侯崇超 周传德

[摘要]随着人们生活水平的提高，隆臀术受到越来越多爱美人士的关注，脂肪移植隆臀是现今国内外开展的主要手术方式。在大体积脂肪移植趋于成熟的今天，单纯追求脂肪移植量的突破已不是脂肪移植隆臀的首要目标，如何使隆臀术后，除了臀部视觉上的丰隆增大之外，与身体其他部分相协调，富有美感是现代脂肪移植隆臀术关注的核心。因此，臀部美学作为隆臀术的理论基础，应是着重探讨的部分。其次，臀部脂肪移植长期面临着移植量大，手术时间长等限制因素，如何在臀部脂肪移植中高效、自动化、安全地获取，注射脂肪是技术层面上难题，近年来，这一领域取得了进展和技术突破。现就臀部美学理论及臀部脂肪移植制备注射体系的临床应用综述如下。

[关键词]隆臀;脂肪移植;臀部美学;臀部整形

[中图分类号]R622+.9    [文献标志码]A    [文章编号]1008-6455（2019）02-0171-03

Abstract： With the globalization and the improvement of people's living standards， buttock augmentation has attracted more and more attention. Fat transplantation is the main method of buttock augmentation at home and abroad. Nowadays， large volume fat transplantation is becoming mature. Purely pursuing the breakthrough of fat transplantation is not the primary goal of fat transplantation. How to make the buttock augmentation coordinate with other parts of the body besides the visual augmentation of the buttock is the focus of modern fat transplantation augmentation. Therefore， buttock aesthetics as the theoretical basis for buttocks surgery should be part of our discussion. Secondly， buttock fat transplantation has long been confronted with a large number of transplantation， long operation time and other constraints. How to obtain and inject fat safely and efficiently in buttock fat transplantation is a technical problem. In recent years， progress and technological breakthroughs have been made in this field. This article reviews the aesthetic theory of buttocks and the injection system of fat graft on the buttock.

Key words： buttock augmentation; fat transplantation; buttock aesthetics; buttock plastic surgery

2016年，美国隆臀手术增至20 673例，其中92%为脂肪移植隆臀，仅8%为假体隆臀，脂肪移植隆臀是每年增长最快的手术方式，其手术量从2002年至2016年增长了3 267%。现代脂肪移植隆臀术远不是单纯追求臀部体积的变化，就脂肪移植技术而言，也远不是单纯的脂肪填充，而是基于美学理论下抽吸与填充的平衡，以期重现臀部丰隆、协调及美感的形态学外观。本文就脂肪移植隆臀的临床及基础美学理论和臀部脂肪移植制备注射体系综述如下。

1  臀部美学体系

1.1 腰臀比：早在1993年，Singh D[1]对女性形态美进行了深……