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Background:

Anatomical features that make the buttocks attractive include adequate volume, projection, and a defined infragluteal fold. The gluteal region in patients with massive weight loss after gastric bypass is characterized by excessive skin and exaggerated fat loss. Lower body lift procedures remove excess skin and lift sagging buttock tissue, but they typically result in further gluteal flattening. Procedures designed to augment the inferomedial aspect of the gluteal region restore projection and help define the infragluteal crease. The authors describe their technique of lower body lift with gluteal autologous augmentation using the superior gluteal artery perforator flap.

Methods:

Eighteen consecutive patients with massive weight loss after gastric bypass had lower body lifts with autoaugmentation performed by one surgeon. Superior gluteal artery perforator flaps were designed within the lower body lift markings …