Gluteoplastia

Abstract

Gluteoplasty is a procedure with more than 30 years of history and over this time it has undergone significant improvements. It is one of the most performed procedures in Plastic Surgery, so that the Brazilian contribution in the world scenario assumes a prominent position. The main techniques involved are silicone prosthesis implants, fat grafting and a combination of both techniques. The decision of which one to use is a work resulting from a careful assessment of the patient's biotype, their body composition, expectations involved and the risks and benefits of the procedure, being, therefore, an individualized and holistic approach. Knowledge about the anatomy of the gluteal region, histology and physiology associated with the manipulation of adipose tissue, together with technical improvements in surgical equipment and improvements in the ergonomics of silicone implants, caused the occurrence of intra and post-surgical adverse events to drastically decrease. Thus, there were gains in patient safety, as well as an increase in patient satisfaction with the results. Finally, it remains a procedure that requires expertise, constant research in search of increasingly safer techniques, and periodic updating of plastic surgeons who wish to perform it.