Single Session of Calcium Hydroxylapatite, Incobotulinumtoxin A, and Hyaluronic Acid for Gluteal Aesthetic Improvement

ABSTRACT Background While various techniques exist to treat the buttocks, few combine multiple products in a single session, offering both aesthetic and logistical benefits. Aims To evaluate the aesthetic improvement of the buttocks in patients treated with a combination of calcium hydroxylapatite‐carboxymethylcellulose (CaHA‐CMC), Incobotulinumtoxin A (IncoBoNT‐A), and cohesive poly‐densified matrix hyaluronic acid (CPM‐HA V) in one session. Patients/Methods This retrospective observational study involved women aged from 35 to 55 years who underwent the combined technique. Data were collected from the patient's charts, and photos were taken before treatment, and at 30 and 90 days post‐procedure. Two independent physicians evaluated cellulite (5‐point scale) and flaccidity (4‐point scale) in all patients. Aesthetic improvements were assessed by patients and physicians using the GAIS (5‐point) scale. Results Ten women aged 45.3 (±5.2) years participated. Initially, 80% presented moderate to severe flaccidity, and 30% and 90% presented moderate to very severe cellulite in relaxed and contracted buttocks, respectively. After 90 days, flaccidity improved in 9/10 patients, and cellulite in 4/10 and 9/10 patients in static and dynamic assessments, respectively. There was a moderate correlation between the assessments at baseline and after 90 days. The aesthetic appearance of the buttocks was rated as much improved or very much improved by 100% of the patients and 60% of the physicians after 90 days. Conclusion A single‐session combined application of CaHA‐CMC, IncoBoNT‐A, and CPM‐HA effectively improved flaccidity and cellulite, resulting in high patient satisfaction.