Had a lateral buttock lift december 2023 now it’s sagged back down, what should i do now? (Photos)

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 with a buttock implant. As you and many others like you have found out the hard way, BBL very rarely works for your type of situation. 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. Coincidentally, a lower buttock tuck also doubles as a thigh lift. 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 far and 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.

The fat transferred to the buttocks added additional weight and that is why your buttocks has drooped. The only thing holding up the buttocks is the skin envelope. When you underwent the buttocks lift, the incision was placed too low. The incision needs to be higher and this will pull the buttocks up higher. It is possible that excess skin can be used to be transferred into the buttocks to give you fullness in the upper portion.

Best Wishes,

Gary Horndeski, M.D.

Dear fantastic,
I am sorry with all the problems you seem to have had from ear surgeries. I know you had a lateral buttocks lift but it also appears in some of the photos that there is an incision in the buttocks crease as well this may only be the appearance from the photos but I am not quite sure. It seems as though the lower portions of the buttocks especially on what appears to be the right side is hollow. One of the simplest thing she can do to try and achieve more symmetry would be the addition of some more fat in the right buttocks lower portion alone to try and fill out this area which seems flattened on the lateral view. They will never be identical but I think this may be a simple solution to your concern. Your incisions appear to have healed well. The plan would be at this time to speak to several plastic surgeons in your area who are familiar with this procedure and proceed cautiously. Good luck, Dr. Schuster in Boca Raton Florida