Loose lower butt after weight loss - how can I improve this? (Photos)

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. This will create a more desirable smooth and rounded perky buttock profile. If not adding volume with an implant, the buttock will most certainly always appear more flat with just a buttock lift. A lower buttock tuck is usually then performed at six months following implants. Coincidentally, a lower buttock tuck also doubles as a thigh lift. 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. Getting it done right the first time around is not only the best chance for success, but also will save you from a lot of headaches and money in the future. Glad to help.

After weight loss, it is not uncommon to lose volume in the buttock with sagging and loose skin. Removing the excess skin with a buttock lift or lower body lift helps tighten and lift the buttock. Incisions are often placed on the upper buttock to help address the flanks and waist. Liposuction may be performed at the same time and with fat grafting to the butt. At times incisions are placed below the buttock in the natural gluteal crease.

Congratulations on the weight loss! A BBL will not work. You have two options a traditional butt lift with incisions on the transition between your butt and back ( on the underwear line) or an excision of the banana roles with an incision on the butt fold. The first option I believe is a big procedure that can even increase the butt size if a flap from the upper part of the butt is used to fill out the area. The second option is much simpler, less down time and complications plus it will still get rid of all the excess skin.

Best of luck,
Dr. Miguel Mota

There are two ways to deal with this problem. One is excision of infra-gluteal folds and fixation within infra-gluteal crease; the other is a true buttock lift with incisions (scars) placed just above gluteal areas. With the second techniques it is possible to achieve small augmentation using the flap from the upper buttock to augment central buttock. In person or teleconference consultation with a board certified plastic surgeon experienced in both techniques is recommended. Good luck.

Thank you for your question. Loose and redundant skin at the lower pole of the buttock is fairly common. Over the years, I have developed a technique known as a Thong lift. The excess skin is removed from underneath the buttock and the scar is hidden in the crease in between the buttock cheeks. I think I am the only one in the country who has extensive experience with this surgery. You are an excellent candidate and would benefit greatly from the surgery. Best wishes to you.

I don’t think you’re going to find that there is one single great procedure for you.
When that’s the case expect providers to give different opinions regarding potential treatments.
Most likely the most common suggestion will be fat transfer a.k.a. a fat grafting, a.k.a. BBL or Brazilian butt lift.
Grafting fat in your buttocks will reestablish some of the lost volume from weight loss and can potentially improve your look if you want more volume in your bottom.
Mail gluteal fat transfer needs to be approached very differently than for women.
It’s important not to fill the hips to avoid a feminization.
Direct skin excision is something some providers may recommend, but I would suggest you insist on seeing lots of before and after pictures before contemplating something that can leave at quite visible scar without knowing what you’re getting into.
Bring pictures of yourself to use as a reference during consultations.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar body characteristics.
This means previous men who had the same situation.If the provider doesn’t have a good collection of before, and after pictures for the procedure, they recommend they probably don’t have sufficient experience.
For this type of work, I recommend having multiple in person consultations before selecting a provider.
Don’t jump into this quickly and don’t select providers using virtual consultations.
By far the most important variable is provider selection.
You get one shot of picking the right provider.
This kind of work can potentially leave people disfigured so choose carefully.
Gluteal fat transfer requires harvesting fat using Liposuction.
This may potentially be a challenge with continued weight loss.
There are a lot of variables to discuss and review.
Best,
Mats Hagstrom MD