Nonaesthetic gluteal deformities

Abstract

The gluteal region is the target of trauma, drug applications, therapeutic interventions, as well as congenital malformations. Given its strategic location and large amount of soft tissue, these situations can lead to deformities of the component structures from the skin to the deep muscular plane. Therefore, imperfections in the gluteal region can cause stigma and low self-esteem. There are various therapeutic options for gluteal deformities, invasive and surgical or less invasive and palliative. Fat grafting has shown to play a role in skin regeneration, forming a subcutaneous mesh, correcting lipodystrophies, retractions, and atrophic scars. Final clinical results are still unpredictable, and sequential grafting sessions are generally required for better results. In studies using fat grafting to treat gluteal deformities, many authors reported good results. Fat grafting can be used alone or in combination with surgical resection and/or with silicone implants. There is no consensus or defined protocols for the treatment of these gluteal deformities. Even so, the use of fat grafting has gained recognition.