Prosthesis as implants can give a not natural surgical look at the contraction..
Any kind of threads can lead to holes and depressions.
Mesotherapy is ineffective and lead to more ecchymosis than Endopeel .A comparative study shows that with Endopeel you get a great projection of the butts with a lifting too of the infra gluteal fold ( banana fold).
This lipoplasty has good results.
But even after fat grafting, the shape of the butts dont give any volume and/or projection .
In such case, endopeel is great to perform at least 3 months after fat grafting to get a nice 3d shape.
Intramuscular gluteal lipoinjection is associated with mortality caused by gluteal blood vessel damage allowing macroscopic and microscopic fat embolism.Therefore buttocks lipoinjection should be performed very carefully,avoiding injections into deep planes.
Gluteal augmentation is rapidly gaining in popularity and this is driving aesthetic surgeons to gain experience and develop techniques to meet patient expectations. Currently, the 2 main techniques - gluteal fat grafting and gluteal implant for augmentation have significant limitations. Autologous fat grafting seems to have a mortality rate significantly higher than other aesthetic procedures. Implant based gluteal augmentation is equally difficult.
Combinations can be done and even improve the results