Buttock lift

The buttocks are one of the body parts that suffer the most from prolonged sitting. When the gluteal muscles are not active enough, they lose tone, the skin becomes softer, and the shape changes, especially after weight loss or with age. It is good to know that this region responds well to a combination of exercises and treatments that strengthen muscles and tighten the skin. In this article, we explain why the buttocks sag, what you can do yourself, and how we choose a treatment: Emsculpt for muscle tone, Attiva radiofrequency for sagging skin, and the Lanluma collagen stimulator for tissue firmness and shape, along with other options based on the findings.

Gluteus, the muscle that loves to rest

The buttocks are shaped by three muscles. The gluteus maximus is the largest and gives them their shape, the gluteus medius stabilises the pelvis during walking, and the gluteus minimus assists it in this. These muscles work when we walk, climb stairs or stand up, but while we sit they leave the job to other muscles. That is why they easily become slack during prolonged sitting. In some people, fatty tissue is more easily deposited in the area of the buttocks and thighs, which depends on hormones and pelvic structure.

Why the buttocks sag

• prolonged sitting, at work and at home;
• lack of movement and glute exercises;
• weight loss that leaves the skin softer and looser;
• age, because the skin produces less and less collagen;
• in athletes with very strong thigh muscles, the glutes sometimes work less than they should.

When the glutes don't work enough for a long time, it doesn't just show in the shape of the buttocks. It can also be felt as pain in the hips, lower back or knees.

What you can do yourself

The exercises that help the most are those that directly activate the glutes: squats, Bulgarian split squats, lunges, the glute bridge, step-ups and brisk walking. During the day, stand up every hour and walk for a few minutes, talk on the phone while standing, and whenever you can, get off a stop early and walk. Daily stretching and muscle activation make a difference. When, despite exercising, the skin remains softer and the shape does not change as much as you would like, treatments help to further activate the muscles and tighten the skin.

How we choose a buttock lift treatment

During the examination, the doctor assesses muscle tone, skin firmness, fat deposits, and cellulite. It is important to distinguish between two goals: lifting and shaping the buttocks depend primarily on muscle tone and skin firmness, while reducing volume in the surrounding area (hips, outer thighs) depends on fatty tissue. Based on this, we recommend either a single treatment or a combination of several. Emsculpt focuses on muscles, Attiva on skin tightening, and Lanluma on collagen stimulation, tissue firmness and, depending on the goal, improving fullness and contours. The number of sessions and the order of treatments are determined individually.

Alma PrimeX

Alma PrimeX combines ultrasound and radiofrequency. The ultrasound targets fat cells, while the radiofrequency energy heats the skin and subcutaneous tissue, causing collagen fibres to contract and the skin to produce new collagen. The buttocks and thighs become firmer, and cellulite becomes less visible. Working with the probe on one area takes about 10 to 20 minutes, is performed without anaesthesia, and you can return to your daily activities immediately afterwards. Usually, 2 to 4 treatments are performed. We also use the same treatment when we need to tighten the skin on the stomach. Read more about the treatment on our page about Alma PrimeX.

Emsculpt

When the main goal is the muscle, i.e. firmer and more lifted glutes, Emsculpt uses a high-intensity electromagnetic field to cause powerful muscle contractions that cannot be achieved through voluntary exercise. The treatment takes about 30 minutes, and the number of sessions, intervals and evaluation of results are determined individually. Emsculpt does not replace glute exercises, but complements them, and is not intended for weight loss.

Electrical muscle stimulation (EMS)

Electrical muscle stimulation uses electrical impulses via electrodes to activate the gluteal muscles. This is a different technology from Emsculpt and not a weaker version of it; the doctor will assess which is better for your goal. With regular treatments and exercise, the muscles become firmer and the buttocks appear more toned. The treatment takes 20 to 30 minutes. The first changes are felt after one to two treatments, and usually 4 to 6 treatments are performed. We often combine it with the Alma PrimeX treatment. Read more about the treatment on our page about muscle stimulation.

Morpheus8

Morpheus8 combines microneedling and radiofrequency, which stimulate the skin to produce new collagen and elastin. On the buttocks, it tightens the skin, improves its texture and reduces cellulite. An anaesthetic cream is applied before the treatment, so only pressure and a mild stinging sensation are felt. Three to four treatments are recommended at intervals of four to six weeks. The skin becomes firmer over the following months, and the result is maintained with a single treatment every 18 months to two years. Read more about the treatment on our page about Morpheus8.

Attiva radiofrequency for loose buttock skin

When the skin of the buttocks loses its firmness, especially after weight loss or with age, Attiva radiofrequency can be considered as a method for improving skin tightness. A thin cannula is introduced beneath the skin through a small entry point, and controlled heating of the tissue stimulates collagen contraction and remodelling.

The treatment is minimally invasive and is performed under local anaesthesia with temperature monitoring. The expected effect is a gradual improvement in skin firmness in appropriately selected patients. Attiva does not remove a large amount of hanging excess skin; in such cases, an assessment of the possibility of surgical correction is required.

Following the treatment, swelling, tenderness or bruising may occur. The treatment plan, aftercare and return to physical activities are determined individually.

Lanluma collagen stimulator for firmness and buttock contour

Lanluma is an injectable collagen stimulator based on poly-L-lactic acid (PLLA). It stimulates the production of the body's own collagen and is used for the gradual improvement of tissue firmness, skin quality, and buttock contour. Depending on the goal and method of application, it can also contribute to the fullness of the area.

When we talk about better tone after Lanluma, we mean skin firmness and tissue support. Lanluma does not strengthen the gluteal muscles; for the muscular component, exercises and Emsculpt are considered. The improvement develops gradually over the coming months as new collagen is formed.

During the examination, it is assessed whether the main problem is loss of firmness, lack of fullness, or a combination of both. The amount of product, number of sessions, and potential combination with Attiva or other procedures are planned individually. Swelling, bruising, and small lumps are possible, so proper application, aftercare, and follow-up appointments are an integral part of the treatment.

Cellulite treatments

Cellulite on the buttocks and thighs is a frequent companion of sagging skin. Along with PrimeX and Morpheus8 we also use lymphatic drainage, which helps to eliminate excess fluid, then shockwave therapy, which improves the elasticity of connective tissue, and anti-cellulite mesotherapy. These anti-cellulite treatments are combined according to a plan made by the doctor.