Extra skin under butt - should I do a BBL first or a butt/thong lift/intergluteal fold lift? (Photos)

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.

Buttock “sagging” is usually a combination of loss of volume or deflation (after weight loss, liposuction, or post-BBL) and/or the effect of aging and gravity. So, I personally first treat patients like you by restoring volume to the buttock with a buttock implant. This will create a more desirable smooth and rounded perky buttock profile. If not adding volume with an implant, the buttock often becomes flattened with just a buttock/thing lift. A lower buttock tuck is usually then performed at six months following implants. In this sequence, the implants have fully settled into final position so that any remaining loose skin can be most accurately identified and removed with the lower buttock tuck. Regarding BBL, it often fails to improve your situation. Please note, because an extremely few number of board certified plastic surgeons specialize in buttock implants, you may have to travel away from your local area to seek consultation with this particular type of surgeon. Getting it done right the first time around is not only the best chance for success, but also will save you from a lot of headaches and money in the future. Glad to help.

Hello dear! thank you very much for the photos. Answering your question, you are a candidate for a BBl, it would benefit you in many ways on a physical level, because in addition to your buttocks, it would also work on other areas where you have unwanted fat, contouring your body in this way. On the other hand, a buttock lift would not give volume. and the BBL would not give it a lift. but it can do better on you , This decision of what to do first must be discussed in consultation. This procedure must be performed by a skilled, board-certified plastic surgeon, A consultation is vital to create a surgical plan that fits your needs and meets your expectations. Keep in mind that achieving what you want is possible. You can text us via whatsapp 1-829-554-6062 so that we can give you the necessary recommendations abaout surgery. A pleasure to help.

The banana roll is often misunderstood and inappropriately treated
I generally recommend people not have Liposuction for the banana roll.
The banana roll is a skinfold that normally happens in an upright standing position.
It’s the same concept as having a skinfold on your lower abdomen when you’re sitting.
The banana roll is not related to Fat distribution and removing fat in the area only causes problems.
Your pictures are limited.
The thong lift is usually done for droopiness in the inner lower buttocks, sometimes called the “dirty diaper look”.
Look for a YouTube video by Dr Mendieta called the Miami thong lift to understand the procedure and it’s indication.
It may be possible to restore some of the removed fat from your banana roll, but doing so properly will probably take several rounds of fat transfer.
Because of your previous surgery an assessment and treatments are going to be complex.
I recommend you rely exclusively on in person consultations.
Delivering consistent quality, liposuction, and fat transfer results is more difficult than most people realize.
The number of plastic surgeons who approach mastery of these procedures is quite small.
Finding the right provider is difficult and often requires having multiple in person consultation.
Best,
Mats Hagstrom MD