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Buttock Lift – Plastic Surgery in the Extreme Weight Loss Patient

Like the rest of the body after a lot of weight loss, the buttock area is not spared. Although it is not at the top of the list of desired body changes, it can become the focus of other higher priority areas such as the abdomen, arms and breasts.

As part of the normal aging process, the buttocks weaken over time, more so in some people than others. After extreme weight loss, this tension is greatly exaggerated. Stretching of the buttock results in folds of foreskin that fold over the bottom of the buttock or cause the buttock to drop down altogether. In women, this ripple effect is often greater than in men because they generally have more skin and fat to begin with.

A buttock lift can be done in many different ways, approaching the problem either from above or below depending on the problem of the buttock and other procedures being performed together. One of the most effective methods is the push-up or push-up which is half of the back in a standing position around the body. Skin and fat are cut around the waist above the buttock area as part of a 360-degree bodybuilding excision. Although not as much skin can be removed in the lower back as in the front of the abdomen, the buttocks can be removed a lot. Think of this style as ‘pulling your pants up’. This butt lift can also be done on its own, without lifting the front half of the body, but it is not uncommon to have a significant increase in weight loss without abdominal provocation.

Although a body lift or buttock lift will lift sagging skin, it will not cause the buttock to ‘re-plump’ or address weight loss. In general, the slope of the butt will be improved but it will still be flat. Some plastic surgeons perform ‘auto augmentation’ with the use of skin and fat that is usually discarded with the amputation. Basically, it uses your own body as an implant. Even if it is the use of a fat belt, it rarely helps much and usually does not put it where it is needed. (low not high) I’m not too keen on this approach even though it’s your own body. If someone eventually wants a bigger butt, I will usually do a posterior butt implant.

Another type of buttock lift is from below or a low buttock lift. This is an ‘old fashioned’ procedure that removes the skin from the lower part of the buttocks that hangs over the buttock formation. This usually does not help in cases of excessive weight loss as it pulls the buttocks down further by cutting the skin. This is a pull in the wrong direction for most patients. In cases of mild buttock prolapse without significant reduction in size, this type of buttock lift is acceptable.

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