What can be done to improve the appearance of my saggy butt? (Photo)

Question

I am 22, 5’8 ~120lbs. I am naturally very slim and always around 110-120, but a massive weight fluctuation left me with loose skin. I am active but I struggle to enjoy the gym and remain consistent. I am looking for a very natural and conservative aesthetic improvement in my butt and hips and to feel sexy in my body. Previous consultations have suggested thigh lift, but I was wondering if there were any other procedures/combined procedures that could help me achieve my dream body? Thank you

Ryan A. Stanton, MD · Answer

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 &/or hips with a buttock &/or cosmetic hip implants. This will create a more desirable smooth and rounded perky buttock/hip 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/hip 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.

Luis A. Mejia, MD · Answer

Dear Perfectbiscuit123, thnks for sharing your pictures and concern, after evaluate your case, you seemed to be benefit from Gluteal Implants as you dont have enought fat to be transferred, can be Small as you mentioned you are looking for a very natural look, but the saggyness on your buttocks just can be solve performing a Butt Lift to get rid of the extra skin with this you can ensure long term results. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  You are a very fit lady which is awesome, but means you do not have any fat to perform a fat transfer/Brazilian butt lift. You are an excellent candidate for buttock augmentation with implants in combination with a thong lift which removes the saggy skin on the lower center pole of the buttock. I have been performing this combination quite often lately and the patients are thrilled.  Best wishes to you.

Mustafa Aydinol, MD · Answer

Unfortunately you do not seem to have enough fat to shape your buttocks. These folds underneath your buttocks can't be corrected without a lift. With buttock lift, you can also have an auto augmentation with your own tissue and add up some volume to your buttocks. Also this procedure can be combined with buttock implants. Good luck!

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