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Sadri O. Sozer, Some Comments on Gluteal Reshaping, Aesthetic Surgery Journal, Volume 28, Issue 4, July 2008, Page 476, https://doi.org/10.1016/j.asj.2008.06.007
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Dr. Sozer Replies
I would like to thank Dr Gonzalez for his comments about our article. I agree that the illustrations in the original article were not clear, which is why we included new illustrations, including intraoperative photos, in our latest article. When we detach the flap from gluteus maximus muscle we leave a cuff of muscle attached to the mobilized portion to enhance the circulation. We check the least perfused portion of the flap for brisk arterial bleeding before we flip the flap. Once mobilized in this fashion, flipping 180 degrees does not affect the circulation to the flap. I have performed more than 120 similar operations with a very low incidence of complications. Most problems were encountered during the first 25 cases, when we were continuously modifying the technique.
In the United States, plastic surgeons do not have much experience with buttock augmentation. For many years, we were only allowed to use solid silicone implants. There is a higher incidence of complications with these implants compared to silicone gel implants. I prefer using fat injections for buttock augmentation. The procedure described in my article is reserved for patients who require a buttock lift in conjunction with buttock augmentation. I believe placement of an implant at the same time as performance of the buttock lift can be a more complicated procedure than an autologous buttock augmentation.
