Can fat & skin be removed without implants/fat injections? (Photo)

Question

I have recently lost weight & have noticed the loss of shape in my bum. Could you please recommend procedures to help w/the sagging skin/dimpling in my bum, upper thighs, & legs? I know it's difficult to remove cellulite, but is it possible to smooth out? I don't mind the top of my bottom; is it possible to just remove the extra fat on the bottom w/o implants? P.S. I have also attached a pictures of my stomach, as I wish to combine surgeries. Previous c-sect/hysterectomy Thank you

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding if fat and skin can be removed without implants/fat injections. Thank you for your history and your pictures. These can excise the excess skin and fat from your lower buttock. There are two approaches an incision can be made underneath the buttocks or inside the thigh. Or an incision can be made across the top of the buttock. When an incision is created underneath the buttock, the targeted area is the lower buttock, a crescent skin area, and fat is directly removed from the lower buttock. When an incision is made on top of the buttock, the buttock is lifted, and the wrinkles are eliminated. These can be combined with abdominal procedures, but I am not sure which abdominal procedure you are seeking. Please clarify. If you do not want buttock augmentation, you do not need buttock implants or injections. Buttock implants or fat injections are for patients who want their buttocks to be more significant. Thank you for your question regarding if fat and skin can be removed without implants/fat injections.

Camille Cash, MD · Answer

There are options to address the various areas that you mentioned.  You can consider Aveli which is a treatment designed especially for cellullite.  You can also consider liposuction with J Plasma for skin tightening.  See a board certified plastic surgeon near you to learn more.

Michele A. Shermak, MD · Answer

Hello!
Gold standard answer is a lower backlift/buttock lift continuous with your abdominoplasty, which most definitely could be a "mini" with no belly button scar. The backlift will pull the skin up and over your existing buttock tissue so will reshape the buttocks in a great way. The incision above the buttocks may be in a gull wing shape or straight across the upper buttocks, depending on your surgeon.
Best of luck to  you!

Zoran Potparic, MD · Answer

Most likely that possible approach to a buttocks problem would be fat grafting and use of skin tightening devices based on radiofrequency or J plasma. That also includes treatment of abdomen. Hope it helps.

John Paul Tutela, MD · Answer

Thanks much for reaching out. It was significant amount of excess skin and not enough fat rest of your body qualify for fat transfer.  An implant would help fill out the skin laxity it is probably your best option. Also cutting the skin out directly in the banana role has many problems, including opening up and very poor scarring. However, that will also take out the skin in that area, but it may come with too much risk.

Can fat & skin be removed without implants/fat injections? (Photo)

Answers (10)

Answer: Fat grafting and skin tightening

Answer: Fat grafting and skin tightening

Answer: Banana roll excision

Answer: Banana roll excision

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Everything you need to know about Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.

Can fat & skin be removed without implants/fat injections? (Photo)

Answers (10)

Answer: Fat grafting and skin tightening

Answer: Fat grafting and skin tightening

Answer: Banana roll excision

Answer: Banana roll excision

Browse related questions

Recommended reading

Everything you need to know about Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.