Excess skin at the level of the buttocks is very common, especially after the age of 50. I nevertheless also have consultations with young women who have experienced sagging buttocks at an early age and who are very keen (sometimes too keen, even) to remedy the situation.
Excess skin can come in many forms:
– dimples (see photo): all women call this aspect “cellulite” and use the subdermal tissue massage technique, which does not help anything as the problem is not fat-related but instead cutaneous.
The dimples are in fact caused by the attachments between the skin and muscle. The more the skin sags, the more these attachments are made visible and create deep dimples. When you lift the buttocks with your hands, or lie down, the attachment fibres are stretched and the dimples disappear.
– sagging, soft buttocks
– deformed buttocks (well illustrated in the photos in which the patient lifts her buttocks, giving them a nice shape once again).
There is only a single posterior phase. The average ablation width is 15 cm. The scar is quite low because that way it is easier to conceal.
When I teach other surgeons, I warn them about a technique that is used quite commonly but which in fact only gives poor results: it is a technique where the surgeon proposes a scar in the fold beneath the buttocks as a way of tightening them. It may seem like a good idea to propose a scar that is concealed beneath the buttocks. In fact, it is quite the opposite: the scar is very visible in a swimsuit. In addition, the tightening is ineffective as the buttocks are pulled down rather than up.
The post-operative period
The recovery period is relatively simple, apart from the problem of scarring, the quality of which depends on the person. But if the scar is a little wide, we can redo it under local anaesthetic. I always do this willingly and free of charge, simply for the pleasure of knowing that the result will be perfect.
Case of wrinkled buttocks.
The dimples have completely disappeared and the shape has been improved. The tightening on the outside of the thighs is also most spectacular.
Case with tightening of the buttocks and lateral thighs.
All the skin situated between the 2 black lines was removed.
Example of a scar after 1 year