What is the best way to fix my flat/sagging butt after losing weight? (photos)

Thank you for your question. There are different options to improve your buttocks: implants, buttocks lift (skin removal), or BBL (fat transfer). I would recommend first doing a buttocks lift to remove excess skin followed by a fat transfer to augment the volume. If you tried adding volume now to the loose skin the results would not look natural. Either one would be recommended based on the sagginess, lack of volume, and your goals. You can also combine some of these surgeries.

A circumferential lower body lift and gluteal fat transfer may be the best option for you. The lower body lift can tighten the upper quadrants of your buttocks and the fat can add volume. This combination of procedures will not be able to tighten the wrinkles at the level of the gluteal creases.

Hello @lkp752, thank you for your question. A rapid and great loss of weight can cause the skin to become really flaccid. What gives structure to our body is not only the muscles or bone, but the fat and when it start decreasing really rapid skin start to sag. There are different ways to approach this sagging, such as a lift and reconstruction of the gluteal sulcus, is really important to create a surgical plan that meets your needs, meets your expectations, and takes into account what is realistically possible. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)