Abstract
BACKGROUND: Body contouring procedures are now increasingly popular among male patients who desire a lean and athletic appearance. Dynamic Definition Liposculpture (HD2) employs a comprehensive, 360° approach to achieve natural-looking results. Several authors have highlighted the efficacy and safety of fat grafting techniques in body contouring, which are strategically applied to enhance muscle definition. OBJECTIVES: The authors are reporting their experience with ultrasound-guided intramuscular fat grafting to the serratus anterior muscles and the superior third of the internal and external oblique muscles (Multi-SHOT) in addition to high-definition liposculpture. METHODS: The authors conducted a retrospective cohort study across 2 specialized plastic surgery centers. This study included adult male patients with ectomorph and mesomorph body biotypes who underwent Multi-SHOT in addition to HD2. Descriptive statistical analysis was used to summarize demographic, surgical, and clinical variables. Given the sample size, high satisfaction rates, and low complication rates, no bivariate analysis was performed. RESULTS: A total of 81 consecutive male patients underwent high-definition liposculpture combined with the Multi-SHOT technique. The mean age was 40.27 years (SD = 8.34 years), and the mean BMI was 26.79 kg/m(2) (standard deviation = 2.47 kg/m(2)). Additional fat grafting of trunk muscles was performed to enhance the aesthetic outcomes. No complications associated with the technique were reported. CONCLUSIONS: The findings provide valuable insights about the safety and efficacy of the Multi-SHOT technique to enhance the athletic and muscular appearance of the male anterior torso. Further studies with greater sample size are required to support these findings.