title: Abdominoplasty-derived dermal-fat graft augmentation gluteoplasty.
abstract: BACKGROUND
  Plastic surgeons are exploring novel techniques for augmentation gluteoplasty as the demand for this procedure increases annually in the United States.
  
  
  OBJECTIVE
  The authors retrospectively reviewed a series of lower abdominal dermal-fat graft augmentation gluteoplasties to validate the procedure.
  
  
  METHODS
  Nine consecutive patients underwent abdominoplasty or torsoplasty in which 2 oval dermal-fat grafts were excised, de-epithelialized, and then implanted into subfascial gluteal pockets for augmentation. All operations were independently conducted by 1 of 2 surgeons at facilities in Maryland and New Jersey.
  
  
  RESULTS
  The mean age of the 9 female patients was 46 years. The mean dermal-graft size was 188 cm(2), and the mean graft weight was 288 g. One graft became infected and required excision 39 days after the procedure. There were no other complications. All surviving grafts provided a substantial increase in posterior projection and long-lasting gluteal volume.
  
  
  CONCLUSIONS
  Dermal-fat graft augmentation gluteoplasty provides a voluminous, natural-feeling, and durable aesthetic result. The procedure should be considered a viable option for patients undergoing abdominoplasty or torsoplasty, especially as more experience is gained.
  
  
  METHODS
  4.
authors.affiliation: Dr Muresan is a resident, Department of Surgery, Union Memorial Hospital in Baltimore, MarylandDr Brownstein is a plastic surgeon in private practice in Berlin, New JerseyDr Shureih is a plastic surgeon in private practice in Baltimore, Maryland.
authors.forename: Claude
authors.initials: C
authors.lastname: Muresan
authors.affiliation: Dr Muresan is a resident, Department of Surgery, Union Memorial Hospital in Baltimore, MarylandDr Brownstein is a plastic surgeon in private practice in Berlin, New JerseyDr Shureih is a plastic surgeon in private practice in Baltimore, Maryland.
authors.forename: Gary M
authors.initials: GM
authors.lastname: Brownstein
authors.affiliation: Dr Muresan is a resident, Department of Surgery, Union Memorial Hospital in Baltimore, MarylandDr Brownstein is a plastic surgeon in private practice in Berlin, New JerseyDr Shureih is a plastic surgeon in private practice in Baltimore, Maryland sshureih@msn.com.
authors.forename: Samir F
authors.initials: SF
authors.lastname: Shureih
mesh_terms: D061645:Abdominoplasty / Q000379:methods*; D000273:Adipose Tissue / Q000601:surgery; D000328:Adult; D000368:Aged; D002081:Buttocks / Q000601:surgery*; D003357:Cosmetic Techniques; D004954:Esthetics; D005260:Female; D006801:Humans; D015187:Lipectomy / Q000379:methods*; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery; D012189:Retrospective Studies; D014182:Transplantation, Autologous / Q000379:methods
keywords: abdominoplasty; body contouring; dermal graft; dermal-fat graft; gluteal augmentation; torsoplasty