Research Article

Hyaluronic Acid: A Safe, Biodegradable and Biocompatible Product for Buttock Augmentation and Contouring

Sabet Salahia
Cosmesurge Clinics & Cosmesurge Hospital, UAE
Tariq Mehmood Dar
AK Pharma Pvt. Ltd., Pakistan
* Corresponding author
DOI icon 10.24018/ejmed.2022.4.3.1344

Read Counter
2037

Downloads
1438

Citations

Share

Article Sidebar

Submitted 2022-04-24
Published 2022-05-17

Read counter = 2037 times

Table of Contents

Article Main Content

Introduction: Attractive buttocks are one of the traits of sexual appeal and it is said that the universally accepted ideal female shape is a Waist-to-Hip Ratio of 0.7. In the late 90s, Hyaluronic Acid (HA) fillers, a facial aesthetic injectable was introduced which is the minimally invasive technique and is widely used. As per the Cosmetic Surgery National Data Bank Statistics for 2019, HA is the 2nd most nonsurgical procedure advanced by botulinum toxin.

Methodology: The study is a single-center, prospective study conducted at Cosmesurge Plastic Surgery Hospital and Clinics with Eikonha (HA gel) injection at a concentration of 200 ml for 12-18 months. The study was performed in two patients with age 29 and 45 years.

Results: The dose of HA injected in the procedure is 200 ml per session with an approximate dose of 100 ml of HA for each buttock. The injection is injected into the deep sub-dermal layer and subcutaneous fat above muscle fascia. No complications are associated with the treatment except for the minute injection points which automatically disappear once they are healed. This treatment showed effective and desired outcomes as perceived by the individuals without any safety concerns.

Conclusion: Despite being a bioabsorbable filler, outcomes of the study encourage the use of HA-based dermal fillers especially for buttock augmentation and contouring.

Keywords: Buttock augmentation and contouring, deep dermis, HA Fillers, nonsurgical procedures, subcutaneous fat

References

  1. Lee EI, Roberts TL, Bruner TW. Ethnic considerations in buttock aesthetics. Semin Plast Surg. 2009; 23(3): 232-243.
    DOI  |   Google Scholar
  2. Oranges CM, Tremp M, di Summa PG, Haug M, Kalbermatten DF, Harder Y, et al. Gluteal Augmentation Techniques: A Comprehensive Literature Review. Aesthet Surg J. 2017; 37(5): 560-569.
    DOI  |   Google Scholar
  3. Campos L, Humzah D. Buttock augmentation with hyaluronic acid fillers. The PMFA Journal. 2021; 8(2).
     Google Scholar
  4. Abulezz T. A Review of Recent Advances in Aesthetic Gluteoplasty and Buttock Contouring. Plast Surg Mod Tech. 2019; 6(1): 1-10.
     Google Scholar
  5. Masarapu V, Wang PS, Gorbachova T. Slow-growing buttock mass after failure of incorporation of autologous fat transfer for gluteal augmentation: ultrasound and MRI features. Skeletal Radiol. 2020; 49(10): 1669-1675.
    DOI  |   Google Scholar
  6. Serdev NP. Serdev Suture for Buttock’s Lift - Ambulatory Scarless Procedure. The Open Dermatology Journal. 2012; 6: 33-41.
    DOI  |   Google Scholar
  7. Trignano E, Baccari M, Pili N, Serra PL, Rubino C. Complications after breast augmentation with hyaluronic acid: a case report. Gland Surg. 2020; 9(6): 2193-2197.
    DOI  |   Google Scholar
  8. Hedén P. Update on Body Shaping and Volume Restoration: The Role of Hyaluronic Acid. Aesthetic Plast Surg. 2020; 44(4): 1295-1299.
    DOI  |   Google Scholar
  9. Ono S, Hyakusoku H. Complications after self-injection of hyaluronic acid and phosphatidylcholine for aesthetic purposes. Aesthet Surg J. 2010; 30(3): 442-445.
    DOI  |   Google Scholar
  10. De Meyere B, Mir-Mir S, Peñas J, Camenisch CC, Hedén P. Stabilized hyaluronic acid gel for volume restoration and contouring of the buttocks: 24-month efficacy and safety. Aesthetic Plast Surg. 2014; 38(2): 404-412.
    DOI  |   Google Scholar
  11. Baumann LS, Shamban AT, Lupo MP, Monheit GD, Thomas JA, Murphy DK, et al. Comparison of smooth-gel hyaluronic acid dermal fillers with cross-linked bovine collagen: a multicenter, double-masked, randomized, within-subject study. Dermatol Surg. 2007; 33 Suppl 2: S128-135.
    DOI  |   Google Scholar
  12. Martin DS, Han H, Farley KL. Self Injection of Topical Skin Preparation by Patient Seeking Facial Volume Enhancement: A Case Report. J Clin Aesthet Dermatol. 2019; 12(8): 51–54.
     Google Scholar
  13. Allepot K, Mojallal A, Gerenton B. Self-injection: Inescapable DIY and real danger? A case study and literature review. Ann Chir Plast Esthet. 2021; 66(1): 93-99.
    DOI  |   Google Scholar
  14. [Internet] Available form: https://www.surgery.org/sites/default/files/Aesthetic-Society_Stats2019Book_FINAL.pdf.
     Google Scholar
  15. INCREASING MUSCULAR VOLUME IN A HUMAN USING HYALURONIC ACID. International search report. 2014 July; International Publication Number: WO 2014/110656 Al.
     Google Scholar
  16. Requena L, Requena C, Christensen L, Zimmermann US, Kutzner H, Cerroni L. Adverse reactions to injectable soft tissue fillers. J Am Acad Dermatol. 2011; 64(1): 1-34.
    DOI  |   Google Scholar
  17. Kogan G, Soltés L, Stern R, Gemeiner P. Hyaluronic acid: a natural biopolymer with a broad range of biomedical and industrial applications. Biotechnol Lett. 2007; 29(1): 17-25.
    DOI  |   Google Scholar
  18. Salwowska NM, Bebenek KA, Żądło DA, Wcisło-Dziadecka DL. Physiochemical properties and application of hyaluronic acid: a systematic review. J Cosmet Dermatol. 2016; 15(4): 520-526.
    DOI  |   Google Scholar
  19. Uz İ, Yalçınlı S, Efe M. Fat embolism syndrome after gluteal augmentation with hyaluronic acid: A case report. Ulus Travma Acil Cerrahi Derg. 2020; 26: 960-962.
    DOI  |   Google Scholar
  20. Camenisch CC, Tengvar M, Hedén P. Macrolane for volume restoration and contouring of the buttocks: magnetic resonance imaging study on localization and degradation. Plast Reconstr Surg. 2013; 132(4): 522e-529e.
    DOI  |   Google Scholar
  21. Moon KC, Kim KB, Han SK, Jeong SH, Dhong ES. Assessment of Long-term Outcomes of Soft-Tissue Augmentation by Injecting Fibroblasts Suspended in Hyaluronic Acid Filler. JAMA Facial Plast Surg. 2019; 21(4): 312-318.
    DOI  |   Google Scholar
  22. Fernando Robles M, Robles C, Aires B. Hyaluronic Acid for Buttock Enhancement. Conference: The Aesthetic Meeting 2014 The American Society for Aesthetic Plastic Surgery. 2014.
     Google Scholar