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Gluteoplasty · Fundamental Principles

Fundamental Basics

Three-Dimensional Isovolumetric Gluteal Reshaping

Gluteal myomodulation reshapes the existing contour by selectively modifying its length, width and height while preserving the overall volume.

Three-dimensional orthogonal axes of gluteal reshaping: length, width and projection
3D Isovolumetric
Reshaping

Fundamental Basics · Core Principle

The Isovolumetric Principle

Gluteal myomodulation reshapes an existing contour through three-dimensional deformation while preserving its overall volume.

01

The objective is not simply to add volume. It is to redistribute the existing contour in space.

02

Length, width and height—or projection—may be selectively modified according to the patient’s anatomy and aesthetic objective.

03

When one dimension decreases, another may be adjusted to preserve the overall three-dimensional volume.

Three-dimensional volume
V = L × W × H

V = constant

The contour changes shape while the overall volume remains constant.
L Length
×
W Width
×
H Height / Projection

Fundamental Basics · Spatial Framework

The Three Orthogonal Axes

The male gluteal contour can be described through three spatial dimensions: length, width and height—or projection.

Male gluteal contour represented by the orthogonal axes i, j and k: projection H, width W and length L
Three-dimensional spatial reference
L 01

Length

The vertical dimension of the gluteal contour, extending between the superior apex of the infragluteal diamond and the inferior apex of the presacral triangle.

Vertical contour
W 02

Width

The transverse dimension of one gluteal side, measured from the intergluteal cleft to the lateral gluteal border.

Transverse contour
H 03

Height / Projection

The height or projection H is the Euclidean distance |OPmax| measured along the H-axis, which is normal to the L–W plane. O is the origin where the central H-axis intersects the L–W plane, and Pmax is the point of maximal gluteal projection on that same axis.

Sagittal projection

Fundamental Basics · Dimension L

Shortening the Length to Create a Lifting Effect

Reducing the vertical length of the gluteal contour creates a lifting effect while allowing the overall three-dimensional volume to remain controlled.

Shortening the modifiable gluteal length and lifting effect
L

Lifting by Shortening the Vertical Contour

The lifting effect is obtained by reducing the vertical dimension of the gluteal contour rather than by simply increasing its volume.

L lifting effect
Male contour

The Male Gluteal Contour Requires a Different Strategy

In male gluteoplasty, lifting should generally be achieved through superior or global shortening of the gluteal contour, while preserving the banana fold and avoiding direct treatment of the infra-gluteal convexity located immediately below it.

Treating this infra-gluteal convexity may raise the lower contour excessively and create a more feminine gluteal configuration.

Contour, Clothing and Visual Architecture

The Banana Fold and the Position of Jeans Pockets

Male and female banana fold and jeans pocket position
Male jeans

In conventional masculine jeans, the pockets generally extend below the banana fold, reinforcing a lower male gluteal contour.

Female jeans

In feminine jeans, the pockets are more often positioned above the banana fold, visually emphasizing a higher lower-gluteal contour.

Specific masculine styling

Some masculine fashion designs have placed the lower edge of the pockets at the level of the banana fold, creating a more feminine visual tendency.

Three Possible Strategies

Their Indications Are Not Interchangeable

01

General Length Shortening

The principal strategy for adapting the vertical gluteal contour to the patient’s anatomy and aesthetic objective.

Male and female applications
02

Banana Fold Lifting

A selective option for specific anatomical situations, more often considered in female gluteoplasty.

Selective indication
03

Infra-Gluteal Area Lifting

Mainly a female indication and generally avoided in male gluteoplasty to preserve a masculine contour.

Generally avoided in men
cube

Fundamental Basics 

Modifying 
  • the length l
  • the width w
  • the height h

Put in your mind that Endopeel is an isovolumetric set of techniques, which means that the product 
lenth l  x width w x height h is constant .

 

For Males

  • length <  1 or 2 tools on 3 
  • width = or <
  • height >
fashion way
  • length < 1 or 2 tools on 3
  • width >
  • height >
  • open intergluteal cleft in its lower part for 50% of them