I have sort of a lump/lumpy butt. How do I fix it? What can I do?

The "lumpy/lumpy" contour of your lower buttock is typically caused by some retaining ligaments that extend from the muscle/bone out to the skin and inherently tether the skin imward. This effect is most often visible after either weight loss and/or aging. To remedy the problem, surgery can be performed to release (cut) the tethering ligaments and add volume with either fat transfer or a buttock implant.  Glad to help. 

It is very difficult to determine the exact size and shape implant you will require to best match your ideal butt image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your buttock will determine, in many cases, the maximal volume per implant profile that you can accommodate. Liposuction of your lower back and fat transfer is also helpful as an adjunct to implants. Using “want to be” photos however are useful if simply provided to the surgeon.

I find that a fat transfer to the buttock is quite helpful with evening out the buttock and creating a firm round appearance.  Be sure to choose a Board Certified Plastic Surgeon with extensive experience in fat transfers.

Thank you for your question.   It is important because so many people have similar issues.  For the buttocks to appear full and smooth, the skin envelope has to closely apply to the underlying muscle, fascia and fat.   An uneven contour of the underlying structures, skin lesions such as cysts and/or sagging skin can spoil the appearance of your buttocks.  Augmentation alone may not address this problem.  Please consult with a board certified plastic surgeon in your region for more specific answers to your concerns.

The lumpy look is mostly cellulite.  The buttocks themselves can be filled out a bit with fat to give a better shape, but it will not really change the superficial lumpiness.

Some of the contour could be improved with fat grafting.  The very small differences in contour may never fully be corrected.  There are some noninvasive technologies that show promise, but none are a home run.