Female, 38, why does my butt look like this after weight gain and will this procedure fix it? (Photo)

Question

I am female, 38 yrs old. In the past year I have gained about 30lbs and my butt is doing this weird thing

Semih Yildiz, MD, FEPOBRAS · Answer

The photo shows increased buttock/thigh fullness with a pronounced lower gluteal crease and some contour transition near the upper thigh. After a 30 lb weight gain, this can come from fat distribution, skin laxity, cellulite/tethering, posture, or the way the lower buttock and posterior thigh meet. An in-person exam is needed to tell which is the main cause.

A BBL can improve shape by adding fat to selected areas and sometimes combining liposuction of the waist/flanks/thighs for better balance, but it does not reliably fix loose skin, cellulite, or a fold caused by skin laxity. If your weight is still changing, I would first stabilize your weight for several months, because further gain or loss can change the result. Depending on the exam, options may include weight management, targeted liposuction, fat grafting for shape, skin tightening for mild laxity, or a lift procedure if there is significant loose skin. If you consider BBL, choose a board-certified plastic surgeon who follows current safety standards, including fat placement only in the subcutaneous layer.

Daniel Barrett, MD · Answer

Dear Barbiestaxx33 ,

it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Kadir Berat Oyur, MD · Answer

Hi and thank you for your question.
Based on your photos and concerns, you appear to be suitable for a BBL, which can help improve the shape and contour of the buttocks after weight changes. I hope this helps.

Rajaie Hazboun, MD, MBA · Answer

Thank you for posting your question here!
I will start by stating that the answer is based on the limited information and pictures provided , for a more bespoke plan please consult with your plastic surgeon.
the skin and underlying tissues are usually held in place by ligaments and fibrous bands that connects those tissues to the underlying fascia, moreover each person is unique in terms of their fat distribution. Weight gain and the increase of fat in certain locations can lead to deformities due to the increase tension on those ligaments and bands, in addition to making any abnormal fat distribution more pronounced.
weight loss can in most cases help in reducing those deformities , but if that is not an option for you for any reason , this can also be corrected surgically by redistributing the fat and taking down certain ligaments .
I hope this helps, best of luck!

Zoran Potparic, MD · Answer

Increase of fat tissue volume in many other areas of human body would create secondary deformity. Loss of weight is the best way to correct this problem; in some cases surgical intervention may help. N person or teleconference with a board certified plastic surgeon may give you some answers.

Agustina Hilario Duran, MD · Answer

Hi! thanks for your question. The changes in your buttocks after weight gain, like sagging or unevenness, can be due to increased fat accumulation and skin stretching. When you gain weight, fat can redistribute unevenly, especially in areas that have been previously treated or are more prone to fat storage. The procedure you're considering could help, depending on what it is. For example, a fat transfer, liposuction, or skin-tightening treatment could improve the shape and address sagging. A thorough evaluation with a plastic surgeon would help determine the best approach for your case.

Mats Hagstrom, MD (license on probation) · Answer

Contour issues from a number of variables.
These can include Loss of elasticity of skin. likewise, weight gain can also have some undesirable consequences.
Droopiness of the lower inner buttocks, sometimes referred to as dirty diaper look is best treated with skin excision sometimes called a tuck.
The procedure is well described by Dr. Mandetta in a YouTube video called The Miami thong Lift.
Fat transfer is not going to correct this contour problem.
Best,
Mats Hagstrom MD

Female, 38, why does my butt look like this after weight gain and will this procedure fix it? (Photo)

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