Brazilian Butt Lift” – BBL - has become infamous on social media, but what about “Buttock Lift” after Significant Weight Loss? Is it the same thing?

The short answer is “no.” 

Buttock lift after significant weight loss – however the weight loss is achieved -  is a true lift of lax, deflated, excess skin in the lower back that occurs with significant weight loss. The buttock in these cases loses a lot of soft tissue and can be hidden under the elongated back skin. To address this area, I remove the excess skin in the lower back, but maintain the deeper tissue to help augment the volume deficient buttocks. The buttocks after surgery are lifted with more volume and roundness. When performed in conjunction with tummy tuck, either in a single stage or 2-staged, there is added improvement in the hip/waist area, “saddlebags” and even in the inner thighs - lots of adjacent lift in addition to the buttocks.

BBL is not an actual lift but rather a trick of the eye. BBL includes liposuction of the back area above the buttocks, and the fat removed is transferred to the buttock and sometimes outer thigh region. The “subtraction-addition” leads to a more round appearing buttock that largely depends on sculpted reduction of the hip and waist. BBL is not typically performed in the setting of significant weight loss as the primary issue is excess skin, not fat, but if there is usable fat present, it can certainly be recycled to augment a buttock lift performed to address changes associated with weight loss.

Buttock Lift can be a huge refresher to the body, allowing the buttocks to look better in fitted clothing, at the gym, and in bathing suits. The procedure is tailored to each individual presentation and goal. If this is of interest to you, call Dr. Michele Shermak, board certified plastic surgeon in Baltimore, who specializes in this procedure: 410-616-3000. She looks forward to seeing you!


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