Will Buttock Lifts Fix My Saggy Lower Buttocks?

Q: Dr. Eppley, I got a saggy butt because of weight loss. I’m a thin male in the upper body and have a saggy skin in my lower body especially my butt. This made me feel so uncomfortable I would like to do a surgery to remove this excess skin and make it look normal. You will find attached photos (naked) in this email. Thank you for the understanding. Best regards.

A:Thank you for your inquiry and sending your pictures. Typically excisional buttock lifts are done for overhangs of the infragluteal fold where the scar ends up along a natural crease or demarcation line. That is not the classic situation that your buttock excess presents. By looking at your own ‘pinch test’ that would place a scar line above the infragluteal fold in which I would question the scar tradeoff in such a more visible location. I can not see how I would get out the tissue excess if the excision was done in the more favorable infragluteal fold location.

Dr. Barry Eppley

Indianapolis, Indiana