American Society of Bariatric Plastic Surgeons (ASBPS)

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Buttock Lift or Posterior Lower Body Lift or Buttock Reduction

The purpose of the posterior lower body lift is to raise and reduce the size of the buttock. During the posterior lower body lift, excess skin and fat of the upper buttock are removed. The buttocks are also raised, and the buttock wrinkles are pulled tightly and are reduced or eliminated. There are different types of buttock lifts. Some buttock lifts only remove the upper buttock skin; this type of buttock lift eliminates buttock wrinkles while maintaining the original buttock size.  Some buttock lifts involve removing upper buttock skin and fat; this type of buttock lift eliminates buttock skin wrinkles and reduces the buttock's size.  Some buttock lifts involve removing the upper layer of buttock skin and rotating the remaining fat and dermal layer to maintain and augment the buttock profile. This is called a dermal flap or a propeller flap. During this type of buttock lift, buttock skin wrinkles are eliminated, and the buttock's size is increased.  The buttock lift or posterior body lift is rarely covered by insurance; however, some exceptions have been made by the insurance company depending on the severity of the condition and the quality of your medical insurance. The posterior buttock lift takes approximately four hours to complete and is performed under general anesthesia on an outpatient basis. After the posterior body lift, you will be expected to wear a garment for approximately six weeks or until the swelling has resolved. The recovery is about three to four weeks. Since the incision is across the top of the buttock and it is difficult to sit, you will be able to return to a standing job sooner than a sitting job. If your sitting job can accommodate you into a standing position, you may be able to return sooner. You should be able to return to a standing job in approximately three to four weeks. You should be able to return to a sitting job at around four to six weeks. You should be able to return to light gym activity at approximately six to eight weeks and heavy gym activity at approximately eight to twelve weeks. The swelling after a posterior buttock lift takes about six to eight weeks to resolve. Most patients will have some pain that is usually easily controlled with narcotics. Depending on the patient, the pain usually lasts for five to seven days. Since the incision is placed across the top of the buttock, the buttock incision is usually concealed with an article of reasonable clothing. Drains are involved and are placed either underneath each buttock or at each end of the incision. The drains stay in place for approximately two weeks. However, removing the drain is more dependent on the amount of drainage fluid than the number of days after surgery. About three-four weeks after your posterior lower buttock lift, you should start to be able to start exercising.  Sexual relations can be initiated approximately three to four weeks after the procedure. Unless you have severe swelling or edema, you will not need massages.  You will be expected to wear your compression garment for six weeks or until the swelling is gone. Once the incision is healed and there is no sign of any drainage, you will be instructed how to apply a silicone-based cream to minimize scarring.  

     

Before: Brazilian Butt Lift                     After: Brazilian Butt Lift

(Courtesy J. Timothy Katzen, MD)

     

Before: Brazilian Butt Lift                     After: Brazilian Butt Lift

(Courtesy J. Timothy Katzen, MD)

     

Before: Brazilian Butt Lift                     After: Brazilian Butt Lift

(Courtesy J. Timothy Katzen, MD)

     

Before: Brazilian Butt Lift                     After: Brazilian Butt Lift

(Courtesy J. Timothy Katzen, MD)

     

Before: Brazilian Butt Lift                     After: Brazilian Butt Lift

(Courtesy J. Timothy Katzen, MD)

     

Before: Brazilian Butt Lift                     After: Brazilian Butt Lift

(Courtesy J. Timothy Katzen, MD)