How do you know if you have flabby buttocks?
Some common signs of sagging buttocks are:
- Lack of volume and rounded shape.
- Loss of firmness to the touch.
- Skin that ripples or sags.
- Difficulty maintaining muscle tone even while exercising.
- Increased visibility of cellulite and loss of elasticity.
Sagging buttocksThese are one of the most frequent questions in gluteal surgeryThey can appear due to genetics, weight changes, aging, lack of muscle tone, or sagging skin. In many cases, exercise alone is not enough to correct them, and understanding the cause is the first step in choosing the right treatment.
Types of sagging buttocks: not all are the same
Identifying the type of sagging buttocks is crucial: only those of muscular origin respond well to exercise.
Identify the buttock type It is fundamental because it determines which treatment is most effective in each case.
Due to lack of muscle tone
The gluteus maximus, medius, and minimus muscles are weakened by a sedentary lifestyle. This muscle group responds best to structured exercise.
Due to skin laxity
The skin loses elasticity and sags even if there is some muscle mass. Exercise has little effect in this case.
Mixed sagging
It combines muscle weakness and skin laxity. In many cases, surgery is required for a visible and lasting change.
The essentials — what you need to know
- Sagging buttocks have three origins: lack of muscle tone, skin laxity, or a combination of both.
- Exercise only corrects muscle laxity; sagging skin and loss of volume do not respond to training.
- BBL Natural uses your own fat; Supercharged BBL combines fat and implants according to your anatomy.
- An assessment determines the type of hair loss and the realistic treatment for each case.
Difference between muscle sagging and skin sagging
Not all gluteal sagging is the same. Differentiating between muscle laxity and skin laxity is essential for choosing the most appropriate treatment.
La muscle flaccidity It is caused by a loss of tone in the muscle fibers. It usually results in flatter buttocks with less projection and less volume.
La skin laxityHowever, it is related to the deterioration of the skin and connective tissue. In these cases, the skin appears thinner, wrinkled, or sagging.
In many people both types of sagging appear at the same time, so a combined approach is often necessary.
How can sagging buttocks be corrected?
The sagging buttocks They are corrected according to their cause. If the origin is muscular, structured exercise helps. If there is skin laxity or loss of volume, surgery is required: a Natural BBL with its own fat or a Supercharged BBL with fat plus implant, which provides structural projection when fat alone is not enough.
Why do sagging buttocks occur?
Sagging buttocks have three possible origins: muscular, cutaneous or mixed, and each responds to a different treatment.
The sagging buttocks They don't always have the same cause, and therefore don't always respond to the same treatment. Knowing the origin helps in choosing the most effective approach.
Genetic factors
Some people have a genetic predisposition to looser skin or an unfavorable fat distribution in the buttocks area, even from a young age.
Sudden weight changes
Rapid weight gain and loss stretches the skin and reduces its elasticity. This often occurs after pregnancy or extreme dieting.
Aging
From the age of 30, the production of collagen and elastin gradually decreases. As a result, the skin loses its ability to retract.
Sedentary lifestyle
Lack of exercise weakens the gluteal muscles and contributes to sagging. Tobacco, alcohol, and poor hydration also accelerate skin aging.
What exercise can and cannot do: Glute exercises like squats, hip thrusts, and lunges can help when the primary issue is muscular. However, they don't correct sagging skin or restore lost structural volume. If you've been training for months without seeing any changes, the problem is probably not muscular.
The best treatments for sagging buttocks
When exercise alone is not enough, the Natural BBL and the Supercharged BBL produce real and lasting changes in projection, firmness, and shape.
When exercise and diet are not enough, there are procedures that produce real and lasting changes in the projection, firmness and shape of sagging buttocks.
BBL Natural — Brazilian Butt Lift with own fat
From €10.700Natural BBL uses the patient's own fat to enhance the volume and shape of sagging buttocks. It is a good option when there is sufficient donor fat available and a natural, proportionate enhancement without implants is desired.
See BBL NaturalSupercharged BBL — implants + own fat
From €12.200The Supercharged BBL combines fat transfer with cohesive gluteal implants. It is especially suitable for thin patients, those with limited donor fat, or those with mixed sagging who require greater structural projection.
