Thank you for your question regarding whether an inferior buttock lift would be beneficial to you. Based on your pictures, you need a buttock lift. The best buttock lift for you would be an incision across the top of the buttock. This would extend from the buttock crease out towards the hips. This would lift the buttock and eliminate the skin wrinkles of the buttock as well as the inferior gluteal fold where the buttock meets the upper posterior thigh. This would lead to your best buttock lift. However, if you cannot live or cope with the incision on the top of the buttock, then I would suggest an incision on the bottom of the buttock. This would be in the inferior gluteal fold. An incision would be made in the crease in between the buttock and the posterior thigh. A crescent area of skin and fat is removed from the lower buttock. This would eliminate a lot of the excess skin and fat of the lower buttock, but would not lift the buttock as much as the aforementioned, superior incision buttock lift. Therefore, your best option would be a superior incision buttock lift, but if you cannot deal with the scar, then I would suggest an incision under the buttock. Please seek an experienced, board certified plastic surgeon. I specialize in buttock surgery. If you have any more questions regarding buttock implants, buttock implant surgery, buttock implant insertion, buttock implant revision, or buttock lift surgery, please contact my office. Please seek an experienced, board certified plastic surgeon with significant experience buttock surgery. Do your research. If you cannot find an experienced, buttock plastic surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)