How Can I Reduce My Large Buttocks From Prior BBL Surgery?

Q: Dr. Eppley, I am currently suffering from sagging buttock glutes as a result from brazilian but lift surgeries, which I would like to get removed.

A: Thank you for sending your pictures to which I can make the following comments:

1) I would not consider fat injections to the buttocks (aka BBL surgery) reversible…or at least I would be very cautious about doing it. While liposuction can be used to remove fat from the buttocks that will undoubtably leave the buttocks with some contour irregularities and increased sagging. Like letting the air out of a balloon the decompressed tissues will collapse to some degree.

2) The only effective way to treat sagging buttocks is at the infragluteal fold level through excision. It doesn’t really lift the buttocks per se but does remove any overhang as the level of the fold…which is sort of a ‘lift’. 

3) in looking at your pictures I believe what you may be trying to achieve is some reduction in buttock size (which is why the liposuction) with a lower buttock lift. (see diagrams)

That being said, some liposuction of the buttocks (don’t try and remove a lot of fat due to the risk of irregularities) with infragluteal excisional tucks/lifts.

Dr. Barry Eppley

World-Renowned Plastic Surgeon