Flat and Shapeless Buttocks After Butt Liposuction

Hi there-
You are not alone. I see many patients who, a few years after liposuction of the buttocks and or thighs, lose some elasticity of the skin and become increasingly unhappy with their shape. What would be most appropriate to consider will depend on exactly what is causing your problem... If it truly is just that you lack volume, but the skin tone is good and there is no appreciable ptosis (sagging) of the buttocks, then a Brazilian Buttock Lift (fat transfer to the buttock are to increase fulness) would be a great option for you.
If, however, there is some loss of skin tone and or sagging of the buttocks, then you would probably be best served by a buttock lift, in which the excess, loose skin is removed and the buttocks lifted to a younger position, with or without placement of fat for more volume. Your best bet is to find a Board Certified Plastic Surgeon in your area that performs these procedures and schedule a consultation. After a careful examination, he/she should be able to make a recommendation that will have a good chance of achieving your goals.

While it may seem simple to just remove fat and make the bottom smaller, it may result in flattening and sagging if not enough attention is given to shape, which is more important than size much of the time. In fact, I do more fat grafting to lift and shape the bottom than liposuction per se. If you skin tone isn't too lax, then fat grafting may be helpful if it is done right.

FunBabyGirl,
If you too much fat liposuctioned from your buttocks, then fat grafting/transfer may be a good option for you. In this procedure, fat is harvested through liposuction from your thighs or stomach and then processed and injected back into your buttocks. This is an outpatient procedure and can give a very nice result. Results would depend on the quality of your remaining fat and tissue.