Is Scarring That Extends From the Infra-gluteal Crease worth it?

Question

Since implants are not an option, and fat transfer may not provide the desired result, It seems like a lower butt tuck is my only option. I'd like to know if my expectations from this procedure are realistic (based on the attached illustration). The only doc in my area that does this, leaves a scar that extends from the infra-gluteal creases to the mid of the thighs. Is this a good trade off, given my condition?

Ryan A. Stanton, MD · Answer

Although it is not clear why buttock implants are not an option, a lower buttock tuck scar can be positioned strategically such that it only shows when you are bent over. You may have to travel a little ways to get a second opinion on this. Glad to help...

Ali Adibfar, MD, DDS · Answer

Hello Anna

	Judging by your photograph I think one should be able to harvest adequate amount of fat from your abdomen, flanks , upper and lower back in order to graft to your prominent infra gluteal fold.

	I do not recommend a large scar directly in the infra gluteal fold. If a buttock lift is desired then a formal buttock lift through an incision above the buttock is recommended. This would also allow a vascularized fat "autograft" which would lead to better contour and projection of your new buttock !

	thank you

Kenneth Hughes, MD · Answer

You need a creative approach to avoid lengthy scars.  Liposuction of the appropriate areas with fat transfer to the buttocks to take up loose skin will give the best improvement.  I perform about 500 Brazilian buttlifts each year, and this procedure is the most surgeon dependent plastic surgery procedure.  Find a plastic surgeon with ELITE credentials who performs hundreds of Brazilian buttlifts each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.

	Kenneth Hughes, MD Los Angeles, CA

Peter Fisher, MD (retired) · Answer

Hi Anna_banana. I don't think you need a scar past where your crease stops now. I believe that suctioning of your lower back, flanks and abdomen will give you enough fat to do a small Brazilian butt lift. The crease lift may or may not, then have to be done.

Is Scarring That Extends From the Infra-gluteal Crease worth it?

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