The buttocks have long been an important aesthetic feature for both men and women. During this operation, the plastic surgeon will aim to elevate the position of the buttocks, in the event that they have undergone some sagging. Sagging in the buttocks may be caused by extensive weight loss or loosening of the skin, the latter of which may become more noticeable as the patient ages.


The procedure focuses mainly on removing the excess skin, as well as supporting the remaining tissue to maintain it at a more elevated position. There are various techniques, each aiming to keep the tissues in as good a condition as possible, to transfer the bulk to the correct position, and to place the surgical scars in locations that are easy to conceal.

The main disadvantage of this operation is that a number of incisions are required. These incisions result in the formation of scar tissue, which will gradually fade but never truly disappear. Therefore, a patient planning to undergo this procedure will first of all have to accept the presence of scarring. It would be best to consult with the doctor and ask to be shown photographs of other patients who have undergone a similar operation, in order to better judge whether or not the markings are acceptable.


Depending, therefore, on the location of the incisions, these techniques are split into a number of types. Most of these techniques require the plastic surgeon to make the incisions on the upper part of the buttock, beginning from the uppermost point of the cleft between the buttocks and guiding them horizontally, to the left and right. Plastic surgeons utilize other techniques as well, wherein they make the incisions in other parts of the buttocks, even in the lowest section.

Via this incision, the plastic surgeon removes the excess skin and redistributes the subcutaneous fat to a new, more elevated position. If the buttocks do not have enough volume, the surgeon may perform a buttock augmentation at the same time, using the techniques described in the relevant chapter.

Over time various other techniques have been recorded, such as the use of plastic hooks which are placed within the buttocks to retain them at a more elevated position. These techniques, while they initially result in some improvement, only have a short-term effect, and the buttock will soon return to its initial sagging state.

The operation is performed in a hospital environment, and the type of anaesthesia applied can be general or epidural. The procedure tends to last approximately 2 hours. Once it has been completed, usually the patient is required to remain in the hospital for approximately 24 hours, or even less. In most cases, an overnight stay is not necessary.


A return to daily activities can be made on the very next day, while a return to work is usually permitted 4-5 days later in the case of an office job, 10-15 days of rest may be necessary before returning to work that requires physical exertion.

Particular attention should be paid to the cleanliness of the operated area during the days following the procedure, as generally speaking the buttocks are an area where germs tend to aggregate; therefore, thorough cleanliness is important.

Many patients believe that by undergoing a buttock augmentation rather than a buttock lift they can correct any sagging in that area. While this is true when dealing with meager degrees of sagging, when applied to a middling or higher degree of sagging this is not only impracticable, but may actually worsen the problem. Particularly so if the buttocks are not deficient, but rather regularly sized; the patient in question may then end up with even larger, sagging buttocks. Therefore, augmentation should only be performed on buttocks that are genuinely lacking in size and do not present extensive sagging.

The buttock lift operation has been employed with increasing frequency over the last few years, thanks to developments in weight-loss surgery (bariatric surgery). The increasing number of patients who are shedding considerably weight has also increased the demand for buttock lift operations, as these patients usually suffer from extensive sagging in this area.


The results of the operation are satisfying, provided there is a genuine need to undergo the operation, rather than pursuing it to deal with inconsequential issues.