See Supercharged BBL
Sagging buttocks: before and after
Real cases show that improvement depends not only on volume, but on the combination of projection, waist, hips, and skin quality.
Not sure which treatment is right for you?
The type of sagging buttocks you have determines the most effective treatment. A personalized assessment with Dr. Aslani will honestly tell you what's realistic for your anatomy—no obligation.
What should you consider before a butt lift?
Surgery for sagging buttocks should be decided based on anatomy, skin quality, available fat, and the surgeon's experience.
Choosing a certified specialist
Buttock surgeries should not be chosen based on price, but rather on experience, safety, and specialization. At Cirumed Clinic Marbella, the Dr. Alexander Aslani He has over 30 years of surgical experience, 16 years specializing exclusively in body contouring, and more than 7.000 specialized buttock augmentation cases. For more information on safety in plastic surgery, you can consult the recommendations of the ISAPS.
Understanding risks and realistic outcomes
Each patient starts with a different anatomy. It is essential to assess the available volume, skin quality, type of sagging, and the realistic result that can be achieved.
Commit to post-operative care
After a buttock lift, adherence to the postoperative instructions is key. Proper use of the compression garment, avoiding direct pressure on the area, respecting rest periods, and attending all follow-up appointments directly influence the quality and stability of the results. Consult: BBL post-operative compression garment protocol.
How to maintain long-term results
Results last longer when weight is kept stable, skin is cared for, and muscle tone is maintained.
- Maintain an exercise routine: Once the surgeon authorizes the resumption of training, a regular routine helps to maintain muscle tone and complement the surgical result.
- Avoid sudden weight changes: Significant weight fluctuations affect both the skin and body fat. Maintaining a stable weight is essential to preserving your fitness goals.
- Hydration and skin care: Good daily hydration and skin care help maintain skin elasticity over time.
At Cirumed we specialize in buttock lifts.
If you are considering a BBL in Marbella or Supercharged BBLAt Cirumed Clinic, you'll find a highly specialized approach. Dr. Aslani is one of the leading international experts in gluteal surgery.
Frequently asked questions about sagging buttocks
Can sagging buttocks be corrected without surgery?
Only when the origin is muscular. If the primary cause is lack of muscle tone, structured exercise such as squats, hip thrusts, and lunges improves form in 3 to 6 months. If there is skin laxity or loss of volume, exercise alone is insufficient, and a surgical procedure is necessary.
What is the best treatment for sagging buttocks?
It depends on the type. For muscle flaccidity, exercise. For skin flaccidity or combination flaccidity, a Natural BBL with its own fat or a Supercharged BBL Fat grafting plus implants offer a visible and lasting improvement in projection, firmness, and shape.
What is the difference between a BBL Natural and a Supercharged BBL?
The Natural BBL uses only the patient's own fat and provides very natural results in patients with sufficient donor fat. The Supercharged BBL combines fat with a cohesive gluteal implant, indicated for thin patients or those with mixed sagging who seek greater and permanent structural projection.
How much does a butt lift cost in Marbella?
At Cirumed Clinic Marbella, the Natural BBL starts at €10.700 and the Supercharged BBL at €12.200. The final price depends on the technique, the extent of the associated liposuction, and individual needs, which are determined during the medical evaluation.
How long do the results of a butt lift last?
With stable weight and proper post-operative care, the results are long-lasting. The transferred fat that remains is permanent, and the implants offer stable, long-term projection. Sudden weight changes can alter the result.
Is a buttock augmentation procedure safe for sagging buttocks?
In skilled hands and with the correct indication, yes. Safety depends on the technique, patient selection, and postoperative adherence. Dr. Aslani has over 16 years of experience specializing in this area and has performed more than 7.000 gluteal augmentation procedures. He is a member of the ASERF Task Force on safety in gluteal fat grafting.
Who is a good candidate for the Supercharged BBL?
Thin patients with little donor fat, those with mixed skin laxity, or those seeking a more pronounced and structural projection may be good candidates. Fat softens the contours, while the implant provides the projection that fat alone cannot guarantee in certain anatomies.





