Would a butt lift make me appear less proportionate? 33 y/o (photos)

This would result in a scar across the top of your buttock. I do not think that this would be an adequate trade off for a buttock lift. Maybe some fat grafting to the upper pole of the buttock would be better since no significant scarring would result.

You appear quite thin. Fat transfers is an alternative and the other alternative is a butt lift. A surgical incision is used and a flap is made to transpose to give more projection. This can be done is you have enough excess skin.

Best Wishes,

Gary Horndeski, M.D.

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” or flattening 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 or plain ol genetics. 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 more flat with just a buttock lift. A lower buttock tuck is usually then performed at six months following implants. 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.