The Curative Effect Observation Of Gluteal Augmentation With Structural Fat Grafting

Background For most of the world's cultural and racial gluteals are important secondary sex characteristic of women.it Is the sign of women's sex appeal.some scholars surveyed thousands of Miss Congenialities,supermodes,sculptures and statues from multiple cultures worldwide,they draw a conclusion that waist-to-hip ratio0.7 is a sign of beauty sexy wisdom healthy.the gluteals of women is located in the center of the body.The shape of the buttocks and the waist-to-hip ratio Determines the figure of a woman.So a growing number of women want to improve your buttocks through the method of surgery,and get a good figure.For decades, more and more plastic surgeons want to get the way of correcting women buttocks and shaping perfect hips in surgical method. For Buttock augmentation we can use implants and autologous fat injection.When we useing implant the inferior buttock are not filled because of the anatomy of the buttocks.there is some chances of injuring the sciatic nerve because of the location of the buttock implant.the implants may hernia out from the muscle to subcutaneous and like a pouch of subcutaneous in the inferior buttock,So it will causeing pain when seating.there is 20%-30% chance of incision dehiscence when useing implant for gluteal Augmentation.and another disadvantage is can not doing lipsuction of waist and abdomen?inferior buttock.above all autologous fat injection is the preferred surgical plan of gluteal Augmentation.autologous fat injection gluteal Augmentation,because of useing autologous human tissue,will not cause transplant reaction.there is no incision and no scar of operation.and the postoperative recovery time is short.we can contour the surrounding area of buttock as doing gluteal Augmentation operation.autologous fat grafting is first the literature in 1889.But in the next decades It is questionable because of the low survival rate of autologous fat grafting.Until the 1990 s,Coleman and his structuralfat grafting promote the development of autologous fat grafting.Colman'methed as the standardized operation, minimize the fat damage as the fat harvesting and refining,and when the placement of the fat,maximize the sureface area of contact between the harvested fat and the recipient area.so the survival rate of grafted fat is highter.and there is few complications.but as Coleman'methed is meticulous,So the operation time is long, and it is exhausting.In the European and American people like to have a larger buttocks.more fat will be injected when doing the operation of autologous fat grafting gluteal Augmentation.usually 450-1000 ml one buttock.it will corse at least 10 hours of time when useing Colaman's methed for gluteal Augmentation.at the same time fat Fat can't be placed a long time in vitro, So in the European and American countries including Coleman himself, there is no report of gluteal Augmentation operation with the method of the structural fat grafting.But in east Asian, especially Chinese women don't need wide hips as europeans and Americans.They like small and delicate buttock.So the fat injected when doing gluteal Augmentation operation is much lower than Europe and the United States,usually 200-400 ml one buttock.So when the east Asian doing autologous fat grafting gluteal Augmentation they can use Coleman 's structural fat grafting methed. At the same time,East Asian like delicate buttocks at the same time, pay attention to detail,it makes Coleman 's structural fat grafting methed bomes the chosen surgical plan.Objectives Autologous fat grafting in gluteal Augmentation was first reported the first time in 1990.Since then a lot of successful cases were reported by doctors around the world.Coleman structural fat grafting technology is considered to be the gold standard of fat grafting.So useing Coleman'methed should receive better results.In June 2013- March 2015 20 cases of patients were treated in our Departments.all of them useing structural fat grafting for gluteal Augmentation.An average of 4.5 hours were taked during operation. the effect was follow-up.Higher satisfaction was recieved.Now the operation method, effect and operation points are summarized.Methods Preoperative buttock circumference? waist circumference?the projection of buttock were measured.we use 10 ml syringes providing 1-2ml negative pressure space for harvesting fat.the harvesting cannual diameteris 3 mm.then we place the fat into centrifuge for refining.the centrifugation is at 3000 rpm for 3 minutes.we inject not more than 0.2 ml Each tunne when placement to the gluteal.Six months later we observe surgery effect.Results Postoperative patients were follow-up 6 to 12 months later.And measure the buttock circumferenc(buttock circumference is referring to the buttock circumference of the most protuberant part),and the projection of the buttock.All patients were satisfied with the surgical effect.buttock circumference increased an average of 3.5 cm, he projection of the buttock increased significantly.Conclusion. Coleman's structural fat grafting is suitable for east asians, especially Chinese. so it is worth to be popularized,...