How can I prevent my butt from flattening after a lower body lift?

I'm having the Lower body lift in a few weeks . I read that the LBL can make your butt flat after. does this happen to everyone or does it depend on how much buttock area you have before the LBL. how can I prevent this from happening to me, Thank you

Doctor Answers 8

360 lower body lift circumferential body lift massive weight loss belt lipectomy fat transfer butt implants turn down flap

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Congratulations on your massive weight loss and taking me next step, namely a 360 circumferential lower body lift.  
After a 360 circumferential lower body lift, it is not uncommon to have a flatter buttock. Most patients buttocks are made of fat.  The 360 circumferential lower bodylift removes skin and fat from the upper portion of the buttock.  In addition, in the front, the lower body lift pulls the abdomen down towards the beltline. However, in the back, the lower bodylift pulls the buttock up towards the belt line. Both removing skin and fat from the upper portion of the buttock and lifting the buttock upward can flatten the buttock.  
After a 360 bodylift, buttock flattening depends on the amount of initial buttock fat and the amount of skin and fat removed.  
There are three common methods I use in my massive weight loss patients to correct for a flatten buttock. One is performed at the same time as the 360 lower bodylift while the other two methods are done during a second procedure.
After a 360 lower bodylift, one method to correct a flattened buttock with butt augmentation is fat transfer. Fat is suctioned from one area, filtered, and injected into the buttock. Typically, I perform buttock fat transfer while I am performing a medial thigh lift. It is the opportune time to perform this fat transfer.  During a medial thigh lift, fat is aspirated from the medial and lateral thigh and lower legs; typically, if the fat is used for transfer, this fat is thrown away.
Another method to correct a flat buttock is with buttock augmentation with implants. Typically, I perform this when I am doing the medial thigh lift.  Buttock implants are made silicone and add significant shape to the buttock.  This procedure should not be performed at the same time as the 360 over body lift; there is too much tension in the flap and too much risk of infection and breakdown.
Another method to correct a flat buttock is with a "turn down" flap. During the 360 lower body lift, skin is removed from the upper portion of the buttock flap.  This flap of fat and dermis is "turned down" on top of the buttock.  Then the incision is closed. This method is quite effective and uses your own tissue to augment your buttock.  However, this technique is challenging and I would suggest only going to a plastic surgeon with a significant amount of experience with this procedure. There can be a high complication rate.
All in all, however, most patients are extremely happy with their body after a 360 lower  bodylift. Good luck with your 360 lower body lift.

Los Angeles Plastic Surgeon
5.0 out of 5 stars 254 reviews

Flat buttocks

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Hi and Thank you for your question.  What you here is correct. Most properly performed lower body lifts can and often do flatten your buttocks. If your buttocks are ptosis but still full then you should not have a problem. Check with your surgeon to see if he performs auto-augmentation Of the buttocks which uses your own fat and skin instead of discarding it.

Peter Fisher, MD
San Antonio Plastic Surgeon
4.8 out of 5 stars 58 reviews

Body lift and buttock

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A buttock lift in many weight loss patients can flatten the buttock.  A very popular option for my patients is a buttock auto-augmentation procedure that can be done at the same time as a body lift.  In this procedure, I essentially utilize the skin and fat that would be normally thrown away in a body lift.  I keep this tissue attached to its blood supply, and I use this tissue and your own natural buttock "implant".   This is not a foreign body implant. The added volume comes from your own tissue.   This is also not fat grafting (brazilian buttock augmentation).  Please see a board certified PS experienced with this procedure to learn more about your options.
Best wishes,
Dr. Basu
Houston, TX

Flat Bottom After Lower Body Lift

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  Dear angelcee,  In many cases, a LBL will cause flattening in you buttocks. This is desired for some patients. In others who wish for a fuller look, autoaugmentation may be very helpful. Discuss this with your surgeon or consult with another surgeon to discuss options. Good luck. #Dr. Gervais

Douglas L. Gervais, MD
Minneapolis Plastic Surgeon
4.8 out of 5 stars 178 reviews

How can I prevent my butt from flattening after a lower body lift?

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   There are several options here.   Fat transfer may be reasonable.  Autoaugmentation may be reasonable.  Buttock implants may be reasonable.  I perform all of these, so this is really what is best for you and what you want.

Kenneth Hughes, MD

Los Angeles, CA

Will the buttock flatten with a lower body lift?

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Often after massive weight loss, the buttocks will lose volume and flatten and/or become somewhat saggy (ptotic).  There are a few options to help volumize the buttocks to establish a more normal, lifted appearance. One option during the body lift it to use some of the lower back/upper buttock soft tissue to augment the buttocks rather than discarding it--essentially repositioning your own tissue to build up the buttocks. The other option is to transfer fat from elsewhere on your body into the buttocks using liposuction.  Both options can be combined if needed for a nice buttock lift (typically in 2 procedures however).

Megan Jack, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 15 reviews

Flat butt

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Find a surgeon who can use the tissue as an auto augmentation instead of throwing it out. It's an advanced technique. I attached a link as an example of one I performed.


David Shifrin, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 177 reviews

Lower body lift

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When doing circumferential lift which include buttock lift, The buttocks will flatten to a certain degree all the time. This should be discussed with the Surgeon.
Samir Shureih MD.FACS

Samir Shureih, MD
Baltimore Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.