Excess skin and fat from aging, heredity factors, or after dramatic weight loss in the gluteal area can be drastically improved with a buttock lift. Not to be confused with a “Brazilian butt lift,” which adds volume using fat transfer, this procedure involves only removing skin and fat through surgical excision and liposuction. Every year, thousands of people undergo successful buttock-lift surgery and are pleased with the results.

Are you a good candidate for a buttock lift?

You have undergone bariatric surgery or significant weight loss through dieting.
Pregnancy and/or aging have left you with loose skin and cellulite below the waistline.
You have significant skin laxity, excess skin, and ptosis (sagginess) of the buttocks.
The layers of fat below your loose skin are relatively thin.
You do not smoke. Smoking slows down the healing process and increases the risk of serious complications during and after surgery. If you smoke, you must quit at least six weeks before surgery.
Your weight has been stable for at least a year, with no further weight loss expected. For optimal results, body contouring should not be done for about two years following the start of any massive-weight-loss program.
You are in overall good health without chronic medical conditions, such as diabetes or heart disease. People in poor health are not good candidates for body contouring procedures.
You must obtain clearance for plastic surgery from your primary care physician or from doctors treating you for medical conditions.
You have a healthy diet. Problems such as protein deficiencies can interfere with healing.

If you are in good general health and have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure.

How is a buttock lift procedure performed?
There are many techniques and approaches, but generally:

Your surgeon will make an incision at the top of the buttocks, in the hips, groin, or under the buttock cheeks to remove excess skin and pull the remaining skin taut.
Liposuction may be used to further contour the buttock area or thighs to achieve a balanced look.
Any incisions are sutured and closed in layers to ensure that the skin remains tight.
Drains and dressings are placed and usually a compression garment or girdle is worn to reduce swelling and tighten the skin.

What are my options?
Depending on the quality of your skin, how much excess there is to remove, and your body shape, your surgeon will determine what options are open to you. If there is a large amount of skin to remove, you may consider having a lower body lift, which would help remove skin around the stomach, buttock, thighs, and hips. If removing the skin will result in a loss of volume to the buttock, a buttock augmentation might be appropriate following a buttock lift.

What will my buttock lift incisions and scars be like?
Incisions for a buttock lift could include a large incision on the top of the buttocks in the back or hidden underneath the buttock by the crease. If liposuction is involved, there will be smaller scars that will fade and be mostly unnoticeable.