Modifications of Buttock Augmentation

Abstract

The traditional method of buttock enlargement, which involves making an incision in the lower portion of the buttocks in the infragluteal fold, frequently results in secondary infections and long recovery times. Because of the proximity of the incision to the rectum and the pressure on the incision, the patient usually requires several days of bed rest. In some instances, it is necessary to remove an otherwise satisfactory implant to correct an infection. The author has overcome this problem by placing the incision in the center of the buttock in the intergluteal fold. A custom-designed solid silicon prosthesis is then placed between the gluteus medius and the gluteus maximus in a space provided by the anatomical design of these two large muscles. The gluteus also provides a good sling for the prosthesis, thus preventing future drooping of the prosthesis. More than 20 buttock enlargements have been successfully performed using this technique with no major complications. Use of this new technique decreases the risk of infection from the anal region and produces a softer, more natural look. This technique is also resistant to possible rupture such as may occur with a nonsolid gel silicone augmentation.