Functional Realignment of the Centre of Gravity by Comprehensive Body Contouring: A Novel Surgical Approach Leading to Resolution of Gluteus Medius Syndrome—A Case Report

Changes in body habitus and age-related soft tissue descent can alter the body’s centre of mass, thus centre of gravity and loading patterns, contributing to postural maladaptations and myofascial dysfunction. Previous studies have demonstrated postural improvement and reduction in back pain after abdominoplasty and rectus plication; however, to our knowledge, no reports have described comprehensive body contouring as a functional intervention to reat Gluteus Medius Syndrome. A 61-year-old female with a history of L4 fracture managed conservatively presented with progressive buttock pain and ambulatory limitation consistent with Gluteus Medius Syndrome. She underwent a combined single-session procedure: abdominoplasty with rectus plication (preserving infra-umbilical Scarpa’s fascia), 360° waist liposuction, liposuction of the lateral thighs, buttock lift with autologous adipo-dermal pedicled auto-augmentation cranial adipo-dermal paddle rotation). Total aspirate/excised volumes were 6 L of fat and 4.3 kg of skin flaps. The postoperative course was uncomplicated. By 8 months post-op, the patient reported complete resolution of buttock pain and returned to habitual ambulation, now walking ~5 km daily beyond routine activities. Photographs at 8 months show improved trunk posture. Comprehensive body contouring that includes abdominal wall tightening and circumferential lift procedures may alter the body’s centre of gravity and spinal loading sufficiently to produce clinically meaningful improvements in posture and function. This single case suggests a potential functional role for plastic surgical body contouring beyond aesthetic benefit. Prospective studies using objective postural and gait metrics are needed to conclusively recommend this approach broadly.