluteal implants; autologous
tissue-flaps; the excision (cutting and
removal) of damaged tissues;
lipoinjection augmentation; and
liposuction reduction — to resolve the
defect or deformity caused by a
traumatic injury (blunt, penetrating,
blast) to the buttocks muscles (gluteus
maximus, gluteus medius, gluteus minimus),
and any deformation of the anatomic
contour of the buttocks. Likewise, the
corrective techniques apply to resolving
the sagging skin of the body, and the
muscle and bone deformities presented by
the formerly obese patient, after a
massive weight loss (MWL) bariatric
surgery procedure; and for resolving
congenital defects and congenital
deformities of the gluteal region
Surgical procedures
Medical therapy. The resolution
of the defects and deformities of the
muscles of the gluteal region (the
buttocks and the thighs) of the human
body cannot be realized with medical
therapy; thus, for example, a treatment
with cellulite-diminishing cream is
ineffective for correcting the
corresponding physical faults
respectively presented by the man and by
the woman patient.
Buttocks augmentation treatments:
Gluteal implants. The
augmentation of the buttocks is realized
with a gluteal implant, which is
emplaced under each gluteus maximus
muscle; the insertion of the buttock
prosthesis is through a midline
incision. Augmentation with a gluteal
implant is the method most effective for
enlarging the buttocks of the man or of
the woman whose body possesses few
stores of excess adipose fat in the
lower portion of the trunk, the buttocks
and thighs, the anatomic regions where
the human body usually stores excess
body fat....
Lipoinjection. Body contouring:
The pre-operative posterior and
right-oblique aspects (left), and the
like post-operative aspects (right) of a
lipoinjection butt lift and a lipectomy
reduction of the lower abdomen, upper
back, hips, thigh interior, and the mons
pubis. The augmentation and contouring
of the buttocks with autologous-fat
transfer (lipoinjection) therapy is
realized with the excess adipose-fat
tissue harvested from the abdomen,
flanks, and thighs of the patient.....
Body contouring. The augmentation
of the buttocks, by rearranging and
enhancing the pertinent muscle and fat
tissues of the gluteal region, is
realized with a combined gluteoplasty
procedure of surgery (subcutaneous
dermal-fat flaps) and liposculpture
(fat-suction, fat-injection).
Therapeutically, such a combined
correction-and-enhancement procedure is
a realistic and feasible lower-body-lift
treatment for the man and for the woman
patient who has undergone massive weight
loss in the course of resolving obesity
with bariatric surgery. In the case of
the man or woman who presents
under-projected, flat buttocks (gluteal
hypoplasia), and a degree of gluteal-muscle
ptosis (prolapsation, falling forward),
wherein neither gluteal-implant surgery
nor lipoinjection would be adequate to
restoring the natural anatomic contour
of the gluteal region, the application
of a combined treatment of autologous
dermal-fat flap surgery and
lipoinjection can achieve the required
functional correction and aesthetic
contour.
Buttocks reduction treatments:
Ultrasonic lipectomy.
Ultrasonically-assisted liposuction can
quickly remove a large volume of body
fat for the correction of a notable
occurrence of lipodystrophy, a deposit
of adipose fat to the buttocks and
related anatomic areas. The ultrasonic
liposuction machine liquefies the excess
fat tissue, and so more readily
facilitates its removal with
conventional suction-lipectomy. The
quick fat-harvesting allowed by the
ultrasonic lipectomy technique has
eliminated the larger (long and wide)
surgical incisions that once were
required for removing a large volume of
adipose tissue. Nonetheless, because of
the sensitivity of the gluteal-region
tissues, the skin of the pertinent
donor-site is cooled in order to prevent
ultrasonic heat damage caused by the
liquefying and removal of the excess
adipose fat
Superficial liposculpture.
Reshaping the buttocks with
liposculpture is performed with a small
cannula specifically for contouring
superficial body fat, the configuration
of which is determined by the type and
the degree of gluteal correction to be
realized. To sculpt rounded contours to
square-shaped buttocks muscles,
superficial liposculpture allows the
plastic surgeon to control the
injection-rate of the fat-volume.
Moreover, superficial liposuction can be
combined with other treatment methods
for contouring the gluteal region to
achieve the required functional,
anatomic correction, and the aesthetic
enhancement sought by the patient, such
as reshaping the lateral area of the
buttocks into an athletic form....
Read more: Wikipedia, the free
encyclopedia |
