What should you know about loose skin on the buttocks?

The buttocks can look less firm after weight loss, ageing, pregnancy or a change in training. Loose skin may sit beneath the crease, form folds or accompany stretch marks and cellulite. A sudden painful area, warmth, redness or a firm lump is not explained by ordinary laxity. Reduced muscle volume can also change shape without extra skin being the main issue.

Moisturise dry skin, protect exposed skin from the sun and use gradual strength training to support the gluteal muscles. Exercise can improve muscle contour but cannot remove excess skin. During a consultation, show the position of the fold and explain whether sitting, walking, sport or clothing is affected. A clinician may discuss radiofrequency skin tightening, HIFU skin lifting, a thread lift or surgery, depending on skin quality, tissue amount and the desired change.

Arrange prompt review for a new lump, one-sided swelling, increasing pain, warmth, redness, drainage, fever or a sore that does not heal. Seek urgent care for severe pain with rapidly spreading redness or feeling very unwell. A routine consultation is suitable for gradual laxity or a stable cosmetic concern.

Ask whether the shape is mainly loose skin, muscle or fat; which approach can address the fold; whether treatment changes sitting or exercise during healing; and how scars, swelling and contour changes will be managed.