What can I do to enhance the aesthetics of this area - Which procedure/s ? (photos)

Question

What can I do to enhance the aesthetics of this area ? I would highly prefer not to have a fat transfer. I would like it to be bigger (but masculine) as well as the removal of excess skin. Thank you for your time.

J. Timothy Katzen, MD, FACS · Answer

Hello,

Thank you for your question regarding how to enhance buttock size after undergoing a 360 circumferential lower body lift, also known as a posterior buttock lift. There are three main options to consider for buttock augmentation following such a procedure: autologous fat transfer (also known as a Brazilian Butt Lift or BBL), buttock implants, Sculptra injections, and the autologous dermal propeller flap technique. Let's delve into each option.

1) Autologous Dermal Propeller Flap:
In the autologous dermal propeller flap procedure, the upper third of your buttock is repositioned and rotated to augment the buttock with your own tissue. This flap is shaped like a propeller and its blood supply comes from the dermal layer, hence the name "dermal propeller flap." Unfortunately, you cannot undergo this procedure due to your previous 360 circumferential lower body lift.

2) Autologous Fat Transfer (BBL):
Autologous fat transfer, commonly referred to as a BBL, is a popular method for buttock augmentation. It is my professional opinion that this would be the best surgical option for you. However, you have indicated that you do not wish to pursue this procedure. Thus, due to your personal preference, we can exclude it as an option.

3) Buttock Implants:
Buttock implants might be your optimal choice. These implants are approved by the USFDA and are not made of liquid silicone but are a soft, semi-solid material. They can significantly increase the size and projection of your buttocks, and there is a wide range of sizes and shapes available. You could potentially use your previous body lift incision for implant placement.

4) Sculptra Injections:
Sculptra is a USFDA-approved injectable that stimulates collagen growth when injected into the buttocks. The process of collagen development is gradual, taking several months, and results in a subtle enhancement. Multiple sessions of Sculptra injections will be necessary to achieve the desired outcome.

In summary, these are the four principal surgical interventions to consider for buttock augmentation post-360 circumferential lower body lift. While a BBL is generally favored by most plastic surgeons for optimal results, buttock implants would be a close second, especially if a BBL is not within your preferences.

Good luck, and I trust this addresses your inquiries about buttock enhancement following a 360 circumferential lower body lift.

Sincerely,

J. Timothy Katzen, MD

Emmanuel De La Cruz, MD · Answer

Enhancing the aesthetics of the buttock area can be achieved through various cosmetic procedures. The specific procedure that is right for you depends on your individual goals, body type, and the recommendations of a qualified plastic surgeon. Here are some common procedures that can enhance the appearance of the buttock area:

Brazilian Butt Lift (BBL): This procedure involves liposuction to remove excess fat from areas like the abdomen or thighs, followed by the injection of the purified fat into the buttocks. BBL not only adds volume but also improves the overall contour and shape of the buttocks.

Buttock Implants: For those who may not have enough fat for a BBL, buttock implants can be used to add volume and enhance the shape of the buttocks. This involves surgically inserting silicone implants into the buttock area.

Liposuction: Liposuction alone can improve the contour of the buttock area by removing excess fat and creating a more sculpted appearance. This may be an option for those who do not wish to add volume but want to address localized areas of excess fat.

Butt Lift: A butt lift, or gluteal lift, focuses on tightening and lifting sagging skin in the buttock area. This is often recommended for individuals who have experienced significant weight loss or natural aging.

Before deciding on any procedure, it's crucial to consult with a board-certified plastic surgeon who can assess your individual anatomy, discuss your goals, and recommend the most appropriate treatment plan for you. Additionally, be sure to consider the risks and benefits of each procedure and have realistic expectations about the outcomes.

Ryan A. Stanton, MD · Answer

Allow me to answer your question as best i can based upon your photos. However, please keep in mind that an in-person, or at least a virtual, consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.

Buttock “sagging” is usually a combination of loss of volume or deflation (after weight loss, liposuction, or post-BBL) and/or the effect of aging and gravity. So,  I personally first treat patients like you by restoring volume to the buttock with a buttock implant. This will create a more desirable smooth and rounded perky buttock profile. If not adding volume with an implant, the buttock will be shortened but may appear more flat with just a buttock lift. A lower buttock tuck is usually then performed at six months following implants. In this sequence, the implants have fully settled into final position so that any remaining loose skin can be most accurately identified and removed with the lower buttock tuck. Please note, because an extremely few number of board certified plastic surgeons specialize in buttock implants, you may have to travel away from your local area to seek consultation with this particular type of surgeon.  Glad to help.

Zoran Potparic, MD · Answer

Unfortunately the best opportunity for predictable buttock augmentation is lost in the time of your body lift. Tissue that was discarded with posterior portion of body lift could have been used for buttock enhancement. It is till possible to lower your otherwise heigh scar above buttocks and use some of the tissue as a flap (live, well vascularized tissue) to add volume to upper buttocks. You need an experienced board certified plastic surgeon to achieve desired improvement. Good luck.

Mats Hagstrom, MD (license on probation) · Answer

Based on the pictures included, I’m guessing there’s a bit more to the story.
i’m going to assume that you had significant weight loss in the past and are still dealing with skin laxity issues.
Weight loss patients generally need skin surgery more than anything else and when in doubt, generally more, skilled surgery is indicated.
I don’t think rafting fat to your buttocks is going to improve male aesthetics.
Your situation is complex and requires an in person consultation to get an accurate assessment, and better understanding of treatment options.
Best,
Mats Hagstrom, MD

What can I do to enhance the aesthetics of this area - Which procedure/s ? (photos)

Answers (6)

Answer: Buttock augmentation with flap

Answer: Buttock augmentation with flap

Answer: Making an assessment

Answer: Making an assessment

Recommended reading

Everything you need to know about Butt Lift

Our mission is to create a world where every investment in modern beauty is Worth It.

What can I do to enhance the aesthetics of this area - Which procedure/s ? (photos)

Answers (6)

Answer: Buttock augmentation with flap

Answer: Buttock augmentation with flap

Answer: Making an assessment

Answer: Making an assessment

Browse related questions

Recommended reading

Everything you need to know about Butt Lift

Our mission is to create a world where every investment in modern beauty is Worth It.