I think that a butt reduction would produce more sagging, so you may want to consider having the butt lifted and reshaped with fat grafting.
Kenneth Hughes, MD
Los Angeles, CA
Your butt looks pretty good with adequate shape and elevation. Reduction would not help and may make the skin sag more. I would hold off for now.
Your photos do not show any evidence of a sagging buttock, although possibly concealed by the spandex-like pants. Reduction of the buttock by way of liposuction can only lead to an unsatisfactory irregular lumpy surface contour, hence never recommended. I recommend consulting with a board certified plastic surgeon specialist in buttock enhancement, so that s/he can perform a physical exam and then best determine your options. Glad to help.
Buttock reduction by liposuction may result in a drooping buttock. an in person examination is need to assess the volume, shape, and the fat around the buttock area. The desired look and your tolerance to scars on the buttock should you need a buttock lift at the same time.
Samir Shureih MD. FACS
It is not possible to answer your question with the photos but
a liposuction reduction, buttock lift and change in your work out
regimen may all help. Best wishes.