Gluteal Augmentation with Complete Retromuscular Placement of Biconvex Silicone Implants

Permanent esthetic buttocks augmentation is on the rise. Fat augmentation or Brazilian butt lift (BBL) cannot be a solution for patient with a lean body and poor subcutaneous fat deposit. Hyaluronic acid (HA) infiltrations for volume enhancement, when used in big volumes, tend to form foreign body granulomas and cysts, which are visible and palpable with a poor esthetic result. On the other hand, implant-based augmentations have been proposed since the late 1960 of the past century. Buttocks implants can be placed in four different planes according to distinct surgical techniques: subcutaneous, subfascial, intramuscular, and submuscular. An alternative to the widely proposed intramuscular technique is described in the chapter. Submuscular positioning of a biconvex silicone implant is a safe and valuable alternative to other gluteal augmentation techniques with a different plane for implant positioning. Depending on implant volume, submuscular gluteal augmentation has the benefit to perfectly conceal the implant making it almost impalpable and invisible as well

Concomitant Panniculectomy in Abdominal Wall Reconstruction: A Narrative Review Focusing on Obese Patients

The global prevalence of obesity continues to rise, contributing to an increased frequency of abdominal wall reconstruction procedures, particularly ventral hernia repairs, in individuals with elevated body mass indexes. Undertaking these operations in obese patients poses inherent challenges. This review focuses on the current literature in this area, with special attention to the impact of concomitant panniculectomy. Obese individuals undergoing abdominal wall reconstruction face elevated rates of wound healing complications and hernia recurrence. The inclusion of concurrent panniculectomy heightens the risk of surgical site occurrences but does not significantly influence hernia recurrence rates. While this combined approach can be executed in obese patients, caution is warranted, due to the higher risk of complications. Physicians should carefully balance and communicate the potential risks, especially regarding the increased likelihood of wound healing complications. Acknowledging these factors is crucial in shared decision making and ensuring optimal patient outcomes in the context of abdominal wall reconstruction and related procedures in the obese population