Résumé de communication

Objectives: To report three clinical cases of patients with gluteal myofascial retractions treated with a minimally invasive assisted subcision technique, aimed at correcting aesthetic deformities and relieving discomfort, without significant functional impairment of the lower limbs Introduction: Gluteal myofascial retraction can negatively affect both the aesthetic appearance and well-being of patients. While the etiology is often linked to repeated intramuscular injections, effective treatment for these retractions remains challenging. The assisted subcision technique, performed with the patient standing, allowed for a more precise treatment, releasing retracted fibers and distributing the biostimulators effectively. Materials / method: Three female patients, aged between 45 and 56, presenting with gluteal myofascial retractions, were treated using an assisted subcision technique with needles. The probable etiology of the retractions was attributed to multiple intramuscular injections received during childhood, leading to local fibrosis. The procedure was performed with the patients in a standing position, using needles to release deep fibrous retractions. In addition, biostimulating substances were applied to promote tissue regeneration, improve skin quality, circulation, and stimulate collagen production. Results: All three cases showed positive outcomes with the assisted subcision technique. After three to six sessions, there was significant improvement in skin appearance, with a reduction in myofascial retractions and greater uniformity in subcutaneous fat distribution. Patients also reported relief from symptoms such as sitting discomfort, and improved mobility and quality of life. The use of biostimulators contributed to healthier skin, with results maintained for up to 18 months. Conclusion: The assisted subcision technique proved effective in treating gluteal myofascial retractions, providing long-lasting aesthetic and functional results, with rapid recovery and high patient satisfaction. Further studies with larger sample sizes are needed to confirm and refine these findings.