Hyaluronic Acid: A Safe, Biodegradable and Biocompatible Product for Buttock Augmentation and Contouring

Introduction: Attractive buttocks are one of the traits of sexual appeal and it is said that the universally accepted ideal female shape is a Waist-to-Hip Ratio of 0.7. In the late 90s, Hyaluronic Acid (HA) fillers, a facial aesthetic injectable was introduced which is the minimally invasive technique and is widely used. As per the Cosmetic Surgery National Data Bank Statistics for 2019, HA is the 2nd most nonsurgical procedure advanced by botulinum toxin. Methodology: The study is a single-center, prospective study conducted at Cosmesurge Plastic Surgery Hospital and Clinics with Eikonha (HA gel) injection at a concentration of 200 ml for 12-18 months. The study was performed in two patients with age 29 and 45 years. Results: The dose of HA injected in the procedure is 200 ml per session with an approximate dose of 100 ml of HA for each buttock. The injection is injected into the deep sub-dermal layer and subcutaneous fat above muscle fascia. No complications are associated with the treatment except for the minute injection points which automatically disappear once they are healed. This treatment showed effective and desired outcomes as perceived by the individuals without any safety concerns. Conclusion: Despite being a bioabsorbable filler, outcomes of the study encourage the use of HA-based dermal fillers especially for buttock augmentation and contouring.