Butt crack too high after LBL (intergluteal crease) (Photo)

It is very common to observe the lengthen of the buttocks cleft amongst LBL patients. Unfortunately It is very difficult to shorten it again. Some surgeons use the high incisions to improve the waist line but the result will be lengthening the cleft. You may tatoo it. Dr. Cárdenas 

Thank you for your inquiry! Communicate your concerns with your physician. Scar revision is an option. Schedule a consult with a Board-Certified Plastic Surgeon.

Hi practical5751,

Thank you for your question about the challenges you're facing after a lower body lift, and for sharing your history and picture. Addressing this issue is indeed complex, but let's break down the possibilities.

When performing a lower body lift, the incision across the buttocks allows for dissection down onto the butt, with the aim of lifting it. This is a common desire among patients. Moreover, the lower back, especially the lumbar region, has firm adhesions that prevent it from being significantly lifted or pulled down, making this area relatively fixed.

In your case, the key to improvement lies in addressing the vertical gluteal cleft. The goal would be to elevate this area up to the incision level. This involves lifting and spreading out each side of the vertical gluteal cleft, akin to opening a fan, which would help to alleviate the protruding areas on each side of the buttock crease.

A revision procedure might involve a 6 to 8 inch alteration of the lower back incision and would likely require the placement of a drain for one or two weeks post-surgery.

I hope this provides some clarity on your options following a lower body lift, and what can be done to improve your current situation.

Sincerely,

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