Hello, and thank you for your question regarding whether your crescent or mini thigh lift can be revised and why your crescent thigh lift scar appears to extend onto your glutes. Thank you for your detailed history and the photos you provided. Based on your images, it appears that you underwent a crescent thigh lift, which is designed to remove excess skin and fat from the upper inner thigh. During this procedure, an incision is typically made high in the groin crease where the thigh meets the pubic area. However, the crescent thigh lift is technically challenging and carries a higher-than-average complication rate. One common issue is scar migration, where the incision pulls downward over time and becomes visible on the inner thigh or buttocks. This scar migration can occur when the deeper tissues of the thigh are not adequately anchored to the pelvic periosteum (the tough covering of the pelvic bone) with permanent sutures during the original procedure. Without that secure fixation, gravity, movement, and healing forces can allow the scar to drift. Regarding your concern about the scar placement on your glutes: this is actually not unusual in crescent thigh lifts, especially when a dog ear (a fold of excess skin at the edge of the incision) needs to be addressed. To eliminate this excess tissue at the back of the thigh, the incision often must extend under the buttock crease (banana roll area). In fact, many experienced plastic surgeons performing crescent thigh lifts begin the procedure with the posterior incision first — while the patient is lying face down. An incision is made from the ischium (sitting bone) to the inner thigh, removing skin and fat in the back. The patient is then turned over to complete the anterior thigh lift. Therefore, the scar often wraps from the groin crease around to the crease beneath the buttocks. If you are unhappy with the scar placement or the results of your previous thigh lift, a revision is possible, but it must be done carefully. During a revision crescent thigh lift, a new incision is made approximately 1 mm below the existing scar. A counter-incision is created higher up, allowing for the removal of a new ellipse of skin and fat. The key step in preventing further migration and improving results is anchoring the lower (inferior) thigh flap securely to the pelvic periosteum with permanent sutures. This technique helps prevent the scar from dropping again and reduces the risk of complications like labial spread or vaginal gaping. Revision thigh lifts are technically complex, and success depends heavily on the surgeon’s experience. I strongly recommend consulting a board-certified plastic surgeon who has performed at least 100 thigh lifts and can show consistent, high-quality results, especially in revision cases. Thank you for your thoughtful question and photos. I hope this provides clarity on your scar placement and revision options. Please don’t hesitate to reach out if you have more questions regarding crescent thigh lifts or any form of thigh contouring. Sincerely, Dr. Katzen