Lower Gluteal Liposuction Combined With Upper Gluteal and Infragluteal Region Fat Transplantation: A Novel Concept to Improve Gluteal Ptosis.

BACKGROUND:Gluteal ptosis results in a severe disturbance of gluteal aesthetics. Currently, satisfactory procedures for improving gluteal ptosis are lacking. OBJECTIVES:To improve gluteal ptosis, the authors propose a novel concept of combined liposuction of the lower gluteal region and fat grafting to the upper gluteal and infragluteal regions, and verify its efficacy and safety. METHODS:Patients who underwent liposuction of the lower gluteal region combined with fat grafting to the upper gluteal and infragluteal regions between January 2020 and July 2023 were retrospectively reviewed. Postoperative changes in the gluteal ptosis grade, complications, and patient satisfaction were evaluated. RESULTS:A total of 28 patients were enrolled in this study; 21 (75.0%) patients were gluteal ptosis grade 4 and seven (25.0%) patients were gluteal ptosis grade 5. The median fat removal volume was 210 ml, and the median fat graft injected volume was 355 ml in the gluteal region and 180 ml in the infragluteal region. All patients showed improvement in gluteal ptosis; 16 (57.1%) patients improved by one grade and 12 (42.9%) patients showed a two-grade improvement. All patients were satisfied with their post-treatment outcomes. Only one patient showed lateral translocation of the fat graft. No other complications were observed. CONCLUSIONS:Liposuction of the lower gluteal region combined with fat grafting to the upper gluteal and infragluteal regions is effective in improving gluteal ptosis with a low risk of complications and high patient satisfaction.