About #lipoenxertia in the gluteal region: why don’t I perform intramuscular fat grafting in this area?

About #lipoenxertia in the gluteal region: why don’t I perform intramuscular fat grafting in this area?

Anyone who is my patient or follows me knows that I really enjoy contouring the gluteal region with liposuction and fat grafting. However, I only perform it in the subcutaneous plane. Aesthetically, intramuscular grafting could be very interesting, as it gives the appearance that the muscle itself is hypertrophied; however, the muscles have thick, large-caliber vessels, and the risk of fat embolism is higher, even in experienced hands with correct technique.

The use of intraoperative ultrasound can reduce these risks, but this is not yet a certainty in terms of its degree of protection, so I have chosen not to perform this technique, at least for the time being.

And you, do you have more questions about gluteal reshaping or safety in plastic surgery? Leave them in the comments and send this video to your friends.

Dr. Caroline Kroeff Machado
Plastic Surgeon
CRM-SP 131245 / RQE 40.303

Dr. Caroline consults in English. Book your consultation by clicking the button below.

Originally published on Instagram on 11/07/2025: https://www.instagram.com/p/DL-EsNhMVqU/