What procedure would be best for me? My main insecurity is the shape of my butt (Photo)

Dear Easygoing222931, thanks for sharing your concern and pictures. I rather suggest Vaser Liposuction it provides high definition and tummy tuck with Muscle Repair, hips fat transfer and BBL will help with your concern about hips and provide with an awesome frame. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks!

It is unlikely that you can expect any significant improvement by means of body contouring surgery without significant weight loss, unfortunately. Good luck.

Dear Easygoing,
Post massive weight loss body contouring surgery is becoming very popular and very common with the advent of bariatric surgery procedures and FDA approval of weight loss medications. It is usually an extended, staged process where a few areas of the body are addressed during each stage of contouring surgery. The shape of your buttocks is a commonly seen one following massive weight loss. Autologous fat transfer gluteal augmentation (BBL) will enhance the appearance of your buttocks immensely. Expect that your might need more that one surgery to reach your final shaping destination.
Seek consultation with an American Board of Plastic Surgery board certified plastic surgeon that performs BBLs regularly for an examination and discussion of your goals and options. Good luck!

At your current weight, you are not in good candidate for elective cosmetic surgery.
Spite previous success with weight loss. You still have a ways to go before your healthy BMI.
Most people who had significant weight loss will have skin laxity as their primary issue.
Dealing with the skin laxity is probably the number one issue. Skin laxity lowers your potential outcome for operations like liposuction and fat transfer.
Individual providers may have different opinions.
I suggest focusing on your overall health and continued weight loss as your first and primary goal.
Once your BMI is a healthy weight that you can schedule in person consultations with plastic surgeons in your community to get a better understanding of treatment options.
Best,
Mats Hagstrom, MD