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Male and Female immediate isovolumetric Gluteoplasty

Abstract:   Butts Reshaping by 3D ISOVOLUMETRIC chemical myoplasty and myopexy


  1. Alain TENENBAUM, M.D; Ph.D; D.Sc-Facial Plastic Surgeon   dr alain tenenbaum 200x200
  2. Mauro TIZIANI,Molecular Biologist.

What delegates will learn/take away from this presentation:

Delegates will learn that with minimum material, low investment,with some techniques better than fillers, mesotherapy,apparatology, an alternative to surgery is proposed to reshape male and female body , giving more appearance to existing muscles or more projection to the hidden muscles .

Movies presented in this presentation will show how easy techniques are.



The immediate chemical and medical Gluteopexy is a new weapon for dermatologists, plastic surgeons by using the techniques called Endopeel, which have like mechanism of  action a myotension, a myoplasty and a myopexy which  duration does not exceed 6 months.


These techniques can be proposed to patients who wish to get a gluteoplasty, to patients who are not candidates for a surgical Gluteoplasty, to patients which refuse suspension threads, to surgeons who want to complete their operation of Gluteoplasty.

The advantages of these techniques are important for the patients,because of

  • the immediate effect,
  • the absence of scar,
  • the absence of down time,
  • the absence of social eviction,
  • as the transitory complications which are limited only to short duration ecchymosis.
Patients’ selection
  • All patients who desire a surgical or non-surgical gluteoplasty can be candidates, as those not being candidate for any kind of filler (the fillers are too often sources of complications like granulomas, necrosis, migration, nodules etc.), and those wanting to complete or to maintain the benefits of  suspension threads . 
  • Our criters of exclusion: Alcoholic patients, smokers, pregnant women, subjects under 18 years, patients using recently steroid anabolisants.


Indications for Females

Indications for males




  • Inferior Member Asymetry

    Most of human beeings have an inferior member asymetry, mostly discovered in case of a lipoplasty indication.

    It s not a big problem but why not to hide this if we have the possibility to do it.

    Of course the inferior member asymetry cant be corrected but the optical effect can be improved

  • Teen Butts
    Wearing cargo jeans

    Many teenagers,or generation Z like to have cargo jeans but want still nice butts .

    We can help them and their butts will be adapted to cargo jeans with a nice shape as projection

  • Long Time Dorsal Decubitus
    post op

    After a long time decubitus, mostly post surgery,muscles get atrophic including gluteal muscles.Endopeel can reshape any muscle in 3 D with a great projection with immediate result after 30 minutes.

  • Butts for Quadriplegics

    All kind of patients , even quadriplegics , have the right to be sexually attractive .Projected Butts belong nowadays as an important criter of sexual attraction.Atrophic muscles can be reshaped with a great projection thanks to Endopeel Techniques .

  • Post Trauma

    Endopeel cant correct any scars or missing tissues.With Endopeel only an atrophic or hypotrophic butt can be in 3D be corrected with a nice shape as attractive projection.

  • Masculinisation

    Male and Female Butts have a different shape.Only Endopeel can correct all the differences and allow masculinisation as feminilisation of butts and not only butts.

  • Adapting the butts shape to preferred jeans
    Fashion Butts

    Endopeel is the 1 st and still unique procedure for fashion medicine. We can adapt perfectly any butt to the last fashion jeans .Fashion with its collections change each 6 months. So Endopeel can change the shape of your butt each 6 months as well, following fashion collections.

  • Post Lipoplasty

    Endopeel is not useful to correct a fatty butt as the fat in excess will cover the reshaping of the gluteal muscles.

    But Endopeel can be used after fat autografting, as it s well vascularized and considered as ,,young,,.


