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Plastic & Reconstructive Surgery

Gluteal Hypoplasia

ICD-10 Code
M95.8

Advanced Plastic & Reconstructive Criteria for Gluteal Hypoplasia.

Clinical Presentation & Protocol

Patient Usually Complains Of

Patient presents for evaluation of gluteal hypoplasia, reporting dissatisfaction with buttock volume, projection, and contour. Patient notes a lack of adequate soft tissue fullness in the upper and lower gluteal poles. No history of prior gluteal augmentation or trauma. Patient desires surgical consultation to discuss options for volume restoration and aesthetic enhancement.

Clinical Examination Findings

Physical examination reveals bilateral gluteal hypoplasia characterized by flattened posterior profile, diminished projection, and lack of superior pole fullness. Skin quality is good with no significant laxity or ptosis. Gluteal musculature is palpable but lacks overlying adipose tissue volume. No evidence of asymmetry, dimpling, or prior surgical scarring. Hip-to-waist ratio assessment indicates a need for volume augmentation to achieve desired aesthetic contour.

Treatment Protocol

Discussed treatment modalities for gluteal hypoplasia, including autologous fat grafting (Brazilian Butt Lift) versus gluteal implants. Risks, benefits, and recovery protocols for each procedure were reviewed in detail. Patient advised on BMI requirements for fat grafting and potential need for staged procedures. Informed consent obtained for the selected surgical plan, emphasizing post-operative compression garment usage and avoidance of direct pressure on the gluteal region during the initial healing phase.

Detailed clinical guide coming soon.