Lower Buttock Lift

Q: Dr. Eppley, I am interested in a lower buttock lift. I do not want a bigger buttocks or anything put in it, I just want the bottom of it to not sag. I don’t care if the buttocks is a little flatter I just don’t want it to hang down anymore. Since I have lost a lot of weight not only has my buttocks dropped but my outer thighs have dropped as well. My thighs are not heavy but they have some loose skin. When I pull them up they look just fine so I am wondering if some type of thigh lift could be done as well.

A: In regards to your buttocks and outer thighs, a partial solution exists. A lower buttock lift can tuck and tighten the lower buttocks through an elliptical excision along the infragluteal crease. It does flatten the lower buttocks a bit but this is not an issue for you as you have stated. The outer thighs is a more problematic area because any effective skin tightening/lift will create a visible scar that would only be an acceptable trade-off in the extreme weight loss patient who suffers a lot of thigh skin sagging. Whether such a scar would be acceptable to you remains to be determined.

Dr. Barry Eppley

Indianapolis, Indiana