Butt Lift

Consultations offered at our three convenient locations in Austin, TX, San Antonio, TX and Westlake Hills, TX

Butt Lift

A butt lift is a procedure that removes excess skin and lifts the buttocks for a smoother, curvier figure. If you are considering body contouring procedures after pregnancy, massive weight loss, or changes to your body from aging a butt lift can restore your figure. The popular procedure will eliminate sagging skin for a firmer behind.

Since the explosion of the “Ozempic Butt” and the use of the GLP -1 medications such as semaglutide and tirzepatide the need for innovative contouring procedures has increased exponentially, as we are seeing more and more young patients with excess skin of the buttock and limited amount of fat who wish to restore the volume they have lost in their buttock. A novel procedure that combines the butt lift and an auto-augmentation of the buttock has become one of the most popular treatments at Austin Plastic Surgeon to treat Ozempic Butt, it has been termed the pilates peach procedure. It involves a unique method that allows the surgeons at Austin Plastic Surgeon to utilize the fat and skin that would typically be removed in a butt lift and instead it is used to shape and augment the buttock. Contouring your body will improve your self-esteem and help you feel more at home in your figure.

The Austin Plastic Surgeon team can transform your figure with our body contouring procedures to help you achieve a smoother, curvier look. There is no need to delay achieving your dream contour. Our board-certified plastic surgeons have helped thousands of patients reclaim their figures and fall in love with their bodies again. You do not have to live with excess skin and a droopy buttock silhouette. Contact your nearest office at the number below to learn how our treatments can help you achieve your dream body.

Austin: (512) 309-5879

San Antonio: (726) 215-7058

West Lake Hills: (512) 256-2195

Before and After Photos

About Butt Lifts

As you age, the collagen in your skin decreases, and the skin sagging that results in the lower abdomen and buttocks can be frustratingly difficult to deal with. Excess skin can chafe uncomfortably, and fatty deposits that are resistant to diet and exercise can change the way your clothes fit. The good news is you do not have to live with these changes, as a buttock lift can address the excess skin and sagging of the buttock. Butt augmentation procedures have increased by 90% and are one of the top ten most popular procedures performed by plastic surgeons according to a recent survey. (1)

Ozempic Butt

If you recently took a weight loss medication like semaglutide or tirzepatide, you may be experiencing excess skin that sags in intimate areas. This can be particularly apparent in the buttocks. Known colloquially as “Ozempic Butt” this is an increasingly common concern for those who have reached the end of their weight-loss journey. A butt lift can mitigate these effects by removing excess skin and restoring a perky behind in a way only achievable with surgery. This unique treatment which is often referred to as the pilates peach procedure lifts, shapes, and restores volume to your buttocks. This trifecta creates a dramatic, yet natural-appearing buttock that matches your new fitness lifestyle!

We can discuss your post-Ozempic body goals during your consultation to help you achieve your desired look. Our Ozempic Butt treatment contours the body after massive weight loss by removing excess skin, lifting your buttocks, and restoring the volume you lost in your buttock with your own natural tissue. This unique procedure avoids the use of buttock implants. We can perform a combination of procedures to help you achieve your desired look because weight loss can result in more severe changes to the volume and laxity of your skin.

If you recently experienced massive weight loss and are considering a breast lift, arm lift, thigh lift, or facelift, we can help you determine the best procedures. For more information about Ozempic Butt treatment, please see our website.

Benefits of a Butt Lift

After a butt lift, you can enjoy a curvier contour with a more youthful appearance. The other benefits of a butt lift include.

  • Enhanced Shape and Proportions
  • Lifted and Firmer Buttocks
  • Improved Body Symmetry
  • Better Clothing Fit
  • Improved Self-Confidence
  • Customizable Results
  • Long-Lasting Effects
  • Minimally Visible Scarring

Butt Lift Candidates

The best candidates for a butt lift are healthy nonsmokers who do not have a condition that would affect their ability to heal during their recovery. We will need to discuss your expectations to determine whether or not this procedure will help you achieve your desired look. If you would like to augment your buttocks to achieve more volume, we can discuss implants or a fat transfer (Brazilian butt lift).

