Hyaluronic Acid for Buttock Enhancement

Goals/Purpose: Hyaluronic acid (HA) has been used for many years with mild side effects in cosmetic surgery. Few evidence exists about it s durability in corporal areas and is known that its use on breast enhancement had no satisfactory results.The main options for buttock augmentation are gluteal implants or fat grafting , but there are limitation for this procedure such as thin patient , patient  who don t want to perform a surgery or the ones that just want an improved . This kind of patients are eligible to hyaluronic  acid  treatment.        

Methods/Technique: During a period of three years    (   5/2011- 5/2013 ),35 patients, aged 23-45 years old and genotype thin. AH used was (Estrianon® High reticulated Hyaluronic acid ) and has been administered in the upper and middle third of the buttocks, 50 cc each side in a superficial and deep subcutaneous plane. It was applied with a cannula of 3 mm, 15 cm long and a Mercedes type at the operation room. The procedure was made with tumescent anesthesia with a neuroleptic sedationfor a 30 minute surgical room, considerer as a minimal invasive procedure.The treatment could be repeated at 6^th o 12^thmonths if easy to reproducible when buttock s volume diminish.

Results/Complications: No complication were observed in 35 patients, but in 10 patients were necessary to be retreated for enhancement . Patient need for 24 to 48 hours of a compressive garment or tape in the surgical field to keep the filler in place. Good result were obtain for a period of 6 month. Reabsortion of HA starts at 6 month  to a 1 year.

Conclusion: The  use of HA with high reticulation is an option for buttock enhancement in a specific patient genotype or small enhacement of the gluteal area.  The satisfactory level is high and retreatment is possible if the volume diminish. Further study of corporal enhancement are been carry on and a large number of patient will be needed.