Background: Although the use of dermal-fat grafts (adipose tissue grafted with the inclusion of dermis) is an established technique in plastic surgery, to our knowledge, the technique has not been utilized in the gluteal region.
Objective: The authors examined the use of dermal-fat grafts taken from the lower abdomen for gluteal augmentation.
Methods: A novel surgical instrument, composed of a cannula and "crochet-hook"-like thread-puller, was developed especially for introduction of dermal-fat grafts.