Circumferential abdominoplasty - Will my butt be flat?

Question

I herd a. Circumferential abdominal pladty makes your buttocks flat how can I prevent this if I don't have the no ey the I surance is paying for it and it doesn't cover but augmentation

J. Timothy Katzen, MD, FACS · Answer

Hello, and thank you for your question regarding whether a 360 circumferential abdominoplasty will make your buttocks flat. Based on the information provided, the impact on your buttock shape and volume largely depends on how much buttock tissue you have prior to the procedure and the techniques your plastic surgeon uses during surgery.

During a 360 circumferential lower body lift, a surgical technique known as the propeller flap can be used to preserve and enhance buttock volume. This involves creating a propeller-shaped flap of tissue from the top portion of your buttocks. The top layer of skin is removed from this flap, and the remaining fat and tissue are rotated and secured to add fullness to the central buttocks. This method can significantly improve the shape and volume of the buttocks without requiring additional procedures.

If additional enhancement is desired, fat from areas such as the hips or abdomen can be harvested through liposuction, washed, and injected into the buttocks for volume enhancement, similar to a Brazilian Butt Lift (BBL). Alternatively, buttock implants can be placed during or after the body lift to achieve a more dramatic result.

Non-surgical options like Sculptra injections may also be considered to add volume gradually. This can be done in the office but may require multiple sessions to achieve the desired results.

Lastly, incorporating targeted exercises such as stair climbing, squats, or lunges can naturally build muscle mass and improve the appearance of your buttocks over time.

It’s important to communicate your goals clearly with your plastic surgeon to ensure your desired results are achieved while preserving or enhancing your buttock shape. You have options, and with the right approach, you can maintain a beautiful contour post-surgery.

Sincerely,
Dr. Katzen

Marguerite E. Aitken, MD, FACS · Answer

Thanks for your great question!  Yes, some patients do see their buttocks become flattened due to circumferential body lifting.  For this reason I often have to preserve some of the buttock skin and use it to "auto-augment" the buttock. If you like the projection of your buttock now, consider auto aug or fat transfer (less effective combined with skin excision as fat is less sturdy and shapely). If you want less buttock, don't worry about it and you will have less buttock after surgery. Find a board certified plastic surgeon and ask specifically about this concern. Good luck!!

Kenneth Hughes, MD · Answer

Fat can be transferred to the buttocks to help with this, but insurance will not cover this.  Some doctors will do autoaugmentation of the buttocks as well.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  If you are an appropriate candidate, it is possible to perform autoaugmentation of the buttocks at the same time.  The most important aspect is to find a surgeon you are
comfortable with. I recommend that you seek consultation with a qualified
board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Manuel Ventura Gonzalez, MD · Answer

Thank you for your question, for what you expressed and your concern, the result of each patient is different depending on the excess of skin to be removed. Normally, the skin is flaccid throughout the body, so it is recommended for you to ask for a full specific explanation on the procedure and its results when you choose the doctor to perform your surgery.

Peter Fisher, MD (retired) · Answer

Hello and thank you for your question. The
best advice you can receive is from an in-person consultation. If you are an appropriate candidate, it is possible to perform autoaugmentation of the buttocks at the same time. The most important aspect is to find a surgeon you are
comfortable with. I recommend that you seek consultation with a qualified
board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Circumferential abdominoplasty - Will my butt be flat?

Answers (6)

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