When I met her in consultation, she struck me with her optimism and a positive outlook on life. No wonder she survived that hundred-foot fall. She also had a good support system; her family always there for her during her stay in the hospital.

In our office, we commonly perform buttock augmentation procedures, and at times, even deal with complications from other surgical teams.

However, we knew this case would be challenging, even for us. A re-operation is never easy and the multiple surgeries she went through only adds to the difficulty.

We decided to use implants to give her the projection she lacked after the full thickness gluteal flap. Unfortunately, that alone would not correct the problem. We knew we would also need to work on modifying the gluteal flap. Additionally, she had multiple deforming scars that needed refining in both shape and quality of cosmesis.

We added liposuction of her abdomen and lower back to give her a more defined waistline. The autologous fat we collected would be used to inject her left lateral buttock and hips. The risks and benefits were discussed with the patient who agreed to the procedure as planned.