Which surgical procedure would address my sagging lower butt? (photos)

It's best to consult with a board-certified plastic surgeon who specializes in body contouring procedures. They can assess your specific needs and recommend the most suitable surgical option for addressing your sagging lower butt.

Here are some potential surgical procedures that might be considered, but it's crucial to have a personalized consultation with a surgeon:

Buttock Lift: This procedure removes excess skin and fat from the buttocks, repositioning the remaining tissue to create a firmer, more lifted appearance.

Brazilian Butt Lift (BBL): This involves liposuction to remove fat from areas like the abdomen, thighs, or back, and then transferring that fat to the buttocks to enhance volume and shape.

Lower Body Lift: This more extensive procedure addresses sagging skin and fat in the lower abdomen, flanks, and buttocks, creating a more contoured and toned appearance.

Remember, choosing the right procedure depends on factors like the extent of sagging, your desired outcome, and your overall health and fitness. A qualified surgeon will be able to guide you through the decision-making process and ensure you achieve the results you're looking for.

In regards to treatments that going to have a big impact or make you look much better I would say they’re really aren’t any.
You have a subcutaneous fat distribution that has very little fat on your lower extremities and the transition from your buttocks to your thighs is dependent on sufficient volume to look good.
Fat grafting would be the treatment of choice but in order for this to work, there has to be a sufficient layer of tissue to graft into.
In other words, the people who need the procedure the most end up not being good candidates for it.
I’m afraid only very thin layers of fat would survive fat grafting in your case and for this reason only very small improvements are possible and it’s a pretty involved procedure so in the nutshell, I think my recommendation would be to not move forward with surgery.
There may be plenty of plastic surgeons who are far more optimistic.
Recognize that this is how we make a living.
Before, even contemplating having any surgical intervention, you should ask the providers to show you as sufficient collection of before, and after pictures of previous patients who have very similar body characteristics to your own.
You need to bring pictures of yourself to use as reference.
Close attention to how thick the subcutaneous fat layer is on the example pictures.
I don’t think you’re going to see any long-term quality results on people who had the same characteristics.
Finally recognize that early fat transfer results Can look very impressive but early results do not represent long-term final results.
In order for after pictures to be representative for fat grafting surgery they need to be at least 3 to 6 months from the date of surgery.
Best,
Mats Hagstrom MD