Gluteoplastia Técnica Intramuscular (XYZ) / Gluteoplasty using the Intramuscular (XYZ) Method

INTRODUÇÃO: No conceito de beleza corporal, a forma e o tamanho das nádegas são fundamentais, provocando uma crescente busca não só de mulheres, como também de homens, pela cirurgia de gluteoplastia. O objetivo deste trabalho é apresentar a experiência do autor em gluteoplastia com a técnica intramuscular (XYZ). MÉTODO: No período de 2010 a 2015 foram operados 29 pacientes com idades entre 22 e 64 anos (média 43 anos), sendo 26 mulheres (89,66%) e três homens (10,34%). Foram usados implantes redondos ou ovais, com volumes entre 240 e 420 ml (média de 330 ml), dependendo da melhor indicação para cada caso. RESULTADOS: Foram obtidos bons resultados sob o aspecto de aumento de volume e harmonia da região glútea, com alto índice de satisfação dos pacientes. CONCLUSÕES: Na casuística do estudo a técnica intramuscular (XYZ) se mostrou segura, tanto nas cirurgias primárias como nas cirurgias secundárias, para tratar casos de assimetria e/ou implantes visíveis. Com a pré- determinação dos pontos fixos XYZ, o procedimento torna-se seguro e reprodutível.

INTRODUCTION: The shape and size of the buttocks are essential to the notion of bodily beauty. This has resulted in a growing interest in gluteoplasty among both women and men. The aim of the present study was to present the author's experience with gluteoplasty using the intramuscular XYZ method. METHOD: Between 2010 and 2015, 29 patients aged 22 to 64 years (average, 43 years) underwent gluteoplasty; of these 26 were women (89.66%) and 3 were men (10.34%). Round or oval implants were used, with volumes of 240 to 420 ml (average, 330 ml), depending on the individual case. RESULTS: Good results were obtained in terms of volume increase and harmony of the gluteal region, with a high degree of patient satisfaction. CONCLUSIONS: The intramuscular XYZ method was safe, both for primary and secondary surgery, to treat cases of asymmetry and/or visible implants. Predetermining the XYZ reference points makes this procedure safe and reproducible.

Implantes glúteos - técnica intramuscular: nuestra experiencia / Gluteal implants - Intramuscular technique: Our experience

El objetivo es mostrar nuestra experiencia en el aumento glúteo con la utilización de la técnica intramuscular, con la presentación de 61 casos en el término de 3 años. Método: Fueron tratados 61 pacientes de entre 30 y 76 años, de los cuales 56 eran mujeres y 5 hombres, desde junio de 2005 a mayo del 2008. Se utilizaron implantes lisos de gel de silicona altamente cohesivo, redondos o anatómicos, de entre 200 y 280 cc. Resultados: se obtuvieron resultados satisfactorios en 59 procedimientos de los 61 realizados; las complicaciones fueron hematoma 2 (3.2 por ciento), deshidencia de herida 4 (6.5 por ciento), implantes palpables 1 (1.6 por ciento), infección 1 (1.6 por ciento) y extrusión de implantes 1 (1.6 por ciento). No hubo casos de ruptura de los implantes. Conclusiones: El aumento glúteo por la técnica intramuscular produce excelentes resultados estéticos, con muy pocas complicaciones, pero con una curva de aprendizaje mayor que otras técnicas.

Purpose: To show our experience in gluteal augmentation with the use of the intramuscular technique, presenting 61 cases studied within a period of 3 years. Method: 61 patients participated, 56 were women aged between 30 and 76, and 5 wre men aged between 30 and 60. The study was carried out from June, 2005 until May. 2008. Smooth, round or anatomic highly cohesive silicone gel implants were used. Their size was between 200 and 280 cc. Results: Out of the 61 implants performed, satisfactory results were obtained in 59 patients; complications were bruising 2 (3.2 percent), wound disruption 4 (6.5 percent), palpable implants 1 (1.6 percent), infection 1 (1.6 percent) and implant extrusion 1 (1.6 percent); there were no cases of implant rupture. Conclusions: Gluteal augmentation using the intramuscular technique produces excellent aesthetic results, with very few complications, but with a bigger learning curve compared with other techniques.

[Lateral sacral meningocele presentation as a gluteal mass]

Lateral meningocele is a rare spinal dysraphism known to occur in patients with neurofibromatosis or Marfan's syndrome. Although this commonly occurs in the thoracic or sometimes in the cervical region, localization at the sacral spine is very infrequent. In this paper we present our case with isolated lateral sacral meningocele with spinal communication through iliac bone. In addition, a review of literature associated with this entity is presented