10
April
2009

Buttock Crease and Thigh Liposuction Deformities Repaired with Fat Grafting0

Buttock crease created by suctioning of the buttock/thigh juncture.  This can make a leg look shorter and a buttock look deformed.

An unattractive buttock crease created by suctioning of the buttock/thigh juncture. This can make a leg look shorter and a buttock look deformed.

 

 As liposuction developed in the late 1970s to the mid-1980s, new problems were created which the world had never seen before: liposuction deformities (deformities created by the suctioning of fat). One of the early liposuction deformities Dr. Sydney Coleman confronted in the mid 1980’s was the purposeful lengthening and deepening of buttock creases in order to create a supposedly more aesthetic appearing buttock.  Women were told that a “smiling” buttock was more attractive, so their surgeons would gouge out a long depression running from the lower buttock out to the outer thigh.

Unfortunately deepening the crease below the buttock and extending it out onto the thigh does not usually improve a woman’s appearance.  Lengthening and deepening of the buttock creases interrupts the continuous flow of the outer thigh into the buttock, which can create an unnatural looking buttock and the illusion of a shorter leg.

To correct those deformities Dr. Coleman first started injecting fat in 1986. By restructuring the buttock crease with fat grafts, the continuous flow of the buttocks into the thighs can be restored to create a more attractive and youthful line of the leg. In fact, restoration of this buttock-thigh interface can have profound effects on the appearance of the lateral thigh as well as the buttocks, with smoothing of apparent irregularities.

6 years after one injection of fat into the left buttock crease, a remarkable of the connection between the thigh and the leg is created.

6 years after one injection of fat into the left buttock crease, a remarkable filling in is apparent between the thigh and the leg is created.Side view demonstrates the subtle "lift" that restoring the normal proportion of the buttock crease to the thigh can create.

 

The left buttock crease correction before (left), one year after (middle) and four years after (right) one fat injection to the buttock crease extending out over to the left outer thigh.  Note the remarkable improvement in texture and color of the skin over time.  That is a consistent finding with fat grafting close to the skin.

The left buttock crease correction before (left), one year after (middle) and four years after (right) one fat injection to the buttock crease extending out over to the left outer thigh. Note the remarkable improvement in texture and color of the skin over time. That is a consistent finding with fat grafting close to the skin.

© Coleman 2008

More examples of correction of liposuction deformities using Dr. Coleman’s specific technique can be found at www.lipostructure.com.

Fat Injection: From Filling to Regeneration

Treatment of liposuction deformities
LipoStructure for Correction of Liposuction Deformities 
Dr. Coleman’s book Structural Fat Grafting Chapter 6: Iatrogenic Corporal Deformities.