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There is now a strong trend for clinical practice to reaffirm its commitment to scientific medicine. This does not mean that research and experience are decoupled. On the contrary, it recognizes that both are part of a systematic and continuous process of self-learning and self-assessment, without which, performance becomes outdated and irrational 1. Professionals must daily decide which treatments work (in aesthetics, it is worth noting that many "promising options" are reported regularly). Traditionally, such decisions have been based on pathophysiological principles, logical reasoning, personal observation, and intuition, which collectively constitute what is called "clinical experience" 1. If a treatment seems to work, it will be repeated; if its results are disappointing, the treatment will be abandoned. However, this type of assessment is totally unpredictable because it is unknown which factors contribute to therapeutic success or failure 2 .

The most common indication for primary gluteoplasty is the aesthetic correction of gluteal hypoplasia; secondary gluteoplasty is directed toward asymmetry from misplaced implants, trauma or infection of the implant, and treatment of congenital and acquired deformities. In this study, the authors describe a new suture maneuver designed to improve the result in secondary gluteoplasties. To reduce the empty pocket spaces and guarantee the stability of the new (smaller) implants, anchoring circular interlocking sutures are placed into the two sheets of the fibrotic capsule, which makes it possible to place the implant in a more favorable position.

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