APSARA Curve: An Indian Anatomical Technique for Intramuscular Gluteal Implant Augmentation With Waist-hip Contouring: Technical Description and Early Clinical Experience

Introduction: Interest in gluteal augmentation has increased substantially over the last decade as body-contouring procedures have evolved to improve waist-to-hip ratio, gluteal projection and overall body balance. We introduce the APSARA Curve, a standardised, anatomically guided technique for intramuscular gluteal augmentation using silicone implants combined with strategic waistline liposuction to optimise waist-to-hip proportions and achieve harmonious body contouring. Methods: This retrospective observational study describes the APSARA Curve technique for intramuscular gluteal augmentation using silicone implants. The technique utilises reproducible anatomical landmarks and a structured method of intramuscular pocket creation to optimise implant positioning, soft-tissue coverage, contour and implant camouflage. Clinical outcomes, postoperative complications and patient satisfaction were evaluated in 30 consecutive patients who underwent gluteal augmentation using this technique. Results: A total of 30 patients underwent gluteal augmentation using silicone implants. The mean age was 32.03 ± 6.09 years, and 90.0% were female. Intramuscular implant placement was associated with high patient satisfaction (mean satisfaction score: 8.26 ± 2.14), a low rate of postoperative complications and favourable early aesthetic outcomes. Conclusion: The APSARA Curve provides a standardised, anatomically guided and reproducible approach for intramuscular gluteal augmentation using silicone implants, demonstrating high patient satisfaction, favourable early clinical outcomes and an acceptable safety profile.