There a few options that may help.

Kswan,

You have several issues going on. Some options include superficial Smartlipo MPX to help tighten the skin and possibly reduce the cellulite, deep fat grafting to help with projection and replace the missing volume, or a traditional butt lift.

However, the last option requires an incision above your buttocks (similar to an abdominoplasty incision, but on your back). You should meet with a plastic surgery and they will be able to discuss all of these options with you. I hope this was helpful.

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A brazilian butt lift may help with the sagging buttocks.  Sometimes it can camouflage areas of cellulite as well, but I wouldn't do the procedure for that.

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Buttock lift is the only option as now there is too much skin and too little filler. The doctor must reduce skin envelope. However, scarring is prominent but can be hidden under panties.

kswan,

You describe a scenario that has directed our treatment of the buttocks over the past two decades.  Liposuction of the buttocks WAS a fairly commonly performed procedure until we realized that too many patients were experiencing a drooping as you describe.  Now, it is rare that I recommend a buttock liposuction in my practice.  Your drooping can be corrected with a Brazilian buttock lift.  The scars, unfortunately are permanent.  Make sure you see a board certified plastic surgeon to plan out a course of action.  Good luck!

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