Résumé
Numerous autologous techniques for gluteal augmentation flaps have been described. In the well-known currently employed technique for gluteal augmentation, it is noticeable that added volume is unevenly distributed in the buttock. In fact, after a morphological analysis, it becomes clear that the volume is added to the upper buttock to the expense of the lower buttock.1 According to Wong's ideal buttock criteria, the most prominent posterior portion is fixed at the midpoint on the side view.2 Additionally, Mendieta et al. suggest that the ideal buttock needs equal volume in the four quadrants and its point of maximum projection should be at the level of the pubic bone.3 We describe a technique of autologous gluteal augmentation using a para-sacral artery perforator propeller flap (PSAP). This new technique can fill up all the quadrants vertically with a voluminous flap shaped like a gluteal anatomic implant.