What is the Best Option

Question

I am a 35 F 157 lbs. I lost 100 lbs over 2 years ago and i got a tummy tuck in 2023. I love my stomach but now i have some areas i am insecure about. I want to know what woukd be the best procedure to fix these areas. The back fat, the dog ears that was left from the tummy tuck, the fat pocket on top of my buttocks and the lack of lower glutes. I would like to just have a normal buttocks because i am petite in height and my butt doesnt fit my frame.

Randal Haworth, MD, FACS · Answer

Congratulations on the 100 lb weight loss, what you’re describing is very common after major weight loss and a tummy tuck: the stomach looks great, but the back/flanks, dog ears, and butt shape still feel unfinished.
Based on your goals, the best “overall” approach is usually a custom body contouring plan that addresses both fat pockets and skin:
What Typically Helps Most
Liposuction of the back + flanks (“bra line” and waist) to smooth the rolls and reduce back fullness
Dog-ear revision (often a small excision, sometimes extended into the hip area if needed)
Liposuction of the upper butt / “shelf” area to reduce the pocket above the buttocks and improve the transition from lower back into the butt
Glute shaping: if you want more lower-glute fullness, options include
Fat transfer (BBL-style shaping) if you have enough usable fat and good skin tone
Skin tightening / lift options if loose skin is the main issue (fat alone won’t fix skin laxity)
One Important Truth (So You Don’t Waste Money)
If the “lack of lower glutes” is mostly skin laxity and deflation from weight loss, liposuction alone can sometimes make the area look looser. In those cases, a surgeon may recommend a lower body lift or buttock lift (with or without fat transfer) depending on how much skin excess you have.
Best Next Step
To choose the right procedure(s), you’ll want an in-person exam with a qualified, board-certified plastic surgeon who specializes in post–weight loss body contouring. Ask them specifically:
Do I need skin removal in addition to lipo?
Can dog ears be revised with a small incision, or do I need an extension?
Am I a good candidate for fat transfer to the butt, or would a lift give a better outcome?
Good luck!

Gary M. Horndeski, MD · Answer

You would benefit from 1 or 2 rounds of liposuction. The liposuction can take care of the dog ears and excess fat of the buttocks. You would also benefit from several things being addressed: your breasts, your back, your buttocks.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Camille Cash, MD · Answer

Congratulations on your impressive weight loss!  Liposuction can help sculpt your curves to be more harmonious with your frame.  J Plasma may be indicated to help with skin laxity.  The dog ears from your tummy tuck can be corrected at the same time.  The next step is to schedule a consultation with a board certified plastic surgeon near you.  I've included a video I hope you find helpful.

Darryl J. Blinski, MD · Answer

Based on your series of nicely posted photos, you will need at least two stages of surgery. I recommend stage one being revisioned dog ears with such a simple lipectomy or liposuction of the lower back length toxic outer thighs with ultrasound guided BBL insertion stage one fee $8000-$12,000. Stage two would be second stage BBL. Best of virtual consult with for better understanding

What is the Best Option

Answers (4)

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