Improving Buttock Sagging and Asymmetry: One-Day Non-Surgical BBL Case Story

At Haru Clinic, we understand that body contour concerns can affect confidence—especially when the buttock area appears sagging, uneven, or lacking support after previous procedures such as thigh liposuction or fat grafting.

This case story introduces a patient who sought improvement for buttock sagging, asymmetry, and pronounced under-buttock creases with our One-Day Non-Surgical BBL, combined with carefully placed filler treatment.

What Is the One-Day Non-Surgical BBL?

The One-Day Apple Hip Lift is a minimally invasive contouring procedure designed to support and elevate sagging buttock tissue using specialized semi-permanent threads.

Depending on each patient’s anatomy and concerns, the treatment plan may aim to improve:

• Buttock sagging and downward displacement
• Left-to-right asymmetry
• Loss of definition in the lower buttock area
• Long or folded under-buttock creases
• The appearance of buttock volume and projection

For patients traveling from abroad, this approach may be appealing because it is designed to provide contour improvement with relatively limited downtime compared with more extensive surgical procedures. A consultation is essential to determine whether this treatment is appropriate for your goals and medical history.

Patient Background

This patient had previously undergone thigh liposuction several years earlier. Following the procedure, she experienced concerns about buttock sagging and asymmetry.

A few months before visiting Haru Clinic, she had also received buttock fat grafting at another clinic to add volume. Although the fat grafting increased the overall volume of the buttocks, she felt that the sagging and uneven appearance remained.

During her consultation at our clinic, the patient’s concerns included:

• Noticeable differences in sagging between the right and left buttocks
• Uneven under-buttock creases
• A longer, more descended appearance on one side
• Loss of supportive volume beneath the buttocks after thigh liposuction

Why Buttock Sagging May Occur After Thigh Liposuction

The thighs and buttocks work together to create a balanced lower-body silhouette. When volume is removed from the upper thigh area, especially if the removal is uneven or if natural support beneath the buttocks is reduced, the buttocks may appear less supported.

In some cases, this may contribute to:

• A more pronounced under-buttock fold
• A longer-looking buttock shape
• Increased visibility of asymmetry
• A sagging or less lifted contour

Every patient’s anatomy, skin elasticity, prior procedures, and fat distribution are different. For this reason, treatment planning should be individualized rather than based solely on adding volume.

Personalized Treatment Plan

Following a detailed assessment, the treatment plan included:

1. One-Day Apple Hip Lift to support and elevate the sagging buttock contour
2. Targeted filler treatment in areas where volume had been excessively reduced after liposuction

The goal was not simply to make the buttocks larger. Instead, the plan focused on creating a more balanced contour by addressing the underlying concerns of sagging, asymmetry, and the lower buttock crease.

Results at Two Weeks

The post-treatment photographs were taken approximately two weeks after the procedure.

At this stage, the patient showed visible improvement in several areas:

• The buttocks appeared more elevated and supported
• The long, folded under-buttock crease appeared smoother
• The difference between the two sides was reduced
• The overall contour appeared fuller and more balanced

By lifting the descended tissue and restoring support in selected areas, the patient’s buttock shape appeared more proportionate. The patient reported being highly satisfied with the improvement in sagging and asymmetry.

Before and After: What Changed?

When comparing the before-and-after images, the improvements were most noticeable in the overall balance of the lower-body contour.

The treatment aimed to address multiple concerns at the same time:

• Sagging: A more lifted buttock position
• Asymmetry: Improved balance between the left and right sides
• Volume: A fuller-looking contour without focusing only on size
• Under-buttock line: A smoother and less elongated crease

Results vary from person to person, and visible changes can depend on factors such as prior liposuction, tissue quality, degree of sagging, skin elasticity, and the amount of volume loss.

Important Considerations Before a Buttock Lift

Interest in non-surgical and minimally invasive buttock contouring treatments has grown significantly. However, lifting sagging buttocks can be complex, particularly for patients who have undergone prior body contouring procedures.

Before choosing any buttock lift treatment, we recommend discussing the following with a qualified medical professional:

• Your previous surgical and treatment history
• Your expectations and desired contour
• Whether volume restoration, lifting, or a combination approach is needed
• The expected recovery period and aftercare requirements
• Potential risks, limitations, and the likelihood of asymmetry remaining to some degree

A detailed in-person consultation is the most important step in developing a safe, realistic, and personalized treatment plan.

Planning Your Treatment in Korea

For international patients considering buttock contouring in Korea, Haru Clinic can help guide you through the consultation and planning process. Please remember that treatment suitability, procedural details, recovery requirements, and outcomes can only be determined after an assessment by a medical professional.

If you have previously undergone thigh liposuction, fat grafting, or another body contouring procedure and are concerned about buttock sagging or asymmetry, a personalized evaluation can help identify the most appropriate options for you.

This case is shared for informational purposes. Individual results, recovery experiences, and suitability for treatment may vary.

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