Will I Need An Implant If I Get A Lower Buttock Lift?

Q: Dr. Eppley, I am interested in some form of a buttock lift. I I would like to have the extra skin/wrinkles removed from my butt. I have hoped to find a procedure that did not include implants. Do you feel I am I a candidate for this surgery procedure?

A: What you are demonstrating is a severe buttock sag with a lot of folds/rolls of skin around the bottom of the buttocks. This often occurs in very thin women as they age and may also happen after a significant amount of weight loss. While it it true that buttock augmentation would help pick up some of this loose skin, it would take a massively large augmentation to do so. The better approach is to do a lower buttock lift or tuck which removes all the skin folds on the bottom half of the buttock. This places the scar along what should be the infragluteal fold or lower buttock crease. This will not increase the volume of the buttocks, which will still be very flat but it will get rid of a lot of that saggy skin which makes one’s buttocks look a lot older than they really are.