Assessment of Different Modalities in Gluteoplasty

2018 ◽  
Vol 36 (2) ◽  
pp. 57-70
Author(s):  
Youssif Khachaba ◽  
Tarek Ashour ◽  
Laila Aboul Nasr ◽  
Sherif Zamer

The form and size of the female gluteal region have always symbolized beauty and sexuality. There is a remarkable increase in the number of patients seeking gluteoplasty worldwide. Gluteoplasty may be achieved by silicone implant insertion or autologous fat transfer, in addition to other ancillary procedures including liposuction. Careful patient selection and evaluation are needed to assure good results. The aim of the study was to evaluate the use of silicone implants, autologous fat transfer, and liposuction in gluteoplasty. A total of 22 patients underwent gluteoplasty. Intramuscular gluteal implant insertion was employed in 8 patients, whereas autologous fat transfer was employed in 14 patients. The average patient satisfaction (on a scale from 1 to 5) following implant gluteoplasty was 4.25 for the overall aesthetic outcome, whereas the average patient satisfaction following autologous fat transfer gluteoplasty was 4.79 for the overall aesthetic outcome. Both gluteoplasties with silicone implants or fat transfer achieved favorable results, with very good to excellent patients’ satisfaction after both procedures, with slightly better satisfaction following autologous fat transfer. Our results are comparable with before published results, with favorable outcomes regarding complications. Liposuction is an important addition that positively affects the aesthetic result. Gluteoplasty using silicone implants or fat transfer, in addition to ancillary liposuction, achieved favorable results, with very good to excellent patients’ satisfaction. However, a larger scale study is needed to statistically approve or disapprove to this trend.

2017 ◽  
Vol 4 (S) ◽  
pp. 100
Author(s):  
M.I. Muradov ◽  
K.B. Mukhamedkerim ◽  
A. ABaiguzeva ◽  
K.E. Kazantaev ◽  
D.Zh. Koshkarbaev

Background: To provide quantitative objective data demonstrating the longevity and amount of volume augmentation in the fatty dystrophy of the facial tissue obtained with autologous lipofilling.   Methods: In our clinic had been operated 8 patients for last 2 years with fatty dystrophy of the facial tissue. A prospective analysis of all patients who underwent at our private practice and were followed up for at least 1,5 year. Surgery was performed under general anesthesia it is necessary for clear results tissue correction. We based on the literature has seen numerous clinical reports highlighting the benefits of autologous fat transfer for face from that areas, fat was collected from the abdomen (most frequently used donor site), hips, outer thighs (saddle-bags), internal knee or thigh, with quantitative volume measurements evaluating the amount of postoperative volume change.   Results: Twenty eight patients were included in the study. The mean follow-up time was 18 months. The mean amount of autologous fat injected into each face region was 10-70 mL. Hypercorrection was performed after 3 months and it was 20-50% of the initial injected fat volume. Overall, the mean absolute volume augmentation measured at their last (after 6 month) post operative visit was 10-25%. There was variability between patients in the volume amount and percentage that remained. The resorption process was observed in two patients after 6 month. We made correction with hyaluronic acid and silicone implants.   Conclusion: To our knowledge, this study is the first clinical quantification in our practise of autologous fat transfer and/or grafting in the literature that provides definitive evidence on the amount as well as the resultant longevity in the face. Autologous fat transfer to the face has definite long-term volume augmentation results. On average, approximately 25-35% of the injected volume remains at 18 months. However, some variability exists in the percentage of  volume that remains that may require a touch-up procedure.


1992 ◽  
Vol 9 (3) ◽  
pp. 273-279 ◽  
Author(s):  
James E. Fulton

The breast augmentation controversy continues. One alternative to silicone implants is to utilize the patient's own fat. Twenty patients completed the procedure of breast contouring with autologous fat transfer and have been followed closely with repeated breast volumetric measurements and mammograms for 1 to 5 years. The average fat retention has been 71% and the patients have been satisfied with the augmentation procedure. There has been no instance of firmness in these breasts and periodic mammogram examinations have demonstrated no distortion or masking of the breast tissue. The breast calcifications that have developed are of the benign type and are typical of any kind of breast sugery. The breasts may get larger with time. We feel this technique is a useful addition to our breast augmentation armamentarium and will become the procedure of choice for those who cannot have silicone implants and have good areas of disharmonious obesity to serve as donor sites.


2014 ◽  
Vol 3 (1) ◽  
pp. 62-69
Author(s):  
Kshemendra Senarath-Yapa ◽  
Rebecca Garza ◽  
Adrian McArdle ◽  
Graham Walmsley ◽  
Michael Hu ◽  
...  

2014 ◽  
pp. 431-448
Author(s):  
Paolo Persichetti ◽  
Barbara Cagli ◽  
Tiziano Pallara ◽  
Donata Vaccaro ◽  
Carlo Mallio ◽  
...  

2021 ◽  
Vol 9 (8) ◽  
pp. e3734
Author(s):  
Shigeki Sakai ◽  
Naohiro Ishii ◽  
Yukie Nakamura ◽  
Kyoichi Matsuzaki ◽  
Shigemi Sakai ◽  
...  

2018 ◽  
Vol 45 (2) ◽  
pp. 249-259 ◽  
Author(s):  
Ashkan Ghavami ◽  
Nathaniel L. Villanueva

2021 ◽  
Vol 39 ◽  
Author(s):  
Antonella Pino ◽  
◽  
Lorenzo Gasco ◽  
Daqi Zhang ◽  
Paolo Carcoforo ◽  
...  

Introduction: Thyroid and parathyroid diseases are very common. Most of these cases are in women and may be amenable to surgery. The patient’s perception that these are not life-threatening diseases leads them to expect an excellent aesthetic result, since the surgical incision area is clearly visible. Objective: To evaluate different scarring outcomes using three different energy-based devices (Harmonic Focus®, Johnson & Johnson, New Brunswick, NJ; Thunderbeat Open Fine Jaw®, Olympus Medical, Tokyo, Japan; LigaSure Small Jaw®, Medtronic, Dublin, Ireland) and to determine the impact of post-thyroidectomy/parathyroidectomy scars on the patient’s quality of life. Methods: One hundred female patients who underwent thyroidectomy or parathyroidectomy between September 2017 and September 2019 at the Endocrine and Minimally Invasive Surgery Department of Messina University Hospital were recruited. A retrospective analysis assessed the thickness of the cervical scar via ultrasound imaging, and the patient’s degree of satisfaction through the Patient and Observer Scar Assessment Scale (POSAS) and the Body Dysmorphic Disorder Questionnaire (BDDQ). Results: The patients were divided into three groups according to the energy-device used: group A (LigaSure SJ (n=38), group B (Harmonic F, n=32) and group C (Thunderbeat OFJ, n=30). The three groups were homogeneous with respect to number of patients, age and surgical procedures. The best aesthetic result, which correlated with the lowest scar thickness, was observed in group A; these patients were more satisfied than those in the other two groups. Moreover, correlations between scar thickness and quantitative variables (such as age or BMI) were not found in any of the groups. Conclusions: Based on the data collected and our experience, the LigaSure Small Jaw® (Medtronic) seems to offer the best aesthetic outcome in patients who undergo transverse cervicotomy for thyroid and parathyroid diseases. However, further prospective studies involving a greater number of cases are needed.


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