The development of a special prosthesis for the correction of esthetic, traumatic or congenital defects in the gluteus (buttocks) area occurred in 1977 after some scientific studies undertaken by Dr. Gonzáles-Ulhoa. Aiming to turn the ptosis (fall), hypotonicity (muscular flaccidity) or lack of volume in the gluteus area correction into a more esthetic and functional procedure, it is recommended the inclusion of specially designed silicone prosthesis.

As per the applied technique it is made use of a single 6 - 7 cm line of vertical access over the sacrum bone; it then follows the preparation of a pocket called sub-gluteus cellular span with the dissection of the maximum gluteus muscle. The prosthesis must be introduced free of tension in this large area with options varying from 120 to 300 milliliters.

In some specific cases a Liposculpture can follow it and fat taken from the waist area is then grafted into the gluteus region. Liposuction in this part of the body is recommended to patients with projected waist and the fat is then used in the maximum gluteus muscle. It’s important to remember that the body reabsorbs half of the fat in approximately two months. This technique can be used concomitantly with the placement of silicone prosthesis.

As post-op care the patient is kept in the decumbent ventral position (lying face downwards) during ten days; the patient feels sore in the first 24 hours but is back to his/her normal physical activities after thirty days - and the best of it - the scar is disguised at the end of the vertebral column.

The plastic surgery in the gluteus region mainly aims to improve the body profile of the hips.