Aesthetic surgery of the buttocks: imaging appearance

Frank, Susan J.; Flusberg, Milana; Friedman, Shari; Sternschein, Michael; Wolf, Ellen L.; Stein, Marjorie W.

doi:10.1007/s00256-013-1753-x

Cited by 15 publications

(10 citation statements)

References 22 publications

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“…Most scientific papers on buttock augmentation by lipoinjection focus on fat grafting techniques, fat handling and processing, lipotransfer techniques, and planes for lipografts placement [9][10][11][12][13][14][15][16][17][18]. Nevertheless they do not describe a predictable, mathematic-based method for delivering lipografts in adequately distributed volumes that can reproduce the 3 dimensional parabolic design of the gluteal implant anatomy and solely rely on the surgeon's intuition or impression.…”

Section: Discussionmentioning

confidence: 99%

Three-Dimensional Design for Buttock Augmentation: The BACVA Approach

A¹

2018

IJTPS

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Autologous augmentation by lipografts has become the procedure of choice for enhancing the buttock area for many plastic surgeons. It avoids the complications of prosthetic materials while taking advantage of tissue interactions between grafts and receptor tissues. It has the added benefit of combining a body defining lipoplasty, offering a faster recovery and less long-term complications compared to prosthetic implant augmentation. Objectives: The authors present a new surgical approach for buttock augmentation / reshaping with lipografts. By implementing a systemized, mathematic-based approach for delivering controlled 3D volumes to our practice, creating a parabolic design similar to a gluteal implant, we can obtain predictable and permanent results. Methods: Between 2008 and 2013, a group of 75 patients underwent autologous augmentation by lipografts for buttock volume and reshaping by dividing each buttock into nine quadrants. Adhering to the aesthetic ideal proportions, exact percentages of volume are delivered, crafting a beautiful and natural buttock in relation to the patient's own anatomy. Results: 75 female patients between 24 and 52 years underwent buttock augmentation with the BACVA technique. All patients experienced favorable convalescence with 94% patient satisfaction rate. 9 patients (12%) underwent ambulatory seroma aspiration with complete resolution.

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Section: Discussionmentioning

confidence: 99%

Three-Dimensional Design for Buttock Augmentation: The BACVA Approach

A¹

2018

IJTPS

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“…Aesthetic intramuscular injections can result in peculiar appearances related to inoculation of autologous fat, hyaluronic acid, or, most commonly, free silicone. Free silicone injections are widely used for buttock cosmesis, producing a distinctive starry sky-like appearance related to the innumerable round heterogeneous deposits within the gluteal muscles and subcutaneous tissues (86) (Fig 28).…”

Section: Postinjection Massesmentioning

confidence: 99%

MR Imaging of Atraumatic Muscle Disorders

et al. 2018

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Atraumatic disorders of skeletal muscles include congenital variants; inherited myopathies; acquired inflammatory, infectious, or ischemic disorders; neoplastic diseases; and conditions leading to muscle atrophy. These have overlapping appearances at magnetic resonance (MR) imaging and are challenging for the radiologist to differentiate. The authors organize muscle disorders into four MR imaging patterns: (a) abnormal anatomy with normal signal intensity, (b) edema/inflammation, (c) mass, and (d) atrophy, highlighting each of their key clinical and imaging findings. Anatomic muscle variants, while common, do not produce signal intensity alterations and therefore are easily overlooked. Muscle edema is the most common pattern but is nonspecific, with a broad differential diagnosis. Autoimmune, paraneoplastic, and drug-induced myositis tend to be symmetric, whereas infection, radiation-induced injury, and myonecrosis are focal asymmetric processes. Architectural distortion in the setting of muscle edema suggests one of these latter processes. Intramuscular masses include primary neoplasms, metastases, and several benign masslike lesions that simulate malignancy. Some lesions, such as lipomas, low-flow vascular malformations, fibromatoses, and subacute hematomas, are distinctive, but many intramuscular masses ultimately require a biopsy for definitive diagnosis. Atrophy is the irreversible end result of any muscle disease of sufficient severity and is the dominant finding in disorders such as the muscular dystrophies, denervation myopathy, and sarcopenia. This imaging-based classification, in correlation with clinical and laboratory data, will aid the radiologist in interpreting MR imaging findings in patients with atraumatic muscle disorders. RSNA, 2018.

