Why can't I get a gluteal fold type of excision to fix the sagging and extra folds at bottom of buttock? (photo)

It is very difficult to determine the exact size and shape implant you will require to best match your ideal butt image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your buttock will determine, in many cases, the maximal volume per implant profile that you can accommodate. Liposuction of your lower back and fat transfer is also helpful as an adjunct to implants. Using “want to be” photos however are useful if simply provided to the surgeon.

Most surgeons prefer to avoid incisions in the gluteal thigh crease because they tend to be noticeable.Suction of the fat in the double fold can flatten this banana or bubble.  Provided that you do not mind the partially visible scars excision of the fold skin and fat is the most direct and reliable approach to your condition.  This procedure may be performed under mild sedation with local anesthesia.  Please consult with an experienced Board Certified Plastic Surgeon prior to making treatment decisions.

With the right size and shape implant you could possibly avoid the unsightly scar across the bottom of the buttock and have amazing results.  If you fill up that skin with an implant your buttock will be lifted and become more perky.  You will most likely not need any additional surgery for the wrinkling. Be sure to choose a board certified plastic surgeon who specializes in buttock implants and has an extensive photo gallery.  I offer free consultations.  Feel free to contact my office and I can see you.

Thank you for the question and photo.  You have a few options available to you to address the area of concern including:-direct excision of loose skin at bottom of buttock-excisional buttock lift where skin is removed at the buttock/lower back border-buttock volume replenishment via augmentation by using buttock fat transferDiscuss all of these options with your prospective plastic surgeon to determine which procedure or set of procedures would be best for you.All the best,Dr Remus Repta

The buttock Shape is flat because of loss of volume not because of excess skin. Excising skin will only make the butt appear flatter  and you will have the added scar. The solution here is fat transplantation. Best of luck.

Yes, a incision can be placed there, but it may not be very nice once it has healed.  Best of luck.....

You can have this procedure done, but it will flatten your buttock. In order to counter this flattening effect, you need to augment the buttock with either BBL or buttock implant.