The gluteoplasty of feminization consists of giving a shape and volume to the buttock so that it has a feminine appearance, it can be performed by using intramuscular prostheses, lipotransfer or hyaluronic acid implants.
Some trans women have a small buttock contour, typically masculine, and in these cases the surgeon may resort to prosthesis placement to give the gluteus a little more volume and to make it as feminine as possible. To place the prosthesis, an incision is made in the intergluteal groove, which is then hidden and becomes invisible over time. The prosthesis it should not be placed submuscularly or extra muscularly, the correct placement is intramuscular.
Placing the prosthesis intramuscularly allows us to hide it within the gluteus major muscle so that it is not visible on the surface and therefore the result obtained is as natural as possible. When the buttock prostheses are placed just below the fat and above the muscle, deformities occur in the buttock giving it an unnatural appearance and the prosthesis is visible on the superficial part. Performing a correct surgical technique is essential to obtain a good result.
1 and a half hour.
Type of anesthesia
General or Spinal.
Type of surgery
Surgical procedure and hospital admission
Blood analysis evaluation
The prostheses used in gluteoplasty are specific for the buttocks. It is very important to keep this in mind since in some centers breast prostheses are used for the buttocks due to their low cost. This produces a very poor visual result. It is always important to be sure about the type of prosthesis that the surgeon will use, that are specific to the area where they are to be implanted.
If the applied technique is correct, that is, if the prosthesis is placed intramuscularly, that is, inside the muscle, the result is very natural.
We have received cases of patients operated on in other centers with a bad result after gluteoplasty, this is because the prostheses have not been implanted in the area where they should have been.
If it is placed above and just below the skin and the fat, it will look rounded and unnatural, causing a very bad aesthetic result.
Yes. If the patient has had a vibramatic liposculpture, the fat that has been extracted can be used to relocate it to another part of her body, for example in the buttocks, avoiding wearing long-term prostheses. This technique is called lipotransfer and is performed immediately after having performed liposculpture. It consists of processing the extracted fat to re-inject it into the buttock area. This can be carried out as long as a significant amount of fat has been removed during liposculpture, not being possible in underweight or very thin patients.
If after performing a liposculpture there is not enough fat to inject in the gluteal area, a gluteoplasty with high volume Hyaluronic acid can be performed. This technique has the advantage of being able to be performed on an outpatient basis with local anesthesia, but in this case the result is subject to the progressive reabsorption of the filler material, so that it generally disappears one year after implantation.