What is the right procedure to help lift butt off the back of my thighs? (photos)

Question

White female 5’4, 130lbs. I am an active person but no matter what I can’t get rid of the fat under my butt that basically makes it look flat from the side. I’ve been told that lipo would basically remove that “shelf” my butt sits on and it will sag even more. So I am wondering if it can be lifted? I’ve seen things such as infragluteal thigh lift/ thong lift possibly working for this type of issue but mine seems severe. If it helps it’s also genetic, my mom has the same issue

Ryan A. Stanton, MD · Answer

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, or familial genetics. 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.

Malik Abaci, MD · Answer

Thank you for your question and photos provided. You need gaining weight fisrtly. Then doing lipo and fat injection to enjence your shape and volume. Hope this helps

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding what to do to lift the buttock off the back of your thighs. Several things could be done. First, the buttock could be lifted. This can either be done by fat transfer like a BBL. Another way to lift the buttock would be to make an incision over the upper portion and lift the buttock upward. This will lift the buttock off the back of the thigh. Another approach would be to reduce the size of the posterior thigh. This could be achieved with posterior upper thigh liposuction or an inferior gluteal incision. The banana roll liposuction would not flatten this area so much that the buttock would sag. In my opinion, that does not happen. Another approach would be to make an incision underneath the buttock, excise a crescent-shaped area of the upper posterior thigh skin, and lift the back of the thigh upward. This will remove excess skin in this region. In my opinion, I would proceed with liposuction, which is the easiest of these procedures. The others require incisions with an extended recovery. Thank you for your question regarding what to do to lift the buttock off the back of your thighs. 
Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric  Plastic Surgeons, Certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery,  and ​member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

George Bitar, MD · Answer

You have done your research, and I agree.  Generally, I do not recommend liposuction underneath the buttocks, in which case they will sag further.  Based on your photos, I think a conservative Brazilian butt lift would be the best.  We would move fat from somewhere else on your body to your buttocks.  It would create a more rounded buttocks, and the added volume will give them a lift.

Darryl J. Blinski, MD · Answer

From the nicely posted photos I see 2 issues. Though your do look very good. So you must consider doing anything surgically there could be a negative outcome. I see banana rolls and slight hanging inferior buttock. I might try just superficial lipo on both areas with specialized taping and severe compression girdle. Or might do lipo on banana rolls/taping/thong incisional lift. Best to virtual consult with....

What is the right procedure to help lift butt off the back of my thighs? (photos)

Answers (7)

Answer: Consider fat transfer

Answer: Consider fat transfer

Answer: What is the right procedure to help lift butt off the back of my thighs?

Answer: What is the right procedure to help lift butt off the back of my thighs?

Recommended reading

Everything you need to know about Butt Lift

Our mission is to create a world where every investment in modern beauty is Worth It.

What is the right procedure to help lift butt off the back of my thighs? (photos)

Answers (7)

Answer: Consider fat transfer

Answer: Consider fat transfer

Answer: What is the right procedure to help lift butt off the back of my thighs?

Answer: What is the right procedure to help lift butt off the back of my thighs?

Browse related questions

Recommended reading

Everything you need to know about Butt Lift

Our mission is to create a world where every investment in modern beauty is Worth It.