Hello Floral Petra in Hawthorne, 04. Thank you for your question about a large weight loss that has left both your bum and upper back and thighs drooping and whether a buttock-thigh lift is your best option. Thank you for your history and pictures. Let's first analyze your pictures. You have excess skin on the upper half of your thighs and on the entire buttocks. You do not have much lipodystrophy (excess fat). On the back side, things like the thighs and the buttocks can only be lifted by making an incision above the target area. Therefore, the thigh can be lifted, elevated, or reduced by making an incision above the target area and lifting it up. This type of thigh lift is called a crescent or spiral thigh lift. However, the buttock cannot be lifted by making an incision under the buttock in the infra-gluteal fold (banana roll). You cannot lift the buttock from below. The only way to lift your buttocks is with an incision above the buttocks, like a posterior body lift or buttock lift. The posterior body lift scar could be concealed in the clothing you are wearing in the pictures provided. Both procedures are performed under general anesthesia. You can combine the crescent thigh lift and the posterior body/buttock lift at the same time. If you are going to stage the procedures, have the posterior body lift first, then the thigh lift. If you have the thigh lift first, then the buttock lift, the buttock lift may elevate the previously placed crescent thigh lift scar on a highly visible area on your buttock. Give yourself at least two or three months in between.
