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Lower Body Lift with Incision Under Buttocks?

asked 3 years ago by Ekz in midwest but will travel
Latest answer by Douglas L. Gervais, MD
Question viewed 2,435 times
Tags: buttocks

Is there anyone out there willing to do lower body lifts with an incision *under* the buttocks?

I tried it with an incision in the belt line, skin undermined, etc, but excess butt and thigh skin was not addressed. I know it's not an 'accepted' technique but I also know the lower the incision to the problem area the more effective the result, and I can't live like this anymore.

Already underwent lower body lift with belt-lipectomy scar line and thigh undermining -- no improvement to butt/thigh area, so why won't any surgeons try this other approach?

12 answers to Lower Body Lift with Incision Under Buttocks?

Lower Body Lift

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... more

Siamak Agha, MD, PhD
Orange County Plastic Surgeon

www.drsiamakagha.com

Lower Buttock Incisions

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... more

Douglas L. Gervais, MD
Minneapolis Plastic Surgeon

Lower body lift incision under buttocks

I consider thispart of a posterior thigh lift, vs a lower body lift. It is sometimes hard to hide this incision right in the crease below the buttocks, sometimes the incision will extend too far laterally and is hard to hide and it can flatten the buttocks, which most women don't care for. Ultimately in all massive weight loss reconstruction, the patient is trading shape for scar.

Thomas B. Lintner, MD
Atlanta Plastic Surgeon

Body lift with scar at buttock crease

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.... more

Thomas Fiala, MD
Altamonte Springs Plastic Surgeon

Buttock incision

A buttock crease incision is certianly an option for patients that have posterior thigh laxity . AS for the buttock itself after a lower body lift, fat injections may help to fill out the buttocks.

Steven Wallach, MD
Manhattan Plastic Surgeon

Incision: visibility vs effectiveness

on occasion I will place an incision in an "atypical" location such as you described. It may result in a more predictable result for a recurrent problem or challenging area. All weight loss patients are different so the operation and incision location must be tailored to the individual patient needs.

Jeffrey Kenkel, MD
Dallas Plastic Surgeon

Lower Buttock Contouring

An incision at the bottom of the buttocks (in the fold) can frequently be used for contouring of hanging skin at the lower portion of the buttocks. However, this does not truly constitute a lower body lift, as it does not lift the lower body skin.

Kevin Brenner, MD
Los Angeles Plastic Surgeon

Lower body lift with incision under the buttocks

To lift anything the force has to be exerted directly over it. You could NOT lift the buttock with incisions under it - BUT you could lift the posterior thigh. As a matter of fact, in the infancy of Plastic Surgery this operation was popularized by the famous Brazilian Plastic surgeon Ivo Pitanguy. The trouble was that the scars with such posterior thigh lift migrated lower, flattened the lower buttock, were associated in some cases with injuries to the Sciatic nerve which comes out under... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

I do this

This is what I call a posterior thigh lift. It works very well to tighten and lift the posterior and lateral thighs. It can also be extended to the medial thigh. It will not "lift" anything above it, but rather will pull down on it. sek

Scott E. Kasden, MD
Dallas Plastic Surgeon

Take careful understanding of Secondary buttock thigh lift

Dear Ekz, There are several reasons why plastic surgeons shy away from buttock lifts. The first is that in most cases the belt line lift procedures will lift and contour the buttock and the side of the thigh. We get all that we need out of the single procedure. The second reason is that additional surgery or secondary procedures as we call them are indeed more difficult. The results may not be as predictable or satisfactory to our patients, and therefor require careful consideration and... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

A lower incision may improve your body lift result

A belt line incision may not give enough access to the upper buttock, where upward pull can also lift the upper part of the back of the thighs. Using an incision below the buttock will allow a lift to the posterior thigh tissues, but this will bypass lifting the buttocks. Most surgeons will want to tighten the buttocks as well as the posterior thigh. For this reason, the under the buttock incision is not the most optimal. An alternative for your situation may be a gull wing incision,... more

David N. Hing, MD
Ann Arbor Plastic Surgeon

May not be the answer

Hi there, I understand your concerns with your outcome from your prior surgery, and that you would like to achieve more tightening of the buttocks and thighs. I'm not sure I agree with you that this would only be possible through the more radical approach you describe though, as the traditional approach to body lifting is usually extremely successful in addressing these areas, even in patients with extreme amounts of loose, stretchy skin. In addition to probably not being necessary to... more