What is my best option to fix saggy excess skin on gluteal fold after liposuction to reduce Brazilian Butt Lift? (photos)

This situation is to very frequent in patients asking for to large of buttock from fat grafting. Reduction via liposuction is a tricky surgery. Based upon your posted photos your results appear quite good. Did you have a week of specialized taping in inferior buttock? I bet not. The J-Plasma really added NOTHING! It does not great effect the shrinkage of tissue as advertised. After virtual consult my guess is the only options are: 1. Repeat superficial lipo with 1 month of taping; 2. Direct excision with resultant scar.

Having already had two procedures makes your situation complicated.

I believe fat was inappropriately removed from your thighs but it is wrong for me to second guess or judge procedures I was not part of.

Each round of surgery makes the situation more difficult because of distorted anatomy and development of scar tissue.

Treatment options basically come down to further Liposuction(potentially of your buttocks) grafting fat two areas erroneously treated with liposuction, Or doing a direct skin excision leaving a scar.

At this point options may be somewhat limited because of your complicated history.

Keep expectations realistic and find the most experienced and talented plastic surgeon in your community for Liposuction and fat transfer procedures.

Best,

Mats Hagstrom MD