Do lower body lifts commonly include an auto buttock augmentation?

Body lift surgery is generally recommend for individuals with skin laxity, most frequently following massive weight loss. Liposuction can be added to body lift procedures to further define your shape. A lower body lift combines an abdominoplasty (tummy-tuck) with an outer thigh and buttock lift. Liposuction can be included to improve the shape of the waistline, as well as the outer thighs. An upper body lift corrects the breasts(or chest) as well as the lateral chest folds and can be combined with Liposuction. Brachioplasty with liposuction for the arm area to help with excess skin. For cases which require high volume liposuction, I generally recommend a two staged approach with liposuction performed at the initial stage followed 3 months later by the body lift procedure. Each case is individualized to meet your specific needs.Talk with your Board Certified Plastic Surgeon that is performing your procedure at your preoperative visit to confirm this is included.  Best Regards, Andrew Lyos, MD, FACS 

In my practice, I always have the conversation of an auto-augmentation with my patients. The reason for this is that a LBL will naturally flatten the buttock. Most surgeons do not include this in a LBL so I would make sure that you discussed this with your surgeon in advance to make sure you know what you're getting. Also, not all plastic surgeons feel comfortable doing the auto-augmentation. Best of luck with your upcoming procedure.

You need to specifically ask you surgeons about fat transferring to the Buttocks.  I normally as most surgeons mention separately but you have to be very specific about.  Also this surgeries the degree of success  is related to the experience of the surgeon, so ask have often does he does it and how many he has done etc…

Hi Hmgriss, Thank you for your question regarding buttock augmentation during a 360 circumferential lower body lift.  During a lower body lift, excess skin and fat from the abdomen, lateral thighs, and buttocks is removed.  During a lower body lift, the buttock is not routinely augmented.  During a lower 360 circumferential lower body lift, the best way to augment the buttock is with a "turn down" flap. This flap uses your own tissue.  During the "turn down" flap, the upper buttock paddles are denuded of all the epidermis and part of the dermis.  The flap is turned down on top of each buttock.  The analogy that I use to describe in the office, is that it is much like tucking in your shirt.  The "turn down" is not commonly performed, so you need to discuss this with your plastic surgeon.  One to months after your 360 circumferential lower body lift, you can augment your buttock with fat transfer, typically harvested from the thighs.  If you have no thigh fat, I would suggest buttock implants.  Good luck with your lower body lift surgery.  If you have any more questions regarding a 360 circumferential lower body lift or buttock augmentation, please contact my office. 

Lower body lifts do not always include an auto buttock augmentation as this procedure requires additional time to elevate the skin off the buttock and inset the augmented tissue. Additionally, not all patients are good candidates for autoaugmentation. Patients with loose skin, but very little fat often don't get much benefit and in other patients, the augmented tissue only improves the upper buttock leaving a step off in the mid buttock area that is cosmetically unappealing.

Augmenting the buttocks is a separate procedure from lifting the buttocks, and won't automatically be included as part of a lower body lift. That said, certainly you can see very nice results from restoring some lost shape and volume to the buttocks as part of the lower body lift, as the bottom can often look deflated following major weight loss. Check with your surgeon to see which option could be best for you.

Some weight loss patients identify a flattened appearance to the buttocks and a lower body lift alone will not correct that. In such cases an auto-augmentation of the buttocks can be considered but regardless of the technique that is used it will add time, complexity, and perhaps some risk to the procedure. In my own practice, it's relatively uncommon to include the auto-augmentation with a lower body lift.

Thank you for your question. Auto buttock augmentation is not a part of lower body lift at least in my practice. Please check with your PS

Lower body lift generally does not include buttock augmentation. This can be done with repositioning of fat or fat grafting and is an extra cost. It is my experience that very few patients request augmentation. 

Hello and thank you for your question. I believe it depends on the experience of the surgeon.  I specialize in post massive weight loss body contouring and auto augment about 98% of my lower body lifts. I also standard auto augment the hips.I believe without augmentation of the buttocks and hips the results are typically inferior and masculine ize the womans figure with flattening of the buttocks. Peter Fisher M.D