ArticlePlastic and reconstructive surgery. Global open2026
Three-flap Technique: Comprehensive Approach for Biopolymer Removal in the Gluteal and Lumbar Regions.
Article in Plastic and reconstructive surgery. Global open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Background: Biopolymer disease, caused by illicit injection of synthetic fillers, presents significant health risks and emotional distress. The gluteal and lumbar regions are common sites for such procedures. This study introduces the 3-flap technique-a novel surgical approach designed for effective biopolymer removal with improved aesthetic and symptomatic outcomes. Methods: A retrospective cohort study was conducted on 199 female patients treated with the 3-flap technique between January 2022 and September 2024 in Medellín, Colombia. Preoperative evaluation included clinical classification, magnetic resonance imaging, and symptoms. Surgical outcomes, complications, and postoperative symptom resolution were assessed through clinical records and patient-reported data. Statistical analysis was performed using univariate and multivariate techniques in Jamovi software. Results: The average patient age was 43.1 years with a body mass index of 24.2 kg/m Conclusions: The 3-flap technique is a safe and effective method for removing biopolymers from the gluteal and lumbar regions, yielding high patient satisfaction and substantial symptom relief. Further studies are needed to quantify biopolymer removal and compare outcomes with alternative techniques.
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