Augmentation Gluteoplasty with Intramuscular Implants: Skin Marking and Rhomboid Pocket

Abstract

Background: Increased volume and greater projection of the gluteal region are increasingly frequent reasons for consultation. Prosthesis placement in the intramuscular plane - the most used – offers satisfactory results but is not free of complications. We believe that respecting the limits of the gluteus maximus (GM) muscle reduces them. To this end, we propose a rhomboid-shaped pocket design, which allows the inclusion of larger implants and varied shapes, which provide volume and projection in the four quadrants with predominance in the lower pole.

Material and method: Between 2010 and 2023, 170 patients of both genders were analyzed, who underwent gluteoplasty augmentation. The anatomical bone accidents that we have taken as reference are indicated as the “four points” that give rise to our rhomboidal skin marking, in whose area the extension of the GM muscle is completely included, which was confirmed by ultrasound.

Results: With the creation of a “pocket” oriented by rhomboidal skin marking, the inclusion of larger prostheses was achieved and there were fewer positional complications. The relationship between the bone accidents used and the dimension of the muscle is constant, according to the ultrasound evaluation.

Conclusions: The intramuscular technique with a rhomboid pocket allows for the inclusion of larger implants by descending the dissection almost to the ischial tuberosity, obtaining a better volume effect in the lower poles of the buttocks.