Compensatory hypertrophy of the superior gluteus maximus following botulinum toxin-induced weakening of the inferior fibers

Selective chemodenervation of the inferior gluteus maximus (GMax) may induce compensatory hypertrophy of its superior fibers. Two healthy female subjects underwent ultrasound-guided botulinumtoxinA (JETEMA THE TOXIN, JETEMA Co., Ltd., Korea) injections (100 IU) into the inferior GMax. Six-week follow-up revealed increased fullness and definition in the superior region without adverse effects. The observation supports the concept that targeted muscle weakening can promote adaptive hypertrophy in adjacent fibers. This minimally invasive approach may have potential applications in aesthetic body contouring and functional rehabilitation.

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Publication Details

Journal
JPRAS Open
Published
2025-12-20
DOI
https://doi.org/10.1016/j.jpra.2025.12.016
Primary Topic
Body Contouring and Surgery
Type
article
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article

Compensatory hypertrophy of the superior gluteus maximus following botulinum toxin-induced weakening of the inferior fibers

Konstantin Frank, Kyu‐Ho Yi, Benjamin Ascher, Jin‐Hyun Kim et al.
JPRAS Open
Body Contouring and Surgery
article

Compensatory hypertrophy of the superior gluteus maximus following botulinum toxin-induced weakening of the inferior fibers

Konstantin Frank, Kyu‐Ho Yi, Benjamin Ascher, Jin‐Hyun Kim, Isabella Rosellini, Ji Soo Kim, Jong Keun Song, Byung Ki Cho, Carlos Bautzer, Wong Ka Fai
article en

Abstract

Selective chemodenervation of the inferior gluteus maximus (GMax) may induce compensatory hypertrophy of its superior fibers. Two healthy female subjects underwent ultrasound-guided botulinumtoxinA (JETEMA THE TOXIN, JETEMA Co., Ltd., Korea) injections (100 IU) into the inferior GMax. Six-week follow-up revealed increased fullness and definition in the superior region without adverse effects. The observation supports the concept that targeted muscle weakening can promote adaptive hypertrophy in adjacent fibers. This minimally invasive approach may have potential applications in aesthetic body contouring and functional rehabilitation.

JPRAS OpenVol. 48
Airbus (France) (FR), Yonsei University (KR), University of Indonesia (ID), University Hospital Regensburg (DE), Plastic Surgery Hospital (CN), Vietnam Posts and Telecommunications Group (Vietnam) (VN), TDK (China) (CN), Dr Youth Clinic (KR), Sejong Institute (KR), Yonsei University College of Dentistry
Openalex Percentile: Top 39%
Body Contouring and Surgery
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Compensatory hypertrophy of the superior gluteus maximus following botulinum toxin-induced weakening of the inferior fibers — Konstantin Frank, Kyu‐Ho Yi, et al. · JPRAS Open (2025) | TGRS Research Map | TGRS