Reply: Redefining the Ideal Buttocks
With exposure to social media unifying different countries and potentially diminishing any strong cultural preferences, we hypothesize that there would be a global preference for larger, more voluptuous contour proportions throughout all ethnicities. Serial surveys conducted every decade may yield interesting results to see whether there is linear change in these preferences as well. Our data demonstrate an evolution from the previously described aesthetic ideal of a 0.70 waist-to-hip ratio, and this archetype will likely change in the coming years. Furthermore, future studies analyzing patient-reported outcomes for different gluteoplasty procedures can elucidate whether there is a correlation with aesthetic ideals and can better assay long-term outcomes and satisfaction rates.
As aesthetic paradigms evolve and shift quite dramatically over time, it is important to consider the long-term effects of the surgical techniques we choose on our patients. Long-term effects of gravity on tissue, age-related changes, and consideration of the need for future operations are all important factors in decision-making. Patient safety is undoubtedly a plastic surgeon’s number one priority. We must keep in mind that despite our patient’s preferences and ideals of beauty, it is our duty to only offer surgical procedures that benefit the patient’s quality of life and heavily outweigh the potential risk profile.