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.

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.

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.

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