What is the best way to fix my flat/sagging butt after losing weight? (photos)

Question

35F, 6' tall - I was wondering what is the best way to fix my butt after losing weight. It is very saggy at the bottom. I don't really like the thought of implants. It was always very flat but now it sags too.

Agustina Hilario Duran, MD · Answer

Thank you for your question. I recommend a buttock lift to remove the excess skin and a BBL to get optimal results

Gregory Lakin, MD · Answer

Thank you for your question. There are different options to improve your buttocks: implants, buttocks lift (skin removal), or BBL (fat transfer). I would recommend first doing a buttocks lift to remove excess skin followed by a fat transfer to augment the volume. If you tried adding volume now to the loose skin the results would not look natural. Either one would be recommended based on the sagginess, lack of volume, and your goals. You can also combine some of these surgeries.

Derek Fletcher, MD · Answer

A circumferential lower body lift and gluteal fat transfer may be the best option for you. The lower body lift can tighten the upper quadrants of your buttocks and the fat can add volume. This combination of procedures will not be able to tighten the wrinkles at the level of the gluteal creases.

Alan Gonzalez, MD, FACS · Answer

Hello @lkp752, thank you for your question. A rapid and great loss of weight can cause the skin to become really flaccid. What gives structure to our body is not only the muscles or bone, but the fat and when it start decreasing really rapid skin start to sag. There are different ways to approach this sagging, such as a lift and reconstruction of the gluteal sulcus, is really important to create a surgical plan that meets your needs, meets your expectations, and takes into account what is realistically possible. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Zoran Potparic, MD · Answer

Loss of buttock projection and skin laxity of upper thighs are dominant features of your problem. This could be improved by means of buttock/thigh lift, buttock augmentation with flaps and fat grafting. In person consultation with a board certified plastic surgeon with expertise in these procedures, is recommended. Good luck.

What is the best way to fix my flat/sagging butt after losing weight? (photos)

Answers (5)