Buttock Crease and Thigh Liposuction Deformities Repaired with Fat Grafting0

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.

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.

Posted: Home, Liposuction deformities

Correction of Liposuction Deformities and Irregularities the Beginning of LipoStructure3

In the 1980’s, deformities and irregularities from liposuction were new problems that the world had never seen. During that time, no solution existed for treating these problems. Most authorities in plastic surgery felt that grafted fat did not last longer than injectable collagen. In 1986 soon after I started practicing in New York City, I began developing a new method of fat grafting to treat deformities after liposuction. The technique eventually became known as LipoStructure® or “structural fat grafting.”

To harvest fat for structural fat grafting I use a syringe connected to a blunt cannula that I invented. I also devised another much smaller blunt cannula to infiltrate the concentrated, purified fat into the irregularities. The fat is transplanted to maximize stability and give the newly placed fat access to a blood supply so that it can live and thereby potentially be a long-lasting correction.

Using this technique, I found that I could fill in areas where too much fat had been removed on thighs, hips, arms and abdomens. Immediately after the procedures, there was remarkable smoothing of the liposuction irregularities, and to my surprise, a big portion of the fat infiltrated remained. In fact, even my first patients had changes that now appear to be permanent. For over twenty years, I have used this technique to correct liposuction deformities in hundreds of patients, from subtle, barely perceptible problems to large irregularities.

55 year old after excessive liposuction of her inner thighs (left) and 6 years after her second LipoStructure procedure (right).

35 year old woman after outer thigh suctioning left her with minor irregularities (left). Two years after one infiltration of a total of of one ounce of refined fat was placed into the irregularities, significant smoothing of the area is noted.

Further references:
Treatment of liposuction deformities
LipoStructure for Correction of Liposuction Deformities
My book Structural Fat Grafting Chapter 6: Iatrogenic Corporal Deformities.

Watch for future related topics on liposuction deformities and irregularities:
•Restoring body proportion with LipoStructure
•Buttock crease correction after liposuction
•Body scars treated with fat grafting
•Challenges of treating liposuction deformities and irregularities

Posted by SR Coleman

© Coleman 2008

Posted: Liposuction deformities