Can a butt lift correct saggy skin?

I lost almost 100lbs about 4 years ago and have 5 grown children. I'm 44, female. 2 years ago, I had a mommy makeover (breast augmentation/tummy tuck/lipo) and love my new look but now I want to work on my butt and inner thighs. Ive looked into a butt lift but according to what I'm reading, that is just fat transfers. I have a lot of extra skin at the bottom of my buttocks, will that even help my situation or is there a surgery that actually gets rid the extra saggy skin?

Doctor Answers 5

Can a butt lift correct saggy skin?

Hello, nice to answer your question.
 it is possible to perform the procedure Butt lifting, to evaluate your case you need to see your photos.
good luck!

Dominican Republic Plastic Surgeon
5.0 out of 5 stars 10 reviews

Sagging buttock skin after weight loss

If you held a lot of weight in your buttock area and this area is now deflated, it's very difficult to get rid of "sagging" without direct excision of the skin (and therefore a scar). Fat injections can help decrease the appearance of deflation, but you will have to be OK with having a larger rear end, and it may not fill out all of the extra skin completely. 

Tracy Kayan, MD
Minneapolis Plastic Surgeon
5.0 out of 5 stars 9 reviews

Massive weight loss

Thanks for your question. Patients with massive weight loss will have extra skin on any part of their body. It is not uncommon to see extra skin and sagging in the area of the buttocks. For this reason there are surgical techniques that are designed to remove and lift the buttocks at the same time, some of them using the same tissue to give vomune.

Derby Sang Caputo, MD
Dominican Republic Plastic Surgeon
5.0 out of 5 stars 58 reviews

Buttock lift

Indeed, "buttock lift" traditionally refers to actuallly surgically lifting the upper buttock or tuck the lower buttock fold just like a facelift or tummy tuck respectively. A patient such as yourself that has lost around 100 lbs often also needs volume restored to the buttock otherwise it will turn out lifted/tucked but very flat. The only reliable, predictable, long term option for augmenting the buttock is with implants. Please read on for more surgical details:

Regarding buttock/hip augmentation surgery, let me start off by saying that I currently see at least 2 - 3 patients, domestic and international, per week that failed "brazilian buttock lift" (i.e. the fat melted away after 10 - 12+ months) and are now seeking a more reliable and permanent option (i.e. buttock and/or hip implants). Allow me to share with you some information that you may not hear elsewhere. There are only two proven safe and relatively effective methods for Buttock Augmentation and Hip Augmentation: 1) Autologous Fat Transfer (using your own fat, transferring from one area of the body to the other) and 2) Buttock/Hip Implants (semi-solid silicone rubber implants that cannot rupture &/or leak). Both are options but what it comes down to, like any surgery, is proper patient selection and long-term results.
Indeed because at least 80+ % of the fat transferred will melt away within a year, most patients are not good candidates because they lack an adequate amount of fat to harvest. Another tip is that if you purposely gain weight (i.e. fat) for the procedure, the fat you lose first as you get back to your baseline weight is that very same fat that was transferred into your don't fall victim to this recommendation. Even those patients that had adequate amounts of fat pre-operatively, still end up seeking buttock implants after a year or so because most of the fat transferred melted away leaving them with minimal result.
Although overall using your own fat is relatively safe, it not infrequently melts away unevenly leaving one butt cheek bigger than the other or with dimpling or hard fat cysts. The one serious complication that can rarely (< 1%) happen is "fat embolism" in which some of the fat gets into the blood stream and travels up into the lungs, heart, and/or brain causing serious problems. This complication is more likely to happen with the larger amount of fat being transferred. This is even more likely to happen when using fillers like liquid silicone, PMMA, Sculptra, and hyaluronic acids. Also fillers, when injected in large quantities, have a relatively high infection rate, guaranteed tendency to migrate away from the original area they were injected, and almost always stimulate a lot of inflammation with a subsequent and disastrous amount of scar tissue/hardening.
Thus buttock/hip implants become a very good, safe, and long term reliable option for most patients seeking buttock/hip augmentation (at least in my practice). I prefer to insert the buttock implants through a 1 1/2 inch long incision along the inner curve of each upper buttock cheek at the level of the tailbone, similar to two opposing parentheses ")(" (concealed within the crevice between the buttock cheeks) and the hip implants through a ~ 1 inch incision just below the beltline above the hip region. The buttock implant should always be placed under or within the gluteus maximus muscle. In this position, the implant is less palpable, less visible, and does not sag or shift/migrate over time unlike implants placed on top of the muscle. On the other hand, hip implants are placed under just the fascia because no significant muscle exists in this region. However, because they are much smaller and lighter, their likelihood of migration is relatively low. Because all of this, it is extremely important to seek consultation with a board certified plastic surgeon who specializes in this procedure so that the implant placement is precise for both locations. And in this case too, at least in my surgical practice, the infection rate is minimized to

Ryan Stanton, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 101 reviews

Butt lift

Hello and thank you for your question. Congratulations on your weight loss. There certainly is. Since you have already had a tummy tuck, then half of a lower body lift,  the back portion can certainly help your situation. Either a long thigh or extended spiral thigh lift could be done at the same time. You need to see an expert ps who specializes in post massive weight loss body contouring. 
Peter Fisher M.D 

Peter Fisher, MD
San Antonio Plastic Surgeon
4.9 out of 5 stars 46 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.