Saggy lower butt after weight loss - lower butt lift or fat transfer? (Photos)

Question

I have had massive weight loss and have had other procedures. Next up is a thigh lift, but also want to fix my saggy lower butt skin. Would you recommend a classic lower butt lift with the incisions under the butt cheeks, or possibly lipo my flanks and fat transfer to my butt to fill out the loose skin? I do want to have my flanks lipo'd or corrected in some way, just not sure if the lower butt lift is best or fat transfer. thanks!

Gary M. Horndeski, MD · Answer

A lower butt lift with the incision at the buttocks-thigh crease will be unsuccessful. This will usually dehisce and cause complications with healing. Unfortunately, your photographs are somewhat limited. You may benefit from a medial thigh lift, which will pull some of the skin horizontally and vertically. I would need more photographs to give a more accurate answer.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Mats Hagstrom, MD (license on probation) · Answer

I think it may be challenging to get you a high-quality outcome.
Having been obese and losing a significant amount of weight has left you with skin laxity and this makes contouring challenging.The best outcome is probably going to be Liposuction with fat transfer.
You don’t have much subcutaneous tissue to graft into and this is going to limit the BBL or fat transfer outcome to some degree.
Best,
Mats Hagstrom MD

Saggy lower butt after weight loss - lower butt lift or fat transfer? (Photos)

Answers (2)

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