Butt lift with previous extended abdominoplasty 10 years ago? (photo)

Hello
Firstly, a Lateral Thigh Lift can be performed by extending the previous abdominoplasty incision (as if a 360° incision were made), leaving scars to achieve a lift in the hip area. This will resolve most of the wrinkles on the hip and subgluteal region. However, the long-term results of this surgery depend on the quality of your tissue. An Inner Thigh Lift can also be performed in the same session.

HI Silverchica, Thank you for your question regarding whether you need a butt lift and the fact that you previously had an extended abdominoplasty 10 years ago. Let us examine your photographs. 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 satisfactory; 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 split), 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 butt lift incision would extend anteriorly and connect with your prior tummy tuck scar. This would elevate the buttocks and hips, eliminating excess skin rolls. The resulting scar would resemble a 360-degree circumferential lower-body lift. Once more, allocate 3 to 4 weeks for recuperation. A thigh lift can also be incorporated into the butt lift. An additional option for addressing superfluous skin in the inner thigh region is a modified longitudinal vertical medial thigh reduction. During this procedure, a vertical incision is performed from your groin down the inseam of your thigh. The incision would extend slightly beyond your lowest skin fold. The modified longitudinal vertical medial thigh lift and reduction are performed under general anesthesia and require approximately 3 to 4 hours to complete. Permit yourself a recovery period of three to four weeks. During the first two weeks, it is advisable to avoid using stairs. Drains are typically removed within 2 to 3 weeks after the thigh lift procedure. Most plastic surgeons offer free virtual or in-office physical consultations. Therefore, explore what other plastic surgeons have to say. Good luck. I hope that I have answered your question regarding a posterior buttock lift (butt lift). If you have any more questions regarding a 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 procedures and have the before-and-after pictures to prove it. Carefully examine their before-and-after photos and review their RealSelf profile. Seek an experienced, board-certified plastic surgeon with significant experience in the posterior buttock lift or butt lift. Make sure they have performed many butt lift procedures and have the before-and-after pictures to prove it. Carefully examine their before-and-after photos and review their RealSelf profile.  
If you cannot find an experienced plastic surgeon in your neighborhood, consider traveling out of state. Sincerely, Dr. Katzen. ( Plastic Surgeon, President of the American Society of Bariatric Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and ​member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)

Yes, a buttock lift can absolutely be performed in the same area as your previous extended abdominoplasty scars, and this can be done without significant concern for wound dehiscence, as long as the tissue quality and vascularity are good. Since your abdominoplasty has held up well over the years, this is a great foundation for incorporating a buttock lift.
Given the post-weight loss changes, a revision may be necessary to fine-tune the infragluteal folds that have developed. This will help smooth and lift the area for a more contoured, youthful appearance.
Additionally, a thigh lift can be performed at the same time to address the excess tissue and sagging, creating a more comprehensive and balanced result. Many patients opt to combine these procedures for overall lower body rejuvenation, and it can provide beautiful, transformative results.

Thank you for posting your question here!My answer will be based on the limited information and pictures provided, for a detailed and personalized plan please consult with your plastic surgeon.
From your pictures it appears that you have some volume loss in your buttocks in addition to the drooping. using your extended abdominoplasty to perform a traditional buttock lift is likely feasible but doing so alone will likely give you a more flat buttock look , and it might not address all your concerns at the infra-gluteal fold, additionally given your previous extended abdominoplasty , you might not have the tissue to perform auto-augmentation using flaps .
I would likely recommend restoring volume , either through an implant or fat grafting , and if you definitely don't want the infra-gluteal fold scars then attempting a traditional buttock lift if it is still needed after, when it comes to your thigh lift , your lateral thigh will likely improve with the buttock lift procedure , as for the medial thigh , it seems that most of your laxity is in your upper medial aspect which will likely improve with a groin incision based medial thigh lift. I hope this helps, best of luck!

Allow me to answer your question as best i can based upon your photos. However, please keep in mind that an in-person, or at least a virtual, consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.

Buttock “sagging” is usually a combination of loss of volume or deflation (after weight loss, liposuction, or post-BBL) and/or the effect of aging and gravity. So, I personally first treat patients like you by restoring volume to the buttock with a buttock implant. This will create a more desirable smooth and rounded perky buttock profile. If not adding volume with an implant, the buttock will most certainly always appear much more flat with just a buttock lift from above. A lower buttock tuck, if still needed/desired, may then performed at six months following implants. A lower buttock tuck, coincidentally, also doubles as a thigh lift. In this sequence, the implants have fully settled into final position so that any remaining loose skin can be most accurately identified and removed with the lower buttock tuck. Please note, because an extremely few number of board certified plastic surgeons specialize in buttock implants, you may have to travel away from your local area to seek consultation with this particular type of surgeon. Getting it done right the first time around is not only the best chance for success, but also will save you from a lot of headaches and money in the future. Glad to help.