Colocación de implantes glúteos y de cadera: una alternativa para mejorar el contorno en hipoplasia glúteo-trocantérea

improvement of the gluteal and hip contour in patients seeking a more feminine shape is difficult to achieve, specially for those who don't have enough fat to transfer from other areas of the body. we describe the surgical technique used to improve hips and buttocks contour in a genetic male transsexual. this patient previously underrwent two unsuccessful surgeries to feminize his hip and buttock contour. our successful approach involved the use of an oval-shaped cohesive silicone gel implants placed in both, the hip and buttock areas, along with fat injection in the areas between the two implants. a natural, feminine contour was achieved using the combination of buttock and hip implants with lipofilling using patient's own fat. these procedures completely eliminated the male contour previously noted in the gluteal trochanteric region. this surgical combination presents a new option, not previously reported, for the treatment of transsexual patients seeking a more natural feminine gluteal contour. the results are both gratifying and predictable. the combined use of gluteal and hip implants helps us to improve the deficiencies present in male patients when compared with the natural feminine buttock and hip contour.