Butt Lift Consultation

At Austin Plastic Surgeon we prioritize giving each patient personalized attention and care. During your initial consultation, you will have the opportunity to meet with your surgeon directly to discuss your aesthetic concerns, ask any questions you may have, and learn more about the buttock lift procedure. During your consultation, we will discuss your current medications, expectations, surgical goals, and previous surgeries, if applicable. Since our office offers several procedures for sculpting and enhancing the appearance of your buttocks, we will determine the right procedure for your needs.

Preparing for a Butt Lift

To prepare for a buttock lift, you will need to stop smoking approximately 6 weeks before and after your procedure. If you take blood thinners, you will need to stop them 1-2 weeks before the surgery. You will need a trusted adult to drive you home, and we recommend that you meal plan ahead of time. Having your meals prepped will help you experience a comfortable recovery without multiple trips to the store.

Butt Lift Procedure

The flap method in buttock augmentation involves the surgical technique of using a flap of tissue from the lower back or buttock region, which has had its outermost layer of skin removed (de-epithelialized). (2)

Parasacral Propeller Flap for Buttock Augmentation: An Innovative Approach

The parasacral propeller flap technique is an advanced method used in buttock augmentation, particularly for patients seeking natural enhancement and regeneration of the gluteal region. This technique involves rotating a flap of tissue from the lower back or sacral area to the buttocks, providing volume and contour while utilizing the patient’s own tissue. Here’s an in-depth look at the parasacral propeller flap procedure, its benefits, and considerations.

What is the Parasacral Propeller Flap?

The parasacral propeller flap is a surgical technique where a segment of tissue, including skin and fat, is harvested from the parasacral area (near the sacrum or lower back) and rotated to augment the buttocks. This flap is designed in a way that maintains its blood supply, ensuring the viability of the transferred tissue.

Indications for Parasacral Propeller Flap Buttock Augmentation

This technique is particularly suitable for:

  • Volume Enhancement: Individuals seeking a natural increase in buttock volume without implants.
  • Contour Improvement: Patients looking to improve the shape and contour of their buttocks using their own tissue.
  • Post-Bariatric Surgery: Patients who have lost significant weight and have sagging or deflated buttocks.
  • Patients who suffer from Ozempic Butt

The Parasacral Propeller Flap Procedure

Consultation and Planning

  • Assessment: During the consultation, the surgeon evaluates the patient’s anatomy, skin quality, and aesthetic goals. Detailed planning includes marking the flap design and determining the rotation arc.


  • The procedure is performed under general anesthesia to ensure patient comfort.

Harvesting the Flap

  • Incision and Dissection: The surgeon makes an incision around the planned flap area on the lower back or sacral region. Careful dissection is performed to include skin, fat, and the necessary blood vessels.
  • Preservation of Blood Supply: It’s crucial to maintain the flap’s blood supply, typically based on perforator vessels from the sacral or gluteal arteries.

Flap Rotation and Transfer

  • Design and Rotation: The flap is designed as a “propeller,” allowing it to be rotated around its vascular axis. This design ensures that the flap can cover a large area with minimal tension.
  • Transfer: The flap is rotated and positioned into the buttock area, filling the desired volume and contour.

Benefits of the Parasacral Propeller Flap Technique

  • Natural Augmentation: Uses the patient’s own tissue, resulting in a natural look and feel.
  • Dual Benefits: Provides buttock enhancement while simultaneously contouring the lower back or sacral area.
  • Long-Lasting Results: The transferred tissue integrates with the surrounding area, offering durable and long-lasting outcomes.

The parasacral propeller flap technique offers a sophisticated and natural option for buttock augmentation and reconstruction. By utilizing the patient’s own tissue, this method provides a harmonious enhancement with long-lasting results. If you’re considering buttock augmentation or reconstruction, consult with a board-certified plastic surgeon to explore the benefits of the parasacral propeller flap technique and achieve your desired outcomes. Contact our clinic today to schedule a consultation and take the first step toward beautifully enhanced and naturally augmented buttocks.

