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.

I recommend a buttocks lift. This is done by using the excess skin of the back to make it into a flap and then advancing the buttocks over the flap. This gives more posterior projection without the use of fat transfers or foreign bodies. When done, the scar will be concealed within the bathing suit line.

Best Wishes,

Gary Horndeski, M.D.

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” 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 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. 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.