Butt lift - to remove excess skin (not BBL)? (Photo)

Hi poppyluv,

Thank you for your question regarding a butt lift to remove excess skin (not BBL), and for providing your history and pictures. Considering your significant weight loss and two pregnancies, your skin has been stretched and has tried to bounce back. Overall, your skin has done a remarkable job. However, there is some laxity, especially in your buttocks. This butt laxity can only be corrected with a buttock lift. Some plastic surgeons refer to this procedure as a posterior body lift or a posterior buttock lift. Regardless of the name, an incision is placed at the top of each buttock, extending from one hip to your vertical buttock crease, and then across to the other hip. The incision and resulting scar resemble a flattened letter M or a seagull. During the procedure, a large elliptical area of skin and fat is removed from the upper third of the buttock. The buttocks are lifted, as illustrated in your last set of pictures. The procedure is performed under general anesthesia and takes approximately four hours to complete. Please plan for a three to four-week recovery. If you have a sitting job, plan to take off four weeks; if you have a standing job, plan to take off three weeks. Good luck. I hope I have answered your question regarding a buttock lift to remove excess buttock skin and some fat.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS
Plastic and Aesthetic Surgeon

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.

It’s hard to tell what your contour is because you’re pinching your skin and all the pictures. Despite various claims, There really is no effective Skin tightening treatment, other than direct surgical excision, which you’re not a good candidate for because your skill laxity doesn’t warrant it.
You can try low impact procedures, like micro, needling, or radio, frequency, micro needling. I do not see a need for surgical intervention.
Best,
Mats Hagstrom, MD