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If my revision goes through the original belt line is there a way to just pull up the sides of the butt/thigh?

Yes, in many cases a surgeon can re-enter the original beltline scar and address just the lateral hip/thigh and buttock area without re-doing the entire circumference. Because the incision already lies at the junction between the trunk and thigh, reopening that same line lets us elevate the lateral flap, pull it superiorly, and re-anchor it higher on the torso fascia, which lifts the outer buttock and thigh and tightens residual laxity. This works best when the looseness is isolated to the sides. If the sagging is more central or posterior, a partial revision through the old scar may leave those areas under-corrected, and a more complete revision could be needed. Fat grafting can also add shape and volume to the buttock at the same setting if contour, not just laxity, is the concern. Since scar quality, tissue thickness, and prior surgical technique all affect what's achievable through a limited reopening, this is best mapped out at an in-person exam with your revision surgeon.

Clinical Context

Revision surgery through an old beltline scar works best once the scar and underlying tissue have fully healed and settled, not just once the skin looks closed. The visible incision may heal quickly the second time, but the deeper supportive layer that actually holds a lift needs more time to regain strength before it can safely bear tension again. Operating too soon can make results unpredictable or short-lived. Your surgeon will assess scar maturity and tissue quality in person before deciding if a partial revision is appropriate.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

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