Infragluteal thigh lift or thong lift after butt implants? (Photo)

Buttock lift/ thigh lift with incisions in the infragluteal crease should help minimize the sagging. The goal is to put the scar in the crease but risks include permanent scars, keloids or raised scars, wide scars and scar migration. Discuss with your surgeon, if off-label fillers could possibly help or small amount of fat grafting.

The infragluteal thigh lift can result in the scar dehiscent due to it's location and loading from sitting in the flexed position. An alternative to consider is a posterior lift which involves the scars around the buttocks higher up and this can be done to lift up the loose skin but you will have a more visible scar.

Best Wishes,

Gary Horndeski, M.D.

Allow me to answer your question as best i can based upon your photos. 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 first question is, do you currently have a round or an oval shaped implant? If round, then indeed a longer oval shaped (Stanton Anatomic®️) buttock implant which properly extends the full length of your gluteus muscles will likely fill in some/most of the saggy skin. On the contrary, if these implants are performed correctly, there is no increased risks of flipping or displacement. If still after a Stanton Anatomic®️ implant is placed you have some residual lower buttock laxity/sagging, then a lower buttock tuck may be considered at that time.

Please note that an extremely few number of board certified plastic surgeons specialize in buttock implants or lower buttock tucks, so you may need to travel far and away from home to find this particular surgeon. Glad to help.