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“…Radiographically, round circumscribed highdensity masses that represent injected silicone can be incidentally depicted on routine screening mammograms or chest and abdominal radiographs obtained for other reasons (Fig 6). At CT, scattered nodular soft-tissue foci are seen, representing silicone injections, and may be calcified or noncalcified, and discrete or confluent ( Fig 7) (34). At MR imaging, these nodular foci tend to demonstrate intermediate signal intensity on T1-weighted MR images and variable intensity on T2-weighted MR images, because higherviscosity silicone is usually more hypointense on T2-weighted MR images (Fig 8) (34,35).…”

Section: Liquid Injectable Siliconementioning

confidence: 99%

“…At CT, scattered nodular soft-tissue foci are seen, representing silicone injections, and may be calcified or noncalcified, and discrete or confluent ( Fig 7) (34). At MR imaging, these nodular foci tend to demonstrate intermediate signal intensity on T1-weighted MR images and variable intensity on T2-weighted MR images, because higherviscosity silicone is usually more hypointense on T2-weighted MR images (Fig 8) (34,35). Chemi- The patient presented with buttock swelling and pain that had been present for the previous 2 weeks.…”

Section: Liquid Injectable Siliconementioning

confidence: 99%

“…At imaging, solid silicone implants are typically ellipsoid in configuration, hyperattenuating on CT images, and hypointense on T1-and T2-weighted MR images (Figs 11, 12) (48). In contrast to solid silicone implants, silicone gel implants are less viscous and tend to be lower in attenuation on CT images, when compared with solid implants, although still hyperattenuating compared with muscle, and demonstrate intermediate signal intensity on T2-weighted MR images, rather than hypointensity (Fig 13) (34,(48)(49)(50). Similar to breast implant MR imaging protocols, both silicone-suppressed imaging and siliconeselective imaging can be performed to assess implant integrity (49).…”

Section: Body Contouring With Silicone Implantsmentioning

confidence: 99%

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Adventures and Misadventures in Plastic Surgery and Soft-Tissue Implants

et al. 2017

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Soft-tissue augmentation and implants are increasingly seen by the radiologist as more techniques emerge for a variety of indications and locations. Some surgical and implant procedures are performed for purely cosmetic reasons in otherwise healthy patients seeking to improve their body image, and some are performed for reconstruction after cancer or other chronic illnesses. Abdominoplasty, liposuction, and autologous fat grafting can be performed for abdominal and gluteal contouring. Injection of liquid injectable silicone has historically been fraught with legal issues, although it continues to be used for augmentation in a variety of anatomic locations. Newer solid silicone implants have revolutionized cosmetic and reconstructive muscular contouring. Subdermal implants placed by nonmedical professionals are relatively new and unrecognized within the medical establishment, although such implants have been described in the popular culture. Perhaps the most rapidly increasing segment of cosmetic procedures, however, is minimally invasive cosmesis in the form of soft-tissue fillers in the hands and face. Finally, the major principles of breast augmentation and penile implants are also reviewed. Regardless of the location and the type of implant, complications of plastic surgery and soft-tissue implants can generally be classified into the following categories: seroma, hematoma, infection, migration, vascular or nerve compression, fibrosis, foreign-body reaction, and rupture or breakdown. Key concepts include knowing the appropriate anatomic location and the normal postoperative appearance so that complications can be properly detected. A broad range of approved, off-label, and illicit plastic surgical and implant procedures are described and their complications illustrated with cases with classic imaging findings. RSNA, 2017.

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Aesthetic surgery of the buttocks: imaging appearance

Cited by 15 publications

References 22 publications

Three-Dimensional Design for Buttock Augmentation: The BACVA Approach

Three-Dimensional Design for Buttock Augmentation: The BACVA Approach

MR Imaging of Atraumatic Muscle Disorders

Adventures and Misadventures in Plastic Surgery and Soft-Tissue Implants

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