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My buttocks are disproportionately fatty. I want to have liposuction to be more...

Q:

My buttocks are disproportionately fatty. I want to have liposuction to be more proportional but I've heard that liposuction of the buttocks is often not successful. Can you explain why and what type of liposuction or other procedure would be most successful?

A:

Traditionally, lipoplasty (liposuction) of the buttocks was "off limits" because of the rounded contour of the buttocks and the danger that removing fat from this area might produce contour irregularities. However, some surgeons who perform a great deal of lipoplasty have found that “liposculpture” of the buttocks can be effective, and the contour of the buttocks can remain smooth, if fat is removed at a deeper level. To achieve a better contour of the sometimes drooping lower buttock, the surgeon may perform more aggressive fat removal at the lower gluteal fold (the fold beneath the buttocks). If there is both fat and a significant amount of loose skin in the buttock area, lipoplasty may be combined with a buttock lift. However, a buttock lift will require more extensive incisions than lipoplasty alone, and the resulting scars may be visible when wearing some types of swimwear.

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