Buttock Reduction is most often done for our trans male clients. Size reduction and shaping is usually accomplished by carefully performed liposuction. In cases where there is looseness and sagging of the buttock skin, a true buttock lift may be performed to eliminate excess hanging skin and subcutaneous tissues of the lower buttock. In cases that demonstrate extreme laxity and wrinkling of the entire buttock, sometimes a lift of the entire buttock is done by a dermolipectomy of the upper border of the buttock. This removes excessive skin and subcutaneous tissues and elevates the entire buttock giving it a higher, rounder, firmer, and younger appearance. This procedure results in a curved scar along the entire upper border of the buttock.