Buttocks lifting: the dermo-tuberal anchorage technique.

Abstract

Few techniques for the correction of buttock ptosis have been described in the literature. A technique for treating buttock ptosis, as well as long or asymmetrical buttocks, by making an incision in the gluteal crease is described. 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. 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. 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.