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A retrospective review analyzed 293 patients treated between January 2017 and September 2024, using ultrasound- and power-assisted liposuction followed by subcutaneous-plane grafting. Outcomes focus on grafting volume, complication frequency, and waist-to-hip ratio changes. Minimal complications were reported with significant aesthetic improvement.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/safety-and-efficacy-of-subcutaneous-buttock-augmentation-in-indian-population-retrospective-analysis/408751/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/safety-and-efficacy-of-subcutaneous-buttock-augmentation-in-indian-population-retrospective-analysis/408751.png","ImageObject",300,407,{"name":92,"@type":93},"moss~","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the main safety concern SSBA aims to address compared with traditional BBL techniques?","Question",{"text":112,"@type":113},"SSBA is designed to reduce the risk of fat embolism by confining fat graft placement to the subcutaneous layer, addressing a critical complication associated with traditional BBL approaches.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How many patients were included, and what procedure timeframe was studied?",{"text":117,"@type":113},"The retrospective analysis included 293 patients who underwent SSBA between January 2017 and September 2024.",{"name":119,"@type":110,"acceptedAnswer":120},"What aesthetic outcome was reported as significantly improved?",{"text":121,"@type":113},"For females, the mean waist-to-hip ratio improved significantly from 0.81 to 0.72 (p \u003C 0.001), indicating notable aesthetic enhancement.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},408751,1790765176,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":34,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},962090895452,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Article published online: 2025-06-02  \nOriginal Article 447  \nSafety and Efficacy of Subcutaneous Buttock Augmentation in Indian Population: A Retrospective Analysis  \nRajat Gupta 1 Priya Bansal 1 Gautam Chaudhury2 Nandini Singh Tanwar3  \n1 Department of Plastic Surgery, Excel Hospital, C K Birla Hospital, and Rosewalk Hospital, New Delhi, India  \n2 Department of Plastic and Reconstructive Surgery, Excel Hospital, CK Birla Hospital, and Rosewalk Hospital, New Delhi, India  \n3 Department of Burns, Plastic and Reconstructive Surgery, All India Institute of Medical Sciences, New Delhi, India  \nIndian J Plast Surg 2025;58:447–453.  \nAddress for correspondence Rajat Gupta, MBBS, MS, DNB, Excel Hospital, Shalimar Bagh, New Delhi 110088, India  \n(e-mail: [contact@drrajatgupta.com](contact@drrajatgupta.com)).  \nAbstract  \nKeywords  \n► safe subcutaneous buttock augmentation  \n► Brazilian butt lift  \n► gluteal anatomy  \n► fat grafting  \n► expansion vibration lipofilling  \n► waist-to-hip ratio  \n► cosmetic surgery  \nBackground Safe subcutaneous buttock augmentation (SSBA) offers a safer alternative to traditional gluteal fat grafting, addressing concerns of complications such as fat embolism. This study aims to establish the safety and efficacy of SSBA in an Indian cohort.  \nMaterials and Methods A retrospective analysis was conducted on 293 patients (287 females, 6 males) who underwent SSBA between January 2017 and September 2024 . Fat was harvested using ultrasound-assisted liposuction and power-assisted liposuction, followed by grafting into the subcutaneous plane using a power-assisted device with a 5-mm blunt cannula.  \nResults The mean fat grafting volume for females was 557 mL and 341 .6 mL for males. There were no reported mortalities, and complications were minimal. For females, the mean waist-to-hip ratio improved significantly from 0.81 to 0.72 (p \u003C 0.001), demonstrating notable aesthetic enhancement.  \nConclusion SSBA is a safe and effective procedure for buttock enhancement, showing significant improvement in body contour and minimal risk of complications. These results reinforce the importance of technique precision and safety protocol adherence.  \nIntroduction  \nDue to the high mortality rate of Brazilian butt lift (BBL) at 1:3,000, 1–5 BBL gained notoriety as one of the most dangerous cosmetic procedures, prompting some countries to advise against its practice. Recent epidemiological studies have further highlighted these safety concerns, emphasizing the need for modified techniques.6 In response, the aesthetic surgery community formed a Task Force to develop safer  \narticle published online June 2, 2025  \nDOI [https://doi.org/](https://doi.org/)[ ](https://doi.org/)10.1055/s-0045-1809330 . ISSN 0970-0358.  \nguidelines and redefined the procedure as safe subcutaneous buttock augmentation (SSBA).7,8  \nButtock augmentation has gained significant popularity worldwide, including in India, driven by increasing aesthetic awareness and advancements in surgical techniques. SSBA prioritizes patient safety by confining fat graft placement strictly to the subcutaneous layer, thereby significantly reducing the risk of fat embolism—a critical concern associated with traditional BBL techniques. By adhering to these  \n© 2025 . The Author(s) .  \nThis is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited.([https://creativecommons.org/licenses/by/4.0/](https://creativecommons.org/licenses/by/4.0/))  \nThieme Medical and Scientific Publishers Pvt. Ltd. , A-12, 2nd Floor, Sector 2, Noida-201301 UP, India  \n448 Safety and Efficacy of Subcutaneous Buttock Augmentation in Indian Population Gupta et al.  \nFig. 1 Preoperative Markings.  \nenhanced safety protocols, SSBA has emerged as a safer and more controlled approach to buttock augmentation. This advancement has been particularly beneficial for cli","cbCaipb2t0n8AxFU","https://ap.wps.com/l/cbCaipb2t0n8AxFU","pdf",2988819,"English","# Background\n# Materials and Methods\n## Preoperative Considerations\n# Results\n# Conclusion","[{\"question\":\"What is the main safety concern SSBA aims to address compared with traditional BBL techniques?\",\"answer\":\"SSBA is designed to reduce the risk of fat embolism by confining fat graft placement to the subcutaneous layer, addressing a critical complication associated with traditional BBL approaches.\"},{\"question\":\"How many patients were included, and what procedure timeframe was studied?\",\"answer\":\"The retrospective analysis included 293 patients who underwent SSBA between January 2017 and September 2024.\"},{\"question\":\"What aesthetic outcome was reported as significantly improved?\",\"answer\":\"For females, the mean waist-to-hip ratio improved significantly from 0.81 to 0.72 (p \\u003c 0.001), indicating notable aesthetic enhancement.\"}]","Safety and Efficacy of Subcutaneous Buttock Augmentation in Indian Population - Retrospective Analysis | PDF",1790580436,18]