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

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.

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

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.)