Thank you for your question regarding a buttock lift through a thong lift incision. Based on your pictures and your desires, I would suggest a thong lift buttock incision. The best buttock lift in your case would be an incision on the top of the buttock. This would extend from the buttock crease over towards the hips. This is the best lift for your buttock because it would lift the buttock skin up and it would give you a nice, tight, wrinkle-free buttock. However, the appearance of the scar may be a major drawback. If you cannot tolerate this superior scar at the top of your buttock, then I would suggest the thong lift incision. During a thong lift buttock lift, an incision is made in the buttock crease and buttock skin is pulled from lateral to medial. Not as much buttock skin can be removed as in the upper buttock incision mentioned above, however, the thong lift is a good second option. The thong lift scar is well hidden in the buttock crack if placed appropriately. However, this is plastic surgeon dependent. You will need to find an experienced, plastic surgeon who has performed many thong lift buttock lift. Good luck. Thank you for your question in regards to thong lift buttock lift. I hope that I have answered your questions regarding a buttock lift through a thong lift incision. I specialize in buttock surgery. If you have any more questions regarding buttock implants, buttock implant surgery, buttock implant insertion, buttock implant revision, or buttock lift surgery, please contact my office. Please seek an experienced, board certified plastic surgeon with significant experience buttock surgery. Do your research. If you cannot find an experienced, buttock plastic surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)