Buttocks Beautification 3D with Calcium Hydroxylapatite (RadiesseTM): An Individualized Approach to Diagnosing and Treating Contour, Sagging, and Cellulite of the Buttocks in Seven Cases

Matheus dos Santos Teodoro,1 David Di Sessa,2 João Henrique da Fonseca Armada Barros,1 Rossana Cantanhede Farias de Vasconcelos,3 Hélio Amante Miot4 1Instituto Corpo e Pele, Belo Horizonte, MG, Brazil; 2Clinica David Di Sessa, São Paulo, SP, Brazil; 3Clinica Nomina, São Paulo, SP, Brazil; 4Departamento de Dermatologia da FMB-Unesp, Botucatu, SP, BrazilCorrespondence: Hélio Amante Miot, Departamento de Dermatologia da FMB-Unesp Rua Magnólia, 400, Jd. Bom Pastor, Botucatu, SP, 18.607-670, Brazil, Tel +55 14 38134727, Email heliomiot@gmail.comBackground: The demand for body procedures is increasing, and buttocks beautification is one of the most sought-after procedures in dermatological and plastic surgery clinics. Several aspects affect the beauty of this area, including sagging, cellulite, contour irregularity, and volume reduction. This makes treatment of the area more challenging. Calcium hydroxylapatite (CaHA), which may be injected into the buttocks, stimulates local neocollagenesis, provides volume replacement, increases the strength and elasticity of the dermis, and thickens the underlying superficial fascia. However, no protocol for buttocks beautification tailors the dilution and deep application of CaHA filler simultaneously according to clinical assessments and personal priorities regarding contour, sagging, and cellulite.Purpose: To report the results of a minimally invasive protocol using different dilutions of CaHA (Buttocks Beautification 3D) in the buttocks with application in different planes. The treatment was performed according to a previous individualized evaluation to improve the area aesthetically.Patients and methods: Six women and one man were submitted to the protocol. An assessment was performed to determine the shape, sagging, cellulite (in women), and patients’ preferences for buttocks beautification. The dilution, volume, depth, and injection technique for CaHA were based on these assessments. The results of the treatment were the