Surgeons cannot possess too much knowledge of anatomy. Although brief, this article describes some of the major anatomical issues that confront plastic surgeons when contouring and augmenting the gluteal region. Unless surgeons are very experienced in gluteal procedures, they are encouraged to refresh their anatomical knowledge and the many types of nerve and vascular variations that occur. A better understanding of anatomy can improve the cosmetic results of gluteal augmentation. More importantly, it can also reduce the risks of complications, some of which, such as nerve injury, may have long-term adverse effects on patients' lives. © 2006 Elsevier Inc. All rights reserved.
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