Why not perform Le Jour technique for a buttock lift even if a neat scar remains on the medial side of the buttock?

Question

Sometimes surgeons aim for "too much" perfection. Why can't a Le Jour technique be applied to achieving a buttock lift? I think many patients would prefer seeing a thin vertical scar with a perky buttock rather than "putting up with" a saggy buttock?

Ryan A. Stanton, MD · Answer

Plastic surgeons aim for “perfection” because it is just in their general nature ( this is definitely a desirable quality of an excellent  plastic surgeon), not to mention, this is what is often expected of most patients. That being said, although certain scars are less invasive or less visible, they are often not used because they also result in much less of an improved/desirable/acceptable outcome.

Here is what I typically tell patients regarding buttock lift queries and concerns:

Buttock “sagging” is usually a combination of loss of volume or deflation (after weight loss 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 be shortened but may 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 implants, you may have to travel away from your local area to seek consultation with this particular type of surgeon.  Glad to help.

Mats Hagstrom, MD (license on probation) · Answer

Breast and buttocks are very different when it comes to form and function.

The purpose of the breast is to produce sustenance for offspring.

Purpose of the buttocks is tolerate our full weight for long periods of time while sitting.

Attempting to do a lift procedure similar to how a breast lift is performed regardless of technique on the buttocks would have an extremely high complication rate.

Recovery would require months of laying on your abdomen while healing.

Plastic surgeons have experience taking care of paraplegics and quadriplegics with pressure sores.

To correct these defects we preform procedures creating large flaps or move tissue around someone similar to what a breast lift might  entail.

For these patients to successfully heal requires being hospitalized for months after surgery.

I suggest avoiding reinventing the wheel.

There’s no shortage of talented plastic surgeons thinking up creative ways to enhance the human body.

Let those who have proper training and experience develop new procedures.

Best,

Mats Hagstrom MD

Why not perform Le Jour technique for a buttock lift even if a neat scar remains on the medial side of the buttock?

Answers (2)

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