Three-Dimensional Design for Buttock Augmentation: The BACVA Approach

Autologous augmentation by lipografts has become the procedure of choice for enhancing the buttock area for many plastic surgeons. It avoids the complications of prosthetic materials while taking advantage of tissue interactions between grafts and receptor tissues. It has the added benefit of combining a body defining lipoplasty, offering a faster recovery and less long-term complications compared to prosthetic implant augmentation. Objectives: The authors present a new surgical approach for buttock augmentation / reshaping with lipografts. By implementing a systemized, mathematic-based approach for delivering controlled 3D volumes to our practice, creating a parabolic design similar to a gluteal implant, we can obtain predictable and permanent results. Methods: Between 2008 and 2013, a group of 75 patients underwent autologous augmentation by lipografts for buttock volume and reshaping by dividing each buttock into nine quadrants. Adhering to the aesthetic ideal proportions, exact percentages of volume are delivered, crafting a beautiful and natural buttock in relation to the patient's own anatomy. Results: 75 female patients between 24 and 52 years underwent buttock augmentation with the BACVA technique. All patients experienced favorable convalescence with 94% patient satisfaction rate. 9 patients (12%) underwent ambulatory seroma aspiration with complete resolution. There were no mayor complications in this series. Conclusions: The authors have demonstrated that using BACVApredictable, natural, beautiful and permanent results may be achieved. It is a mathematic-based approach that is reproducible and easy for the plastic surgeon in training to master. Level of Evidence: 5.