Q: Dr. Eppley, Have a saggy butt and slightly saggy inner thighs also. Would a buttock lift incision in the infragluteal fold(under buttock)while pulling up the inner thigh slightly be realistic. I donr think a radical upper buttock lift would be necessary as it is more radical and the inner thighs would have to be done separately. Also could my extra tissue cut off be used as an implant to improve the form of the buttocks.What concerns me is the scar in this operation. Is it eventually not too conspicuous as when wearing a bathing suit esp. when bending over. There is a surgeon close to where I live who would do it that way, as he feels a higher buttock lift would flatten my buttock as it is just slightly saggy with a banana roll. Please give me your opinion.
A: Thank you for your inquiry. I would need to see some pictures of your buttocks to best answer your questions. But I do know the following without seeing any pictures.
1) A direct approach to the lower buttocks and thighs is needed. No far away or upper buttock procedures will work.
2) Buttock lift and inner thigh scars I never consider great in many patients. One just has to choose which aesthetic liability they would like better. (scars vs tissue sag)
3) Any buttock or thigh tissue removed is not going to be enough volume to be successfully used as an implant.
Dr. Barry Eppley