Lost weight and don’t have enough fat - any advice for a lifted, plumpy look? (Photo)

Allow me to answer your question as best i can based upon your photo. 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” 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. So, I personally first treat patients like you by restoring volume to the buttock with a buttock implant. BBL and fillers, such as Sculptra, will be a guaranteed waste of money. Despite what your research has taught you thus far, buttock implants will be your most relatively safe, reliable, dependable and permanent option. This will create a more desirable smooth and rounded perky buttock profile. If not adding volume with an implant, the buttock will be shortened but may appear more flat with just a buttock lift. A lower buttock tuck is usually then performed at six months following implants. 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. 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. Glad to help.

A lower back lifting is 100% needed because of the sagging in the lower part of the buttocks which is normal after losing weight. Doing butt lift will be making the bum area smaller since we are removing excess skin and you don't seem to have the needed amount of fat to make fat transfer + butt lift, so my recommendation will be doing buttock implants. It will be the best option to give the desired result on the long term

Hi Isabellam,

First off, congratulations on your weight loss! It's a significant achievement and can transform your health and confidence. Regarding your concerns about achieving a lifted and plump look for your buttocks, it's understandable to feel a bit lost among the various options available.

Sculptra injections are designed to stimulate collagen production, potentially providing a more filled-out appearance. It's great to hear you've tried this route, as it should have contributed positively by enhancing collagen in the area. However, if you're still not seeing the volume and lift you desire, there are other options to consider.

If you have areas of fat in donor sites like the abdomen, love handles, back, or arms, you might be a suitable candidate for a Brazilian Butt Lift (BBL). This procedure involves transferring fat from these areas to your buttocks, offering a natural way to enhance volume and shape. The advantage of a BBL is that it uses your own body fat, reducing the risk of rejection or complications associated with foreign materials.

Buttock implants are another option for those who lack sufficient donor fat for a BBL or seek a more significant enhancement. While some people are delighted with their implant results, feeling it gives them the volume and shape they've always wanted, others may not prefer the sensation or the idea of having an implant. It's very much a personal preference. Like any surgical procedure, buttock implants come with risks and potential complications, which should be carefully weighed. However, many patients find that with the right surgeon and proper care, the outcomes can be very satisfying and fulfilling their aesthetic goals.

Choosing the right procedure depends on your body, your expectations, and a thorough consultation with a board-certified plastic surgeon who specializes in these treatments. They can assess your situation, consider the quality of your skin and available fat for grafting, and recommend the best approach for achieving a lifted, plump look that makes you feel confident and sexy.

Sincerely,

Dr. J. Timothy Katzen, MD, FASMBS, FICS
Plastic and Aesthetic Surgeon

Hello dear, thank you for your question. I see that you are of thin build, that is, that you do not have so much fat, in your case what we would do to improve your buttocks, is to do liposuction of the abdomen, back and waist and try to remove as much fat as possible to be able to transfer it to your buttocks. It is not advisable to get implants in the buttocks, it is best for you to transfer fat to that area for a better appearance. You can text us via WhatsApp at 1-829-554-6062 so we can give you the necessary recommendations about surgery. A pleasure to help

Fat transfer is usually the standard of care.
This procedure is often referred to as the BBL a.k.a. Brazilian butt lift.
It involves liposuction of other areas with grafting fat around the buttocks and hips.
The majority of plastic surgeons do not offer gluteal implants for good reason.
The procedure Has unfortunate high complication and failure rates.
I generally do not recommend gluteal augmentation, but if you should choose that route, then seek out one of the few plastic surgeons, specialize exclusively and has extensive experience with the procedure.
Best,
Mats Hagstrom, MD

Hello,
There are two choices for treating loose skin caused by a lack of volume: butt implants or a BBL.
The second approach is to remove extra skin using a buttlift.