Descripción:
This article presents the author’s experience in the treatment of the flaccid “unhappy buttock” form with his surgical procedure of buttock lift by suture, without incision scars. The author at the 3rd International Congress of the South-American Academy of Cosmetic Surgery at Buenos Aires, October 19-21, 2001 first presented this new operation technique [2], and after that over the world [3, 4]. The result is a visual change in the buttock position to a higher one, which elongates the lower limbs and changes the proportions between lower and upper half of the body. OBJECTIVE: The aim of this study is to describe a new procedure of beautification of the buttock form without scars by creating a lifting effect on the buttock’s subcutaneous tissue, using a suture that takes the inferiorly positioned deep fibrose tissue and fixes it upwards to the fascia of m. gluteus maximus. Aesthetic and technical considerations required sculpting properly the buttocks to a higher position and nicely rounded form are demonstrated. Preoperative shape is discussed and patient evaluations, operative techniques, postoperative management, and results after 4 years of experience are emphasized. METHODS: From September 1998 to September 2002, 23 female patients, aged 18-34 years, with ptosis and cellulite on the buttocks were treated on an outpatient basis by the “Serdev’s suture technique without visible scars”. Important instrumentarium is a long, straight, elastic needle and Polycon – elastic Bulgarian antimicrob polyamide silk surgery fibres, produced in PK “Tonzos”, Jambol. This operation has been performed either alone or after ultrasonic assisted liposculpture (UAL) that reduces the fat amount and heaviness. RESULTS: All patients reported a high degree of satisfaction. A stable improvement in the buttock position and form was observed for the period described. In the postoperative period the complication rate was minimal and solved in the first 4-5 days post op. The skin contact in the perianal zone makes antibiotic prophylaxis obligate as well as a strict follow up for the first 7 days. Some pain in lower sitting position (driving or sitting in a car) was observed for at least 5 to 10 days, but all other social and professional duties and activities were possible. CONCLUSIONS: This outpatient procedure is effective in the correction of buttock laxity and ptosis and creates a new form, universally accepted as “happy buttocks”.
