Upper butt shelf reduction? (Photo)

Question

Hi I have had this butt shelf for quite some years now. Ive lost weight and my legs and arms etc were slim and my butt stays the same size. I really do not like how it looks no matter how I have tried to get rid of it remains the same size. I want a regular looking butt at the top so when I workout it will be shaped nicer and it will look better in pants or underwear etc. what kind of procedure could I get other than a BBl to get a smaller butt and get rid of the shelf at the top? Thank You.

Randal Haworth, MD, FACS · Answer

There are a few different procedures you could consider to achieve the results you're looking for. It's important to note that every individual's body is unique and what works for one person may not be the best option for another. It's important to consult with a qualified plastic surgeon to discuss your goals and determine which procedure is right for you.

Here are some options to consider:

Liposuction: Liposuction can be used to remove excess fat from the buttocks, which may help to reduce the size of the shelf and create a more natural-looking contour. This procedure can be performed alone or in combination with other procedures for more comprehensive results.
Butt lift: A butt lift is a surgical procedure that involves removing excess skin and fat from the buttocks to lift and reshape them. This procedure can be customized to address specific concerns, such as the appearance of a shelf at the top of the buttocks.
Non-surgical options: There are non-surgical procedures available that can help improve the appearance of the buttocks, such as laser treatments or radiofrequency. These procedures may be less invasive and have less downtime than surgical options, but they may not be as effective for achieving significant changes in size or shape.
It's important to keep in mind that any surgical or non-surgical procedure comes with potential risks and benefits, and recovery times can vary. It's important to consult with a qualified plastic surgeon to discuss your options and determine which procedure is right for you.

Best of luck !

Ryan A. Stanton, MD · Answer

Allow me to answer your question as best i can based upon your one photo. However, please keep in mind that an in-person, or at least a virtual, consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.

The upper butt shelf you describe is actually more love handle fat, then buttock fat. The gold standard treatment for this is liposuction reduction of this area, which will help better carve out a waist line as well. You may find that your buttock is still in need volume and/or projection, in which case you may then want to consider buttock implants thereafter or at the same time as the liposuction procedure. Please keep in mind that and extremely few number of board-certified plastic surgeon specialize in buttock Implants so you may have to travel far and away from home to seek consultation with such an individual. Glad to be of help.

Chet Mays, MD · Answer

Thank you for your inquiry! Liposuction can be done to reduce fullness creating a smaller butt. I recommend scheduling a consult with a board certified plastic surgeon like myself and we can create a surgical plan to best achieve your goals!

Stefan Mark Szczerba, MD · Answer

Regular liposuction could improve the contours and transition.  BBL can be added to improve contours should the shelf actually need some filling in the lower part of the buttock.  I would definitely touch base with a board certified plastic surgeon familiar with liposuction and BBL's.  Best Wishes!!

Zoran Potparic, MD · Answer

It is very difficult to get good information about your problem from this photo! It apperas that liposuction of "shelf" and augmentation of cetral prtipon of buttocks with fat transfer would create nice improvement. In person consultation with a board certified plastic surgeon with experience in body contouring surgery will help to make a more accurate plan of treatment. Good luck.

Felix Omar Márquez, MD · Answer

Hi, thanks for your question. It's not easy to respond with a partial photo. Please provide another one. You can have great results with a Liposuction to eliminate fat deposits and shape your silhouette. Depending on your condition and goals, you can have a fat transfer to give the desired shape. Consult a board-certified plastic surgeon in your area for a physical exam. Good luck!

Camille Cash, MD · Answer

From the photo provided it appears you would be a candidate for liposuction.  This procedure can be used to contour the buttocks as well as the areas surrounding it to give a more appealing overall shape.  I've included a video on this that I hope you find helpful.

Douglas Taranow, DO, FACOS · Answer

You would look much better with liposuction of the upper buttocks to better shape the upper buttocks.  Better naked buttock photos would answer if a mini BBL would be needed to give a rounder curve.

Mats Hagstrom, MD (license on probation) · Answer

To make an accurate quality assessment, we need to see quality pictures. Look at how plastic surgeons take before and after pictures to get an idea of how we need to view your body to make an assessment. Basically you should take pictures of your body that’s cropped, including your body from your neck to just below your knees wearing undergarments. Take the picture from about 8 feet away. Using the timer on your camera or have someone else hold the camera. Include pictures, showing your front, side, and back side. 
We cannot access bodies for cosmetic surgery if you’re wearing clothing. 
It looks like you would be a very good candidate for a liposuction with or without fat transfer. There’s a great deal of variability among different plastic surgeons in their approach, skill and experience with these procedures. It makes a great deal of difference if you find the right provider. For that reason, I suggest patients have multiple in person consultations to help them find the right provider for your needs. During each consultation, ask you to provide her to open up your portfolio and show you as many pictures as possible of previous patient, who had similar body characteristics to your own. For reference an experienced plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. Being shown a handful of pre-selected images, representing the best results of a providers career is insufficient to get a clear understanding of what average results look like or how many of these procedures any one surgeon has actually performed. Patients should steer on being more selective And be critical of plastic surgeons during the vetting process. 
The results from these procedures is permanent and irreversible. You’ve done poorly people can be left with undesirable outcomes that are not correctable.
There are generally only two variables that determine quality cosmetic surgery outcomes. The first is the patient’s candidacy for the procedure and the second is the scale of the surgeon. There isn’t that much patients can do to change during candidacy, but what patients do you have control over is choosing the right provider. That is a powerful tool that everyone should use to their fullest advantage. Having multiple consultations is time-consuming but in my opinion, it is very well worth the effort. 
Believe me when I tell you that there are major differences, depending who you choose, despite being board-certified, having years of experience and lots of positive reviews.
The time to be critical of plastic surgeons is before you schedule surgery.
Even though your picture is very limited, I do think you may be one of the best candidates for body contouring I’ve seen in a long time.
My best recommendation is to be as selective as you possibly can insisting on seeing sufficient before and after pictures in both quantity and quality before scheduling surgery. I typically recommend patient start by having at least five in person consultations before scheduling surgery. For some people, it may require more than that.
Having a single consultation, and then scheduling surgery really doesn’t give you any chance to compare providers at all.
That is the number one biggest mistake people make when it comes to cosmetic surgery.
Find the right plastic surgeon, and everything falls into place.
Good luck,
Mats Hagstrom MD

Upper butt shelf reduction? (Photo)

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