Subgluteal Liposuction: Why Results Differ Depending on Skin Elasticity and Sagging

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Hello,

I am Director Son Hyun-ju of Cheongdam OK Clinic,

specializing in subgluteal liposuction.

▶ Regular member of the Korean Society for Aesthetic Plastic Surgery (KACS)
▶ Regular member of the Korean Society for the Study of Obesity (KSSO)
▶ Regular member of the Korean Association for the Study of Obesity and Aesthetic Medicine (KAAM)
▶ Regular member of the Korean Society for Liposuction Surgery (KSSL)
▶ Regular member of the Korean Society of Aesthetic Surgery (KSAS)

Many people are concerned about the area under the buttocks, commonly called "under-butt fat."

It is often something people consider treating because pants no longer fit well, or because the buttocks appear to sag.

Subgluteal liposuction

During consultations, I often hear the question, “If only the fat is removed, will the line lift?”

However, this area is not simply a matter of fat. Skin elasticity and the degree of sagging have a major impact on the outcome.

Table of Contents
1. Structural reasons why under-butt fat forms 2. What liposuction can improve, and its limitations 3. The key variables that change the result: elasticity and sagging 4. Criteria for an approach that leads to higher satisfaction

1. Structural reasons why under-butt fat forms The line under the buttocks is not created simply because fat accumulates,

In many cases, it is formed by the structure of the buttock volume dropping downward and folding like a crease.

As fat in the back of the thighs also overlaps with this area, the boundary becomes more pronounced.

Subgluteal liposuction

In other words, this area is influenced not only by the amount of fat, but also by the position of the buttocks, skin support, and the balance of surrounding tissue.

That is why simply removing fat does not always solve the problem.

2. What liposuction can improve, and its limitations Subgluteal liposuction mainly aims to define the boundary between the thighs and buttocks and create a cleaner line.

Subgluteal liposuction

By removing unnecessarily thick layers of fat, the boundary becomes more defined, and there may be an effect that makes the legs appear longer.

However, because liposuction is a procedure that reduces volume,

if the skin is already significantly stretched, removing fat may actually make sagging stand out more.

When the line under the buttocks is sagging

In other words, it is effective when fat is the problem, but there are clear limitations when sagging is the main cause.

3. The key variables that change the result: elasticity and sagging Even if the same amount of fat is removed, when skin elasticity is good, the skin contracts naturally and a smooth line forms.

Left) Before, Right) 1 month later

On the other hand, when elasticity is reduced, contraction may not occur sufficiently, leaving a bumpy or sagging appearance.

In particular, after childbirth or when there have been major weight fluctuations, skin laxity is often present,

and in such cases, it can be difficult to achieve the expected result with liposuction alone.

4. Criteria for an approach that leads to higher satisfaction When improving the line under the buttocks, three factors are considered together.

| First, the thickness of the fat. Second, the degree of skin elasticity and sagging. Third, the position of buttock volume. |

If there is a lot of fat and elasticity is maintained, liposuction alone can be enough to improve the line.

Subgluteal liposuction

On the other hand, when elasticity is insufficient, a lifting-based approach or a method that also supplements buttock volume should be considered in order to achieve a natural result.

Ultimately, what matters is not the procedure itself, but the process of accurately interpreting the current condition and setting the right direction accordingly.

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Subgluteal liposuction