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Buttock Lift – Plastic Surgery in the Extreme Weight Loss Patient

After losing a lot of weight, like the rest of the body, the buttock area is not preserved. While this is not usually at the top of the list of body changes needed, it may become a focus once other higher priority areas such as the abdomen, arms, and chest are addressed.

As part of the normal aging process, the buttocks sag over time, some people more than others. After extreme weight loss, there is an increase in this sagging. Buttock deflation creates loosely hanging skin folds that fold over the lower buttock crease or cause the buttocks to shift down as a whole. In women, the effect of this sagging is usually much greater than in men, as they usually have more buttock skin and fat.

A buttock lift can be done in several different ways, depending on the problem from above or below the problem of the buttocks and any other concurrent procedures. One of the most effective techniques is the upper or upper glute raise, which is the back half of the circular body raise. As part of a 360 degree body lift, skin and fat are cut away around the waistline above the buttock area. Although the skin on the lower back cannot be removed like the front of the abdomen, the buttocks can be significantly lifted. Think of this procedure as “pulling up your pants” so to speak. This glute lift can be done alone without the front half of the body lift, but it would be unusual for the glutes to sag significantly after losing weight without an ab reflex.

Although a body lift or high butt lift will lift the sagging skin, it will not “refill” the buttocks or solve the volume loss from weight loss. In fact, the descent of the butt will improve, but it will still be flat. Some plastic surgeons perform “auto augmentation” at the same time, using some of the skin and fat that is usually removed during the incision. Basically using your tissue as an implant. While this is a clever use of tissue flaps, it rarely adds significant volume and often doesn’t put it where the volume is really needed. (not bottom up) I’m not too keen on this approach, even though it’s your own tissue. If someone eventually wants a bigger butt, I usually do the butt implants later.

Another type of butt lift is the bottom or lower butt lift. This is the “old” method of removing the skin from the lower half of the buttocks, which extends beyond the creases of the buttocks. This usually doesn’t help with weight loss as it pulls the butt further in to cut the skin. This is in the wrong direction for most patients. This type of butt lift may be suitable for mild buttock sagging without significant volume loss.

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