Buttock Sagging After Lipo

Question

I had extensive liposuction on my butt and hips and now I have loose skin that makes a sag line at the bottom of one buttock. I also have some rippling that is the result of the surgery--not cellulite. I am 31 years old. Would fat injections/grafting to the top of the buttocks help remove the sag line, or do I need a lower body lift? I don't want a full Brazilian butt lift which might make me go up a clothing size. I like my size--I just want the shape to look more smooth and perky in a bikini.

Otto Joseph Placik, MD · Answer

Fat grafting = Brazilian butt lift. Therefore I am confused. In my opinion the primary problem is the skin laxity and this would lead to me to recommend a lower body lift as a preferred method of control.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Based on your picture fat grafting to the contour abnormalities would be helpful.  I do not know if you will get a perky butt.  If you have considerable laxity of the the buttocks then a body lift could be a possibility.  A huge procedure to correct an unfortunate liposuction outcome.  Finally, in my opinion liposuction of the buttocks in hardly a good idea because it often ends with results similar to yours.  Consult with your treating plastic surgeon or others in your area.

	 

	Dr. ES

Jeffrey Zwiren, MD · Answer

The only way to know if you would have loose skin after liposuction would be to have a consultation with an experienced plastic surgeon.  The key to liposuction is not the amount of fat removed it is the amount of fat that remains and the quality of the skin.  Poor skin elasticity will yield a poor result.  Fat injections to the top of the buttocks may be of some benefit.

Barry L. Eppley, MD, DMD · Answer

In general, I am not a fan of liposuction of the lower buttocks for just the problems that you have now experienced. You essentially have now traded off one problem for another. This is not your fault but an issue in the planning and awareness of complications phase before surgery. It may be possible to get some improvement in the buttock irregularities with fat grafting but it will never become completely smooth...think of less dimpling and irregularities not that they will be completely gone. A lower body lift is absolutely not what you need. It will not only not produce a 'cure' for the buttock problem but will create a new problem (back scar) whicih is another poor trade-off.

Steven Wallach, MD · Answer

I am not a big fan of liposuction of the buttocks for the potential problems that you describe. You may  need fat grafting to correct this problem.

Buttock Sagging After Lipo

Answers (7)

Answer: Liposuction of the buttocks is prone to contour problems

Answer: Liposuction of the buttocks is prone to contour problems

Answer: Buttock sagging after liposuction

Answer: Buttock sagging after liposuction

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Everything you need to know about Liposuction

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Buttock Sagging After Lipo

Answers (7)

Answer: Liposuction of the buttocks is prone to contour problems

Answer: Liposuction of the buttocks is prone to contour problems

Answer: Buttock sagging after liposuction

Answer: Buttock sagging after liposuction

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Recommended reading

Everything you need to know about Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.