Lower Body Lift with Incision Under Buttocks?

I think you are finding out why many surgeons do not like or do this operation. The lower incision will not lift your buttocks. This is not mechanically possible. Secondly, these incisions almost always migrate lower than where they started and as a rule are very unsightly. However, if you are willing to accept the scars and have significant laxity of your posterior and lateral thighs( these are areas treated with this incision/procedure) then proceed with caution and be sure your surgeon has experience with this particular surgery.

Thank you for your question regarding whether a plastic surgeon can perform a lower body lift with an incision under the buttocks. The short answer is yes. Plastic surgeons often reduce buttock lift with an incision under the buttocks or in the infragluteal fold. Since you already have a belt lipectomy or a 360 circumferential lower body lift, the skin and fat of the buttocks have already been raised. If ou still has residual excess skin and fat on the lower buttock and want it removed, then infragluteal or excision underneath the buttock may be necessary. This procedure is uncommon for patients with excess skin and fat in this region. Please seek an experienced board-certified plastic surgeon. I hope I helped answer your question regarding whether a plastic surgeon can perform a lower body lift with an incision under the buttocks.
Sincerely,
Dr. Katzen

Incisions located transversely beneath the buttock cannot be equated with a lower body lift procedure because they have no impact upon the buttocks. In addition this procedure is associated with unsightly scars that tend to spread and migrate in an inferior direction. For these reasons, this procedure is rarely indicated when patients have lower body sag.In your particular case, it's difficult to make recommendations without pictures or a physical examination. In light of the fact that you've already had a lower body lift and continue to have problems with your posterior and lateral thighs, this procedure may offer some value. Under these circumstances, redundant thigh skin can be removed and the thigh lifted in an upward direction. This procedure would not impact the buttock area. The benefits of this maneuver must be weighed against the high probability of scarring.It's important to realize that no two patients are ever exactly the same. For this reason, it's important to tailor procedures to meet the patients specific needs. Under these circumstances, excision of the skin at the junction of the thigh and buttock may be occasionally indicated.If you're considering this type of procedure, it's important to consult a board certified plastic surgery with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

This is the classic Pitanguy operation.  It has largely been replaced by more modern procedures, as it had several problems.  It tended to flatten the curve of the buttock, and the scar tended to drift out of the buttock crease, onto the back of the thigh, where they could be quite visible.  Painful scars could make sitting difficult.

Modern lower body lifts do a better job of lifting the buttock, and placing the scar where it will be concealed by underwear or swimsuits.

That being said, sometimes, even after a well-performed LBL, a few patients will have some skin redundancy in the buttock crease area, and may benefit from a skin excision there.

I am affraid that there are many surgeons who are calling a circunferentiaol tummy tuck, a lower body lift.  These use the smae incision but are not the same.  A lower body lift in my practice has the following componenets:  circumferential tummy tuck, buttock lift, formal outer thigh lift, thigh lift in front, and correction of pubic laxity.  Most patients will also want a buttock augmentation at the same time.  Like many patients who I have seen recently, you will need a lower body lift revision.  See my gallery for more information.