Butt Lift with Incision in Crease - Some Surgeons Say Results Are Horrific. Why?

I think what you need to realize is that with the inferior gluteal incision, you are not really lifting the buttocks.  You are improving only the lower part and getting rid of some of the overhand.  You will not get any improvement in the upper 2/3 of the buttock.  To lift the entire buttocks, you need an incision above the buttocks - by removing skin here, you can pull up the entire buttock.  also, sometimes, if you just need more volume, you made get enough improvement with a Brazilian butt lift which is basically adding fat to the buttocks and filling up the skin envelope.  This will give the buttock a little elevation as well.

Very few patients are candidates for a buttock lift through an infragluteal crease. The improvement in overall shape is minimal. Most patients are better candidates for a lift in the supragluteal area with autologous augmentation. From El Paso.

The gluteal crease is very difficult to recreate and an incision in the area can disrupt the crease blunting this border between the buttock and the posterior thigh. The two main issues with an incision in the crease is that it won't actually give your buttock a true lift and second it will often be visible in a bathing suit. Depending on how much of lift is required, an incision similar to a lower body lift can be used. This incision runs across the top of the buttock, but can be easily designed to be hidden below the underwear line. If a minimal lift is required, an incision can be hidden on either side of the intergluteal cleft (groove between the buttocks).