Abstract
BACKGROUND: Safe subcutaneous buttock augmentation (SSBA) offers a safer alternative to traditional gluteal fat grafting, addressing concerns of complications such as fat embolism. This study aims to establish the safety and efficacy of SSBA in an Indian cohort. MATERIALS AND METHODS: A retrospective analysis was conducted on 293 patients (287 females, 6 males) who underwent SSBA between January 2017 and September 2024. Fat was harvested using ultrasound-assisted liposuction and power-assisted liposuction, followed by grafting into the subcutaneous plane using a power-assisted device with a 5-mm blunt cannula. RESULTS: The mean fat grafting volume for females was 557 mL and 341.6 mL for males. There were no reported mortalities, and complications were minimal. For females, the mean waist-to-hip ratio improved significantly from 0.81 to 0.72 ( p < 0.001), demonstrating notable aesthetic enhancement. CONCLUSION: SSBA is a safe and effective procedure for buttock enhancement, showing significant improvement in body contour and minimal risk of complications. These results reinforce the importance of technique precision and safety protocol adherence.