50 years old, lift without volume - How to fix the shape of butt?

Question

50 year old would like to get a butt lift but without adding any volume. what are my options. Had thigh liposuction over 20 years ago and maybe that's what caused this? Workout regularly but cannot lift the butt.

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” and/or loose skin 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. 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 if just a buttock lift from above is performed. On the other hand, an “autologous buttock lift” usually provides very little volume and projection, and almost nothing to the lower 2/3rds of the buttock.

A lower buttock tuck is usually then performed at six months following implants. Coincidentally, a lower buttock tuck also doubles as a thigh lift, removing loose wrinkled skin from this area as well. 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.

Any “non-surgical” treatment or device as well as exercise, unfortunately, will have little to no effect on this problem area. Furthermore, fat transfer and “fillers” perform very poorly in this area and usually result in just a waste of hard earned money.

Please note, because an extremely few number of board certified plastic surgeons specialize in buttock implants or buttock tucks 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.

Zoran Potparic, MD · Answer

Considering that you do not want to add volume to your buttocks, the only option is a true butt lift. In this procedure incision(scar) is placed just above the buttocks, skin of the buttock is elevated almost to the buttocks crease and pulled up. A portion of fat and skin that will be otherwise discarded can be used as a flap filler which will provide nice projection to the upper and central portion of the buttocks. A scar is well hidden underneath bikini style of underwear.

Manuel Diaz, MD · Answer

Hello. Based on your photo, I can see some gluteal tissue laxity and loss of firmness, particularly in the lower portion of the buttocks.
In your case, I would consider a BBL with strategic fat transfer to improve the shape and provide a more lifted appearance. Since you are not looking for larger buttocks, the goal would not be to add a significant amount of volume, but rather to place the fat selectively in areas that can improve projection, contour, and overall balance.
However, it is important to understand that a BBL adds volume and reshapes the buttocks; it does not actually remove loose skin. If the skin laxity is significant on physical examination, a surgical lift may ultimately provide a greater degree of correction.
Your previous thigh liposuction may have influenced the contour and quality of the surrounding tissues, but it would be difficult to determine how much it contributed without examining you in person.
For your goals, I would first evaluate whether a conservative BBL could provide enough improvement while maintaining a natural size and proportion.

50 years old, lift without volume - How to fix the shape of butt?

Answers (3)

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