Buttock lift with autologous dermal flap augmentation is a cosmetic technique to address both buttocks ptosis and volume deficit.
Surgical Technique of Buttock lift with autologous dermal flap augmentation:
The marked wedge of supragluteal skin was resected down to the fascia, and the gluteal flap was deepithelialized. The flap was dissected down to the fascia at a perpendicular angle superiorly, medially, and laterally. The inferior border of the flap was dissected inferiorly in an oblique angle to the level of the fascia. A pocket was created for insertion of the flap by undermining the buttock in the plane above the fascia and extending it a sufficient length to approach the inferior gluteal crease. The fascia in the superior border of the dermal fat flap was divided and undermined inferiorly, until the flap could be rotated caudally 180 degrees. The inferior superficial tip of the flap was cut to assess for adequate blood flow. The flap was rotated caudally 180 degrees into the pocket and anchored to the fascia with suture. Securing the deepithelialized surface upside down gave the flap a more rounded and implant-like shape. The remaining buttock skin was pulled in the reverse direction to cover the flap and two drains were placed. The superficial fascial system was repaired, and the tissues were closed in a layered fashion.