Female, 5'4, 53 years old, 140lb - advice for excess skin folds under butt? (Photos)

Allow me to answer your question as best i can based upon your photos. 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 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.

You would benefit from a posterior lift. This will lift your buttocks higher and take in the slack in the creases inferiorly. I do not believe fat transfers would be adequate to take in the slack of the buttocks.

Best Wishes,

Gary Horndeski, M.D.

Hello! According to the photos you posted, you have several options to choose between lifting with implants or 360 lipo combined with BBL, this guaranteeing not only the satisfaction of solving the problem of sagging buttocks, (which can happen due to multiple factors, such as age , the gravity, weight loss or elasticity of the skin). but you would also be more satisfied with the silhouette of your body in general.

You should take into account that these opinions are based only on photos, and that to receive a more real diagnosis there must at least be a physical or virtual consultation with a qualified and certified specialist.

Good luck!

I am Doctor Díaz, Plastic Surgeon. I would love to help you. I perform surgeries at CECIP Plastic Surgery Clinic, in the Dominican Republic.