Benefits and Advantages-Results

  • The GLUTEO-ENDOPEEL effects are immediate and  perfectly visible 30 minutes after the end of the treatment with a maximum result 2 to 3 days after the procedure. 
  • The  effects are early and will be relayed by the late peeling effect, specific to the techniques Endopeel.
  • The treatment can be ineffective in 8% of the cases (bad technique). 
  • The effectiveness of this treatment increases with the number or the repetition of the procedures because the basic muscular tone will be thus increasingly high on the scale of the tension of this last 
  • It is easy to prove objectively the effectiveness of this treatment by treating for example only one side only on the same patient and by making a comparison between the treated side and the controlateral untreated one by pure visual inspection, or by photographic images, or by using points of reference. Results can be not only appreciated by inspection but also by palpation and eventually for very special experts by percussion.
  • These same parameters are taken again to evaluate the duration of the results objectively 
  • The procedure is made comfortable for the pusillanimous patients thanks to the special anesthetic gel applied before the Endopeel procedure and giving satisfaction of painless technique to each patient, because the protocol can be adapted perfectly according to the timetable of the patient and also according to his social requirements 
  • In the field of safety, so far and since 23 years these techniques started to be used, no legal procedure against a physician using the techniques Endopeel was announced and/or indexed to our knowledge. The only complications met are only transitory, like ecchymosis. 
  • The report/ratio benefit cost of the treatment is accepted in the large majority of the cases.

  Techniques -Procedures

  • The selection of the patients has been described above. 
  • The material to be used is the following:

-                The patented compound preparation of Dr.Alain Tenenbaum & Mauro Tiziani.

-                Syringes 1 ml luer lock

-                Flexible needles for the body 25 or 27g

-                1 needle 18g to aspire the solution of the patented preparation

-                An anesthetic specific gel   containing lidocaine 23%, tetracaine 7%, using an emollient lipophilic lubricating gel like vector

-               A post, Endopeel, cold cream

-                Finally one not alcoholic disinfecting product, gloves and gauzes.

  • The technique known as standard treats: the whole gluteal area on all sides, the banana fold, eventually the areas under the banana fold as the area above the bitrochanteric line.
  • Areas of, love handles, can be treated as well if there is no fat excess. In case of fat excess a prior lipoplasty should be done and Endopeel technique can follow 1 month after the lipoplasty procedure.
  • The basic technique consists in injecting in subcutaneous perpendicular to the plan of the muscles 0.10 ml of the patented preparation each 2cm and same in the perpendicular plan to the precedent following the direction and the sense to obtain the wished lifting effect using a crisscross-technique.
  • Errors: The intra vascular injection of the patented preparation cannot be regarded as an error, considering the sclerosing effect of this substance. The injection into the motor plate or any nerve of phenic acid may slow down the speed of nervous conduction for short duration.
  • Safety: It is recommended for toxicity reasons not to inject more than 40 ml/ day/ adult patient . In case a patient needs more than 40 ml, this technique can be divided in consecutive days, respecting the maximal dose per day per patient.


Until now, the concept of Gluteoplasty was based only on volume augmentation concept, without taking care of an isovolumetric 3 D Deformation. With  Endopeel techniques one acts not only on the myotension by preserving the muscular mass and without affecting the muscular contraction but also on the myoplasty and the myopexy .With this fact the indications of the fillers become more restricted and will apply only to the depressions which remain after tissue tension of the selected area. Indications of sutures will be too more restricted as they are not only painful but it is rare that a patient submits 2 times to sutures gluteal lift.

Finally chemical gluteoplasty with a handing-over in tension of tissues with tightening effect like the Endopeel techniques give a better shape of the gluteal area, project a nice convexity of the new gluteal shape , which is tighten too , with redraping of the oranges skin dued to cellulitis ( which gets the, iron effect, with Endopeel ). Also the eventual stretch marks will only optically disappear, being as well redraped through the, iron effect, of Endopeel.

The technique Endopeel is a new strategic weapon for the Dermatologists and Plastic Surgeons enabling them to complete and/or maintain a Gluteoplasty which is an alternative to the surgery.