Gluteoplasty Projection and harmony of the posterior profile

Dr. Davide Costantino
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Gluteoplasty

Gluteoplasty is an aesthetic surgical procedure aimed at improving the shape, projection, and harmony of the glutes, making the silhouette more balanced and proportional to the rest of the body.

Over time, or after significant weight loss, aging, or genetic factors, the volume of the glutes may decrease or lose firmness. The natural shape of the pelvis may also make the glutes less projected or poorly defined compared to the hips.

The goal of the procedure is to reshape the posterior profile by creating a full, proportional, and harmonious shape that enhances the body’s natural curves.

The reasons for undergoing gluteoplasty may vary: the desire for greater projection and definition, correction of asymmetry or depressions, or volume restoration after significant weight loss.

During the pre-operative evaluation, the surgeon carefully analyzes the morphology of the pelvis, the lumbar lordosis, the distribution of adipose tissue, and the skin’s elasticity to identify the most suitable technique and achieve a natural and proportional result.

Options and Techniques

Gluteoplasty can be performed using two main approaches, sometimes combined, depending on the anatomical features and goals of the patient:

Gluteal implants

Gluteal implants are cohesive silicone gel devices specifically designed for the gluteal area, available in oval or round shapes with a natural feel.

They are placed in an intramuscular pocket within the gluteus maximus muscle, which ensures a stable and safe result with good tissue coverage and a harmonious profile.

The procedure is performed under general anesthesia or regional anesthesia with sedation, through an incision hidden in the intergluteal fold, making the scar practically invisible.

Implants are particularly suitable for those who want more pronounced and structured projection, especially when the available adipose tissue is insufficient for lipofilling.

Gluteal lipofilling

Gluteal lipofilling, or Brazilian Butt Lift, is a procedure that uses the patient’s own fat to naturally shape and fill the glutes.

Fat is harvested from donor areas such as the abdomen, hips, or thighs using microcannulas, purified, and then re-injected into the glutes to reshape them and improve the continuity with the waist and thighs.

The procedure is based on strict anatomical safety principles: the fat is injected in superficial subfascial or intramuscular planes, never deep, to avoid vascular complications.

This technique provides a soft, harmonious, and customizable result, with the added benefit of reshaping the areas from which the fat is harvested.

The final effect depends on the engraftment of the transplanted adipose tissue: a part of the fat (about 30-40%) is naturally reabsorbed, but the engrafted portion remains stable over time. When necessary, a second session can be scheduled to perfect the result.

Safety and Anatomical Protocols

Gluteoplasty is a safe procedure when performed by expert surgeons in aesthetic surgery and gluteal anatomy.

Particular attention is given to vascular anatomy: knowledge of deep structures and the correct injection planes drastically reduces the risk of complications.

During lipofilling, blunt-tipped cannulas and a controlled injection angle are used to evenly distribute the fat safely.

In the case of implants, intramuscular placement protects the implants and allows for a gradual but stable recovery. All materials used are biocompatible, certified, and traceable, meeting the highest medical safety standards.

Recovery Time and Results

The post-operative period varies depending on the technique used.

After gluteoplasty with implants, it is necessary to avoid sitting directly on the implants for about 2-3 weeks and to sleep preferably in the prone or lateral position. After this period, a gradual return to daily activities is possible.

In lipofilling, recovery is quicker: the treated area may show mild swelling or tenderness in the first few days, while the donor areas are supported by compression garments to promote tissue settling and enhance the silhouette.

Final results are visible after 2-3 months when tissues stabilize and swelling disappears. The glutes appear fuller, firmer, and more proportionate, with a completely natural feel and look.

Scars are minimal and well-hidden: for implants, in the intergluteal fold; for lipofilling, the microincisions for the cannulas become virtually invisible.

Benefits and Maintenance

Gluteoplasty not only improves body contour but also enhances overall aesthetic balance and boosts self-confidence.

It restores harmony to the body’s posterior lines and enhances femininity with long-lasting results, provided a stable weight and healthy lifestyle are maintained.

The treatment, performed with modern techniques and anatomical safety, offers one of the highest satisfaction rates among body contouring procedures.

Whether choosing implants or lipofilling, the goal remains the same: a natural, balanced, and personalized result that enhances the body’s proportions while respecting the uniqueness of each individual.