Hi Anon789, Thank you for your question about whether you need a butt lift vs a lower-body lift. Let us examine your images. You have a cutis pleonasmus (excess skin) and dermatocholosis (loose skin) of your buttocks. You do not have lipohypertrophy (abundant fat) in your buttocks. Your buttock shape appears good; however, there is some excess skin at the lower part of your buttocks. The sole method for eliminating superfluous skin on the buttocks involves the use of an incision. There are numerous varieties of buttock lift procedures. However, based on your photographs, most plastic surgeons would recommend a buttock lift, a gluteal lift, or a posterior gluteal lift. A butt lift is performed under general anesthesia and typically requires approximately 3 to 4 hours to complete. The incision extends from the superior aspect of the gluteal cleft (buttock crack), over the apex of the buttock, and toward the hips. The incision resembles a butterfly or a seagull. Some patients describe the incision line as resembling a small M or a McDonald's arch. Through this incision, tissue dissection is carried out downward along the buttocks, and the skin of the buttocks is elevated like the posterior aspect of a 360-degree circumferential lower body lift. Allow yourself a three- to four-week recovery. During your recovery period, you must remain in a prone position, flat on your abdomen. You should refrain from reclining or bending backward to prevent opening the wound. Your posterior buttock lift incision should connect with your 360-degree lower body lift. Once more, allocate 3 to 4 weeks for recuperation. Regarding your question, do you need a lower-body lift? Before that is answered, let's explore what a lower-body lift includes. A lower body lift includes an abdominoplasty (tummy tuck), mons lift, rectus abdominis plication, hip lift/reduction, lateral thigh lift/reduction, and buttock lift /reduction. You do not need a lower body lift because your abdomen is flat. If, however, you have questions regarding your thighs, a thigh lift is not included in a typical lower-body lift. However, if your thighs bother you, a modified vertical longitudinal medial thigh lift could be performed at the same time as your posterior buttock lift. Good luck. Most plastic surgeons offer free virtual or in-office physical consultations. Therefore, explore what other plastic surgeons have to say. I hope that I have answered your question regarding a butt lift. If you have any more questions regarding a posterior buttock lift, contact an experienced plastic surgeon. Please seek an experienced, board-certified plastic surgeon with significant experience in butt lifts. Make sure they have performed many buttock lift surgeries and have the before-and-after pictures to prove it. Carefully examine their before-and-after photos and review their RealSelf profile.
