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Raul Gonzalez, Buttocks Lifting: The Dermo-Tuberal Anchorage Technique, Aesthetic Surgery Journal, Volume 25, Issue 1, January 2005, Pages 15–23, https://doi.org/10.1016/j.asj.2004.11.003
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Abstract
Learning Objectives: The reader is presumed to have a broad understanding of plastic surgical procedures and concepts. After studying this article, the participant should be able to:
Describe the etiology of gluteal ptosis.
Analyze the different techniques described concerning the gluteal-trochanteric region.
Describe the basic principles of the dermo-tuberal anchorage technique and its indications.
Physicians may earn 1 hour of CME credit by successfully completing the examination based on material covered in this article. The examination begins on page 24. ASAPS members can also complete this CME examination online by logging in on the ASAPS Members-Only Web site (http://www.surgery.org/members) and clicking on “Clinical Education” in the menu bar.
Background: Few techniques for the correction of buttock ptosis have been described in the literature.
Objective: A technique for treating buttock ptosis, as well as long or asymmetrical buttocks, by making an incision in the gluteal crease is described.
Methods: With the patient standing, the redundant skin was delineated and marked by pushing the skin towards the ischial tuberosity with two fingers, and tucking in the redundant skin, creating a new crease. The hanging skin, previously marked, was de-epithelialized. A longitudinal cut was made through the dermis and subcutaneous fatty layer until the ischial tuberosity was exposed, to which the edges of the dermal flaps were anchored.
Results: This technique was performed in 39 patients. The results were satisfactory, generally producing good quality scars and long-term lifting of the buttocks. The few complications were limited to immediate scarring problems; 3 cases required scar touch-up.
Conclusions: The dermo-tuberal anchorage technique for treatment of buttock ptosis is simple to perform and produces good long-term results. It can be used in conjunction with lipoplasty, lipografting, and/or gluteal augmentation.
