Age: 37. What procedure can lift the tissue from my butt up? (Photos)

There are several types of buttock lift; all of them will involve scars. One that makes most sense in your case would create the scar that is placed between gluteus muscle and lower back and is covered with any type of underwear. The skin and fat tissue to be removed can be burred underneath to create meaningful augmentation of the upper and central buttock, which you need. Hope this helps.

Hi ALL1287,
Thank you for your question regarding a posterior body lift, butt lift, or buttock lift. Thank you for your history and pictures. A consultation would be mandatory before any surgery could be suggested. However, based on your history and pictures, most plastic surgeons would recommend a buttock lift, gluteal lift, or posterior gluteal lift. A butt lift is performed under general anesthesia and typically requires approximately 3 to 4 hours to complete. The incision extends from the top of the gluteal cleft (butt crack), over the top of the buttock, and towards your hips. Some of the lift is exactly where you are pulling your buttocks in the pictures. The incision is in the shape of a butterfly or sea seagull. Some patients call the incision line a "little M" or a McDonald's incision. Through this incision, tissue dissection is done down the buttocks, and the buttock skin is lifted just like the back side of a 360 circumferential lower body lift. Allow yourself 3-4 weeks for recovery. During your recuperation, it will be very important for you to remain lying flat on your abdomen. You should refrain from reclining or bending backward to prevent opening the wound. Good luck. Most plastic surgeons offer free virtual or in-office physical consultations. Therefore, explore what other plastic surgeons have to say. I hope that I have answered your question regarding what procedure can lift the tissue from your butt up. If you have any more questions regarding a butt lift, contact an experienced plastic surgeon. Please seek an experienced, board-certified plastic surgeon with significant experience in butt lifts. Make sure they have performed many posterior butt lift surgeries and have the before-and-after pictures to prove it. Carefully examine their before-and-after pictures and check their reviews on RealSelf. If you cannot find an experienced plastic surgeon in your neighborhood, consider traveling out of state. Sincerely, Dr. Katzen. ( Plastic Surgeon, President of the American Society of Bariatric Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and ​member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)

You would benefit from a posterior thigh lift. A curvilinear incision is made over the buttocks region or belt area. This will pull the buttocks up higher and taking in the slack skin.

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” and/or loose skin 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, or simply just genetic. So, I personally first treat patients like you by restoring/adding volume to the buttock with a buttock implant. This will create a more desirable smooth and rounded perky buttock profile and remove some of the skin laxity. If not adding volume with an implant, the buttock will most certainly always appear more flat with just a buttock lift from above. If still beneficial, a lower buttock tuck is usually then performed at six months following implants. Coincidentally, a lower buttock tuck also doubles as a thigh lift, removing loose wrinkled skin from this area as well. 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. Any “non-surgical” treatment or device as well as exercise, unfortunately, will have little to no effect on this problem area. Furthermore, fat transfer and “fillers” perform very poorly in this area and usually result in just a waste of hard earned money.

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.

In your case, I think it’s going to be difficult to get the results you’re hoping for.
It doesn’t seem like you need skin surgery and even that doesn’t pull up the bottom all that much.
You don’t have fat for a fat transfer so that procedure is probably not a realistic option.
You can consult with plastic surgeons in your community, but I don’t think it’s going to be easy to get the outcome you want.
Some providers may recommend a gluteal implants.
I generally do not support the use of gluteal implants because the procedure has a high complication rate, revision rate and undesirable side effects.
Best,
Mats Hagstrom MD