For a person with a big butt who doesn't have an underneath butt cuff, can that cuff be created with surgery without a BBL?

Not easy to say without some photos or an in person consultation with physical exam. Typically a lower buttock tuck may be utilized to better define an infragluteal fold.

A buttock tuck is kind of like a tummy tuck for the buttock in that it removes the banana rolls and/or loose sagging skin from not only the lower buttock but also the back of the thigh to tighten both areas and create a more defined buttock crease. In doing so it also aesthetically shortens and/or rounds out the buttock cheek. It is ideal for those patients that have had significant weight loss or fluctuations, changes from fillers injected, multiple pregnancies, or who’s derrieres have succumb to the dreaded effects of gravity and aging. It is also effective for those whom feel their buttock cheek is naturally too long or square and just want it proportionately shortened and rounded, respectively.

It’s a little hard to know exactly what you were describing without the pictures.

Consider reposting with pictures of yourself and perhaps an ideal so we know what you would like to achieve.

Generally speaking and attempt to create a crease or a distinct transition between the lower buttocks in the upper back of the thigh with Liposuction often fails in looking natural and creates a disfigured appearance that people often regret.

This is my opinion and obviously those who do this procedure feel differently.

I believe it is that crease or definition you’re referring to.

From what I’ve seen Liposuction rarely delivers what people want in that area.

Probably better off leaving things the way they are. Sometimes grafting fat can make the area look better but it obviously depends on what someone is looking to achieve and what they look like to start with.

Best,

Mats Hagstrom MD

It is difficult to answer your question without any photos or a consultation. That being said, high defintion VASER liposuction is very efficient at sculpting and defining many regions of the body, including the buttock region. You are encouraged to consult a board certified plastic surgeon. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee