One-Day Non-Surgical BBL: Improving Buttock Sagging After Thigh Liposuction

For many patients, thigh liposuction can create a slimmer leg contour—but in some cases, reduced volume around the upper thigh and lower buttock area may make buttock sagging or a long crease beneath the buttocks more noticeable.

At Haru Clinic, our One-Day Non-Surgical BBL is designed to improve the appearance of sagging buttock contours with a minimally invasive approach. This treatment may be considered by international patients seeking a fuller, more lifted-looking hip line without an extensive surgical recovery period.

What Is One-Day Non-Surgical BBL?

One-Day Apple Hip Lifting is a contouring procedure that uses specially designed semi-permanent threads to support and lift sagging buttock tissue. Depending on the patient’s anatomy and goals, filler may also be used in areas where additional volume is needed.

The goal is to create a smoother, firmer-looking buttock contour and reduce the appearance of a long horizontal fold beneath the buttocks.

This treatment may be suitable for patients who are concerned about:

• Buttock sagging after thigh liposuction
• A long or pronounced crease beneath the buttocks
• Loss of lower-buttock support or volume
• A less defined hip line in swimwear, shorts, or fitted clothing
• Desire for a non-surgical or minimally invasive lifting option

Patient Concern: Buttock Sagging Following Thigh Liposuction

In this featured case, the patient had undergone thigh liposuction several years earlier. Over time, she became concerned about sagging in the buttock area and a long fold beneath the buttocks.

The patient, who was in her mid-20s, felt that this crease was especially noticeable when wearing swimwear and hot pants. During her consultation, the medical team evaluated her buttock shape, remaining soft-tissue volume, and degree of sagging.

Based on this assessment, she underwent One-Day Non-Surgical BBL combined with a carefully planned amount of filler in areas where volume had been reduced.

Treatment Goals

The treatment plan focused on:

• Lifting the sagging buttock contour
• Supporting the lower-buttock area
• Improving the appearance of the horizontal crease beneath the buttocks
• Restoring a smoother and more balanced hip silhouette

Every treatment plan is individualized. The appropriate technique, number of threads, use of filler, and expected outcome depend on the patient’s existing tissue, skin elasticity, previous procedures, and aesthetic goals.

Progress at One Week

The post-treatment photographs for this case were taken one week after the procedure.

At this stage, the buttocks appeared more lifted and supported, with an improvement in the long fold beneath the buttocks. The patient reported satisfaction with the visible reduction in the crease that had been her main concern.

As with all aesthetic treatments, swelling, bruising, and tissue settling may occur during the recovery process. Final outcomes and recovery times vary from person to person.

Why Can Buttock Sagging Occur After Thigh Liposuction?

When thigh volume is reduced without sufficient consideration of the buttock-to-thigh transition, the lower buttock area may lose some of its visual support. In some patients, this can make pre-existing sagging or a lower-buttock fold appear more prominent.

This does not mean that thigh liposuction always causes buttock sagging. However, it highlights the importance of evaluating the entire lower-body contour—not only the thighs—when planning body contouring procedures.

For patients who have already undergone thigh liposuction and are now concerned about their hip contour, a lifting treatment may be an option depending on their individual condition.

Planning Your Treatment as an International Patient

For medical tourists, a detailed consultation is an essential first step before scheduling a hip lifting procedure. Our medical team will review your concerns, treatment history, body contour, and travel schedule to help determine whether Non-Surgical BBL is appropriate for you.

When traveling for treatment, patients should also allow sufficient time for:

• In-person consultation and treatment planning
• The procedure itself
• Initial recovery and follow-up assessment
• Travel clearance based on the doctor’s recommendation

A thorough discussion with a qualified medical professional is important to understand the procedure, potential risks, recovery requirements, and realistic expectations.

Note: This article was translated and published from the original with consent from the author.