Lower Body Lift with Incision Under Buttocks?

I think you are finding out why many surgeons do not like or do this operation. The lower incision will not lift your buttocks. This is not mechanically possible. Secondly, these incisions almost always migrate lower than where they started and as a rule are very unsightly. However, if you are willing to accept the scars and have significant laxity of your posterior and lateral thighs( these are areas treated with this incision/procedure) then proceed with caution and be sure your surgeon has experience with this particular surgery.

Thank you for your question regarding whether a plastic surgeon can perform a lower body lift with an incision under the buttocks. The short answer is yes. Plastic surgeons often reduce buttock lift with an incision under the buttocks or in the infragluteal fold. Since you already have a belt lipectomy or a 360 circumferential lower body lift, the skin and fat of the buttocks have already been raised. If ou still has residual excess skin and fat on the lower buttock and want it removed, then infragluteal or excision underneath the buttock may be necessary. This procedure is uncommon for patients with excess skin and fat in this region. Please seek an experienced board-certified plastic surgeon. I hope I helped answer your question regarding whether a plastic surgeon can perform a lower body lift with an incision under the buttocks.
Sincerely,
Dr. Katzen

Incisions located transversely beneath the buttock cannot be equated with a lower body lift procedure because they have no impact upon the buttocks. In addition this procedure is associated with unsightly scars that tend to spread and migrate in an inferior direction. For these reasons, this procedure is rarely indicated when patients have lower body sag.In your particular case, it's difficult to make recommendations without pictures or a physical examination. In light of the fact that you've already had a lower body lift and continue to have problems with your posterior and lateral thighs, this procedure may offer some value. Under these circumstances, redundant thigh skin can be removed and the thigh lifted in an upward direction. This procedure would not impact the buttock area. The benefits of this maneuver must be weighed against the high probability of scarring.It's important to realize that no two patients are ever exactly the same. For this reason, it's important to tailor procedures to meet the patients specific needs. Under these circumstances, excision of the skin at the junction of the thigh and buttock may be occasionally indicated.If you're considering this type of procedure, it's important to consult a board certified plastic surgery with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.