Hi intellectual764854, Thank you for your inquiry about ways to reduce buttock size. The size and shape of your buttocks are influenced by three key factors: skin, fat, and muscle. Addressing one or more of these components can lead to the desired size reduction. Muscle: If muscle bulk contributes to the size of your buttocks and you engage in exercises like stair climbing or squats that target this area, it would be advisable to halt these activities. Fat: Should excessive fat be the primary cause, two approaches are available: Liposuction: It entails fat removal by suction. The success of this procedure partly hinges on the inherent elasticity of your buttock skin to shrink back once the fat is removed. Several factors, including genetics, skin quality, age, the history of weight changes, and the amount of fat extracted, determine the skin's retraction capacity. It's crucial to note that the exact degree of skin retraction post-procedure can be unpredictable. Direct Excision: This method provides a more predictable outcome, as it involves direct removal of both skin and fat. Various incisions are possible, but for a true buttock lift, an incision across the top of the buttock is most effective. Skin: Removing excess skin and achieving a buttock lift necessitates surgical intervention. The most common procedure entails excising skin from the upper part of the buttock, which simultaneously elevates it. Recommendation: Buttock liposuction may be an optimal starting point. However, it's essential to acknowledge the possibility that the skin might not fully retract after the procedure, leading to some laxity. If ensuring skin tautness is paramount and you are open to having a surgical scar, then a buttock lift through incision could be the ideal choice. I hope this sheds light on the methods available for buttock reduction. Wishing you the best as you decide on the most suitable option. Sincerely, Dr. Katzen