Butt Lift Recovery

To optimize your healing process and ensure the best possible outcome, it is important to follow all post-operative instructions carefully. These instructions may include:

  • Avoiding sitting or lying directly on your buttocks for an extended period.
  • Wearing a compression garment to support the newly contoured buttocks and minimize swelling.
  • Maintaining a nutritious diet and staying well-hydrated to promote proper healing.
  • Refraining from strenuous activities and exercise for several weeks.
  • Attending scheduled follow-up appointments to monitor your progress.

Results of a Butt Lift

Butt Lift

After a butt lift, you can enjoy a lifted, firmer buttock contour without excess skin or fat. However, the final outcome will become more evident as swelling subsides and your body adjusts to its new shape. Once you are fully healed, you will be able to see your completed transformation. While the results of a buttock lift are long-lasting, it is important to continue leading a healthy lifestyle, including regular exercise and a balanced diet, to maintain the improvement achieved through surgery.

Corresponding Procedures

We offer several corresponding procedures to help you meet your body goals. Butt augmentation is a procedure that adds volume to your buttocks with implants or a fat transfer. If you lose volume from an injury, pregnancy, or aging, we can restore your natural volume and enhance your contour with a butt augmentation procedure. A Brazilian Butt Lift is a type of butt augmentation procedure that adds volume to the buttocks for a smoother, more voluptuous appearance.

Our team has helped thousands of patients achieve results. We offer a skinny BBL for patients who have a naturally slim frame. Sculptra, Radiesse, Renuvion, RF Microneedling, and Emsculpt are also popular procedures for adding volume, removing excess fat, and eliminating sagging skin in the buttock region. If you previously underwent surgery that did not help you achieve the results you wanted, we can also perform a butt lift reversal and sculpt your body for your desired look.

To learn more about how our body contouring procedures can lift your buttocks for your desired contour and help you achieve a curvier figure, see our blog.

How Much Does a Butt Lift Cost in Austin?

The cost of your procedure will depend on the specifics of your treatment plan at Austin Plastic Surgeon. If you need corresponding procedures, we will provide an all-inclusive quote and discuss financing to help you meet your goals. Contact our office or call (512) 256-2195 to learn about how we can help you meet your body goals.


What is the difference between a butt lift and a Brazilian butt lift?

A butt lift removes excess skin and lifts the buttocks for a more youthful appearance. If you already have the proportions you desire, a butt lift will restore your figure by removing sagging skin in the treatment area. A Brazilian butt lift adds volume to the butt with a fat transfer for patients who have lost volume from aging, weight loss, or pregnancy.

Can I have implants and a fat transfer during my butt lift?

Although patients usually receive one or the other, we can discuss your body goals during your consultation to help you achieve your desired results.

Are there any non-surgical alternatives to a buttock lift?

Non-surgical alternatives such as injectable fillers or non-invasive procedures like Renuvion or Emsculpt may provide skin-tightening effects. However, for more significant results, a surgical buttock lift is often the most effective option.

How noticeable are the incision scars from a buttock lift?

Skilled plastic surgeons place incisions in locations that can be easily concealed by clothing or fall within natural creases in the buttocks. Over time, the scars tend to fade and become less noticeable.


  1. Dai, Yuxuan, et al. “Current Knowledge and Future Perspectives of Buttock Augmentation: A Bibliometric Analysis from 1999 to 2021.” Aesthetic Plastic Surgery, 25 Oct. 2022, https://doi.org/10.1007/s00266-022-03140-x. Accessed 23 Mar. 2023.
  2. Bekara F, Chaput B, Ciucur E, et al. Autologous Gluteal Augmentation with Parasacral Perforator-Pedicled Propeller Flaps. Plastic and Reconstructive Surgery.:10.1097/PRS.0000000000009161. doi:https://doi.org/10.1097/PRS.0000000000009161