• Feb 2013Surgery Spotlight

    Surgery Spotlight: Gluteal Augmentation with Fat

    Daniel A. Del Vecchio, MD
    1.00 AMA PRA Category 1 Credit

    0.50 Patient Safety Credits
    Member: $75
    Non-Member: $125
    Sponsored by the American Society of Plastic Surgeons® (ASPS®)
    Accreditation Statement
    The American Society of Plastic Surgeons (ASPS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
    Designation Statement
    The ASPS designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
    Patient Safety credit: 0.5
    Media: video
    Release Date: 2/15/2013
    Expiration Date: 2/15/2019
    Estimated time to complete this course: 1 hr
    Minimum Post-test Score to Claim Credit: 80%
    Intended Audience
    This educational activity is intended for plastic surgery practitioners, residents, and other healthcare professionals interested in translating expanded knowledge into practice for the improvement of patient outcomes in plastic and reconstructive surgery.
    Educational Overview
    In this video-based CME activity, Daniel A. Del Vecchio, MD performs a gluteal augmentation with fat transplantation on a healthy 31-year-old female who desires larger buttocks.  This procedure was chosen because the patient presents a lack of fullness from the lateral view of the buttocks and the patient requested liposuction to be performed on the lower back, thighs, and upper arms to remove excess fat.  Watch Dr. Del Vecchio's technique in harvesting the fat and how the fat is then injected to form a full buttock that meets the patient's goals.
    Learning Objectives
    Upon completion of the online course, the participant should be able to:
    1. Prepare a patient immediately prior to surgery, including identifying and measuring the shape, size and asymmetry of the surgical areas.
    2. Minimize points of entry when performing liposuction to minimize trauma.
    3. Perform proper cleansing procedures that include centrifugation and decantation of the fat to eliminate all the connective tissue after sterilization is performed with the use of a prophylactic antibiotic.
    4. Perform lipoinjection through the opening where liposuction was performed, placing the fat in both the intramuscular and subcutaneous planes.  
    5. Apply additional, non-surgical techniques to accentuate shaping. 
    6. Educate the patient on post-operative care to prevent complications such as flattening of the buttocks during the healing process.

    This activity will address the following ACGME/ABMS core competencies:
    • Patient Care and Procedural Skills
    • Medical Knowledge
    Dr. Del Vecchio has a consultant relationship with Allergan, a consultant relationship with LifeCell Corporation/KCI, a consultant relationship with Microaire, a shareholder (excluding diversified mutual funds) relationship with GID, a royalty recipient relationship with Microaire, a royalty recipient relationship with Tulip, a Royalty relationship with Well Johnson, and a royalty relationship with Becon Medical. Dr. Wallach has an advisor relationship with Allergan. Dr. Aly is a consultant, speaker and advisor for Ethicon/J&J; receives research support from Ethicon/J&J; is an advisor for Angiotech Pharamceuticals; is an advisor for and a shareholder with Incisive Surgical Inc.; and receives royalties from QMP. All ASPS staff members managing this activity have no relevant financial relationships or affiliations to disclose.  All identified conflicts of interest have been resolved and the educational content thoroughly vetted by ASPS for fair balance, scientific objectivity, and appropriateness of patient care recommendations.  The ASPS also requires faculty/authors to disclose when off-label/unapproved uses of a product are discussed in a CME activity or included in related materials.

    Medical Disclosures:
    The Surgery Spotlight program was created to bridge a difficult gap between classroom theory and clinical application. Every month, PSEN seeks out experts in the clinical field to demonstrate their approach to a given surgical problem. By presenting the Surgical Spotlight program, the PSEN does not suggest that any one surgeon's operative method is the sole or only appropriate approach that should be considered. Every surgeon should use their own judgment in planning their operative approach to suit their own skill set and the needs of their patients. The views expressed in the Surgery Spotlight programs are the views of the operating surgeons and do not necessarily reflect the views of PSEN.

    Note: After purchasing online courses, you will get an email from onlineeducation@plasticsurgery.org with confirmation of purchase and instructions on how to access your online courses. You will be able to verify or change your email when you checkout.