Lower buttock lift

Procedure steps

• Dr. Petit will begin with questioning your medical and surgical histories, your weight and your size, as well as your tobacco consumption.
• He will listen to you in order to understand your discomfort and your specific requests.
• He will carry out a clinical examination in order to suggest the most appropriate strategy of treatment corresponding to your anatomy and to your request.
• Dr. Petit will provide information on the scar positioning, treatment process and procedure limits, post-operative recoveries as well as main risks, so as to make an informed decision.

Procedure limits

• The lower buttock lift does not act on the cutaneous sagging of the buttocks (droopy buttocks), which will involve a buttock lift.

Good candidates for a lower buttock lift are those

• Having « banana rolls on the lower buttocks » characterized by unsightliness of the “double furrow” (presence of a second furrow beneath the natural fold of each buttock).
• Accepting the scarring price.
• And having understood the procedure limits.

Pre-operative instructions

General pre-operative instructions relating to aesthetic surgery

• Smoking cessation 1 month before and after the procedure.
• Discontinuation of medicines which increase bleeding 10 days before and after the procedure: aspirin, anti-inflammatory and anticoagulant medicines, vitamin E.`

Specific pre-operative instructions relating to the silhouette surgery

• To be at your stable and ideal weight for 6 months at least.
• Discontinuation of oral contraception 1 month before the procedure in order to decrease the risk of thrombo-embolism (phlebitis and pulmonary embolism).
• Purchase of a compression garment.

Procedure stages

Pre-operative markings are carried out by Dr. Petit before the procedure.

This one can be achieved under general anesthesia requiring hospitalization of one night at the clinic. The out-patient basis (hospital discharge that very evening) is also possible according to the cases.

The procedure consists in removing the excess cutaneous fat present underneath the buttock crease, and to tighten sagging skin on the back of the thighs.

Two scars are necessary, concealed within the lower gluteal folds.

The skin closure is performed with sub-cutaneous resorbable sutures.

A dressing modeling the buttocks and the thighs is performed at the end of the procedure.

Je réalise les dessins pré opératoires avant le début de l’intervention. Celle-ci est effectuée sous anesthésie générale. L’intervention consiste à retirer l’excédent cutanéo-graisseux situé en dessous des sillons sous fessiers, puis à retendre la peau de la face postérieure des cuisses.

La fermeture cutanée est faite avec des fils résorbables sous cutanés. Un pansement modelant les cuisses et les fesses est réalisé en fin d’intervention. L’hospitalisation est ambulatoire (avec sortie le soir même) ou nécessite une nuit d’observation à la clinique selon les cas.

What to expect after surgery

The lower buttock lift is a little or moderate painful procedure. Pains are well soothed by analgesics.

Ecchymosis (bruises) are classical and subside within 2 to 3 weeks after the operation. An oedema (swelling) is constant and of variable duration, gradually subsiding within a few months.

Daily nursing care after your shower with a soft soap are necessary over 15 days.

Three preventive measures against phlebitis are established after the procedure: the affected leg elevated as well as the walk, the wearing of compression stockings and the daily injection of an anticoagulant (medicines which thin the blood) over 15 days.

The sitting position is not recommended over 10 days to limit the cutaneous tension on the scar. The standing and lying positions should be preferred initially.

The wearing of a compression garment is recommended during 1 month in order to reduce the post-operative œdema.

The resumption of daily activities is possible the day following the procedure.

The resumption of professional activities is possible 10 days following the procedure.

The resumption of sports activities can be done within 6 weeks following the operation.

Procedure risks

The complications of a lower buttock lift are weak and will be mentioned by Dr. Petit during the consultation.

Main risks are the following

In the first hours following the surgery:

• A haematoma (blood pooling), a rare complication requiring a
• revisionary process in order to drain it.

In the post-operative month:

• Healing problems, resulting in one or several localized disunities (opening of the scar) requiring a directed healing.
• A seroma (collection of fluid), requiring a drainage in consultation.
• Transitory troubles of skin sensitivity.
• An infection, a cutaneous necrosis: rare complications.
• A phlebitis, a pulmonary embolism: exceptional complications with the preventive measures established previously.

In the long term:

• A migration of the scar outside the lower buttock furrow.
• A pathological scarring (hypertrophic scars or keloids).

Long-term result

The final result of a lower buttock lift is obtained between 3 to 6 months after the procedure, when the post-operative oedema has disappeared.

The scars initially are inflammatory (red and swollen) the first months, then they will fade gradually without disappearing. The final aspect of your scar is not predictable and will be known at the end of the scarring maturation (between 1 and 2 years after the procedure). The result is long-lasting.