Butt Is Sagging, From Side Looks Flat, Long, Saggy. What to Do?

It is hard to tell which procedure would work best for you without an examination or pictures. I would recommend to consult with a board certified plastic surgeon who is experienced in the brazilian butt lift procedure. You may benefit from this since adding fat/volume to your buttocks will "lift" and may help with sagging skin as well. Best of luck.

Without photographs it is difficult to give you a precise answer for your particular situation. With the information provided however it would seem that you would benefit from a combination of a Brazilian Butt Lift and excision of excess skin. In the performance of a Brazilian Butt Lift fat is liposuctioned from appropriate areas, processed and then reinjected into the buttock region to resculpt the area. The excision of skin would best be performed by removing the excess skin just above the crest of the buttocks. Incisions made in the crease at the bottom of the buttocks is not preferred due to the formation of an unsightly scar. Unfortunately nothing lasts forever. Gravity will still affect the area over time. You should however expect to retain 70-80% of the transferred fat. If you have an adequate skin excision and a skillfully performed Brazilian Butt Lift it is very likely you will not need the entire process repeated in your lifetime.

Thank you for your question. The only thing lasting a lifetime seems to be taxes. We age daily, and surgery is no exception. Several factors can be at issue. There could be volume loss if you have lost weight, or you could have sun damage if you frequent tanning booths, or the beach, or have sunburned several times. And genetics could just have you programmed for lax skin. Surgery and or fat transfer are options to consider. See a Board Certified Plastic Surgeon for your list of best options to consider. I hope this helps.