I'm a 35-year-old woman, 6 feet tall, and I'm wondering what the best approach is to address the saggy appearance of my buttocks after losing weight. The bottom part is particularly saggy. I'm not interested in getting implants. It has always been flat, but now it sags as well.
Thank you for your question. There are different options to improve your buttocks, such as implants, buttocks lift (skin removal), or BBL (fat transfer). I would recommend starting with a buttocks lift to remove excess skin, followed by a fat transfer to enhance the volume. If you try to add volume now to the loose skin, the results may not look natural. The recommended procedure would depend on the degree of sagging, lack of volume, and your goals. You can also consider combining some of these surgeries.
Based on your description, a combination of a circumferential lower body lift and gluteal fat transfer may be the best option for you. The lower body lift can tighten the upper quadrants of your buttocks, while the fat transfer can add volume. However, this combination of procedures may not address the wrinkles at the level of the gluteal creases.
A rapid and significant weight loss can cause the skin to become flaccid. Approaches such as a lift and reconstruction of the gluteal sulcus can help address the sagging. Creating a surgical plan that aligns with your needs and expectations is important. Consulting with a plastic surgeon who is a member of reputable organizations is advised.
You have several options to consider. The first option is to not undergo surgery. The second option is a Brazilian Butt Lift (BBL), which involves removing fat from unwanted areas and using it to enhance the shape of the buttocks. The third option is to have buttock implants placed. Lastly, there is the option of a buttock lift, which involves removing excess skin but may result in noticeable scars. I wish you the best in making your decision.
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