52 year old man, sagging butt due to weight loss

Depending upon the degree of "sagging", an appropriately sized buttock implant alone can often provide significant volume needed as well as lift for a deflated buttock... Often
just by inflating or re-inflating the buttock, the lower buttock will perk up
and reduce or even eliminate any loose skin there. Occasionally, a lower
buttock tuck (by removing the loose skin) may be necessary as well. The
two accepted options for augmenting ("inflating") the buttock are fat
transfer (aka Brazilian butt lift) and buttock implants.
Unfortunately because much of the fat melts away after fat transfer, most of my
patients do not have enough fat to begin with and thus are not good candidates.
At least once per week I see a new patient in consultation that failed fat
transfer to the buttock and remains frustrated over their buttock
appearance. Buttock implants at least provide a reliable long
term and predictable outcome. I strongly recommend consulting with a
board certified plastic surgeon that performs both procedures and not
just the Brazilian buttock lift so that s/he can provide you
with an unbiased recommendation for surgery.  Glad o help.  

I perform the Brazilian buttlift and the conventional buttock lift. I
also perform buttock implants as well. I would find a board certified
plastic surgeon who performs all of these to achieve your goals.Kenneth Hughes, MDLos Angeles, CA

After massive weight loss there is lax skin and loss of volume in the buttocks. Only through a thorough examination and discussion with you as to the results desired can one advise you on the appropriate procedure to meet your goals.Samir Shureih MD. FACSsshureih@msn.com

Hello,

Thank you for sharing the information, it is a pleasure for me to answer your question.

It is difficult to evaluate the options without seeing photos,
It is advisable to consult with a certified plastic surgeon, for a good evaluation, to provide you with all the information you need to know about the appropriate recommendations, so that you can achieve the desired goals in your body.

I hope this answer will help you

My best wishes for you...

No photos but will answer generally.   Fat transfer may help and should be considered to minimize the wrinkles.   In addition a true buttocks surgical lift should be considered.  This means an incision above the buttocks with skin and tissue actually cut out surgically.   The scar is about 180 degrees around you but should heal nicely.    This is a fairly rigorous surgery but may be the only answer.    It will definitely give you a lift.   A combination of the buttocks lift and fat transfer from abdomen should be considered.   Please submit photos for a more exact answer.   See a surgeon certified by the ABPS who is also FACS.  Ask more question of RealSelf.   Thanks and My Best,  Dr C