09 Apr Gluteal contouring

Gluteal region remodeling is an increasingly frequent demand in patients. Procedures performing a buttock augmentation are varied, from the placement of silicone implants to filling with autologous fat or other materials, such as methacrylate or hyaluronic acid. Surgical practice involves potentially serious risks and adverse effects.

Infiltration of the gluteal region with poly-L-lactic acid (PLLA) is a valid option for many patients who do not undergo surgical treatment. PLLA has been used for 30 years in medicine and surgery, classically has been injected into sub dermal or subcutaneous tissue, after the vial reconstitution containing lyophilized powder. PLLA degradation is accompanied by fibroblast proliferation in the treated area, followed by an increasing in the collagen production. Overall three or four treatment sessions are required to progressively correct skin depressions and gluteal contour. Results can be maintained above two years, and even more if annual maintenance sessions are carried out.

Adverse effects, inherent to the technique, are usually minor and quickly resolved. The high patient satisfaction with the procedure is noteworthy, although they must understand well the particularities of the treatment.