How do I fix my saggy butt? (Photo)

Question

Will weight loss and a butt lift/bbl help fix my uneven saggy bum? I hate it so much I just want it to be round and shapely. I dont even mind if it’s fat, but it’s just so uneven. Why is it uneven? Can i fix fhis with exercise???

Murat Diyarbakirlioglu, MD, FEBOPRAS · Answer

Thank you for sharing your concerns. Buttock asymmetry and sagging are prevalent and are usually caused by uneven fat distribution, skin laxity, and natural body anatomy.

Exercise can improve muscle tone, but it cannot fully correct sagging skin or significant asymmetry. Weight loss may help in some cases; however, if there is already looseness, it can sometimes make sagging more noticeable.

In these situations, a customized surgical approach gives the best results. Depending on your anatomy, this may include 360 liposuction with fat transfer (BBL) to restore shape and symmetry, and if skin laxity is present, an extended tummy tuck can further improve overall balance.

Luis A. Mejia, MD · Answer

In my opinion, the unevenness you’re seeing is due to fat distribution differences and skin laxity, which are very common and not caused by anything you did wrong. Weight loss can help overall proportion, but exercise alone cannot correct sagging or asymmetry in this area.

The most effective solution is a buttock lift combined with fat transfer (BBL). The lift addresses the sagging and skin excess, while fat grafting restores roundness and corrects asymmetry. This approach reshapes the buttocks rather than just adding volume.

Whenever you’re ready:
Let’s make it better.

Warmly,
Dr. Luis Mejía, MD
Board-Certified Plastic Surgeon
CECILIP, Dominican Republic.

Daniel Barrett, MD · Answer

Dear Dynamic369723,

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

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