Male with a large butt, wanted to get it reduced but received bad news.

Question

I have a large butt that protrudes many inches and no clothing fits me. I'm relatively skinny but this is a huge problem my entire life. I had a consultation with a TOP liposuction provider, and they said it was mainly muscle therefore the liposuction will be ineffective. As you can imagine I was devastated. I've yet to meet the surgeon but after receiving this information, I poked and tensed my gluteal muscles, it really does feel like they said. Thanks if you can help alleviate some concerns.

Larry S. Nichter, MD, MS, FACS · Answer

It is very difficult to determine the exact size and shape implant you will require to best match your ideal butt image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your buttock will determine, in many cases, the maximal volume per implant profile that you can accommodate. Liposuction of your lower back and fat transfer is also helpful as an adjunct to implants. Using “want to be” photos however are useful if simply provided to the surgeon.

Matthew J. Nykiel, MD · Answer

Hello and Great Question.  I appreciate the time you are spending researching this procedure.  My name is Dr. Matthew J. Nykiel.  I am a Board Certified Plastic Surgeon, a Fellowship Trained Cosmetic Surgeon, and a Butt Augmentation Specialist.

Liposuction can only treat fat.  The fat in the butt is extremely dense and fibrous and is a difficult place to lipo.  Most individuals still have a significant amount of fat on their buttocks that can be removed.Also, If you aren't being evaluated by the surgeon and it is "someone else" then the surgeon telling you the treatment plan...that isn't a "TOP" place and I question the safety of that practice/location.Best of Luck!  Please reach out if you have any further questions or concerns.

Matthew J. Nykiel, MD#TopREALSELFDoctor#CoreREALSELFDoctorButt Augmentation SpecialistBoard Certified Plastic Surgeon

Tania Medina de Garcia, MD · Answer

Hello dear!!
Thanks for the question and provided information as well. 
Unfortunately, without pictures or an in-person consultation, it is very difficult to give you a proper answer. l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Good luck :)

Arian Mowlavi, MD, FACS (license on probation) · Answer

There is a lateral thigh and buttock lift. A consultation would be necessary for a more accurate assessment.

Mats Hagstrom, MD (license on probation) · Answer

The most definitive test would be to have an ultrasound measuring the thickness of subcutaneous fat in your gluteal region.

I suppose someone could have a partial gluteus maximus removal or reduction though I have never heard of this procedure nor would I recommend it.

Everyone has some layers of fat in this area the question is how much.

While pinching it can give you some idea and ultrasound would give you an objective actual thickness of subcutaneous fat telling you approximately how much reduction could be achieved.

Ultrasounds are risk free, not particularly expensive and can be ordered by any physician.

Best,

Mats Hagstrom M.D.

Male with a large butt, wanted to get it reduced but received bad news.

Answers (5)

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