Is An Endoscosp[ic Technique Needed For Making The Intramuscular Pocket In Buttock Implants?

Q: Dr. Eppley, For the buttock implants, do you use endoscopic technique in order to make sure of the strict intramuscular location of the implant (or do you think it’s unnecessary) ? and do you usually perform one or two incisions?

A: In answer to your buttock implant questions:

1) There is no advantage to an endoscopic technique for pocket development. The key in intramuscular implant pocket development is the muscle transection technique and not the muscle splitting technique.

2) Whether one uses a single midline intragluteal incision or a two paired paramedian infragluteal incisions can be debated. I have done it a lot both ways and even I can not say one is necessary better than the other. Each has their own advantages and disadvantages. But I would lean towards the single midline incision.

Dr. Barry Eppley

Indianapolis, Indiana