Sagging of the lower buttocks is a common concern after weight loss, pregnancy, or aging. If you want a firmer, more lifted contour, not just add volume, the Miami thong lift is worth considering. This advanced body-contouring surgery is designed to tighten loose skin, lift sagging tissue, and refine the lower buttock shape, rather than increase size. At The Gallery of Cosmetic Surgery,  our surgeons approach buttock reshaping with one clear objective –  results that look athletic, balanced, and confidently wearable, whether you are in jeans, fitted clothing, or swimwear.

What Is a Miami Thong Lift?

A Miami thong lift is a surgical procedure that lifts and tightens sagging buttocks caused by loose skin. Unlike fat transfer procedures, it removes loose skin and elevates the buttock tissue to create a tighter, more youthful contour.

The technique is often described as a hidden-scar butt lift because the incision is planned along the natural crease beneath or between the buttocks. This strategic placement is one of the primary reasons patients in Bellevue and the greater Seattle area ask about this procedure.

What Is a Miami Thong Lift?

Miami Thong Lift vs. Brazilian Butt Lift (BBL)

These two procedures are often confused, but they address very different concerns.

Miami Thong Lift

  • Focuses on removing excess skin
  • Lifts and tightens sagging buttock tissue
  • Improves lower buttock definition and crease transition
  • Does not primarily add volume

Brazilian Butt Lift (BBL)

  • Uses fat transfer to increase buttock size and projection
  • Enhances volume, not skin tightness
  • Is not a traditional “lift” in the skin-removal sense

If your main concern is loose or sagging skin, adding volume alone may not give the result you’re hoping for. Many patients want their buttocks to look firmer and more lifted, not just fuller. In these cases, the Miami thong lift can be a more satisfying option, as it focuses on tightening and lifting the skin to restore shape. For some patients, a small amount of fat transfer may be added, but that decision is made together during consultation based on what will look and feel most natural.

For those seeking an alternative to BBL in Seattle, the Miami thong lift offers a more targeted solution for laxity.

What Concerns Does a Miami Thong Lift Address?

What Concerns Does a Miami Thong Lift Address?

A Miami thong lift may help with:

  • Sagging or droopy buttocks
  • Loose skin in the lower buttock region
  • A poorly defined buttock crease or transition
  • A flattened or deflated appearance caused by skin laxity
  • Buttock-to-thigh contour irregularities

In select cases, we may also use this procedure to address concerns such as a double butt crease or uneven lower buttock contours as part of a customized plan.

Who Is a Good Candidate for a Miami Thong Lift in Bellevue, WA?

You may be a good candidate if you:

  • Have sagging buttocks caused by loose skin, not just lack of volume
  • Are at a stable weight and not planning major weight changes
  • Prefer a scar strategy designed to sit within natural creases
  • Are in good general health and able to follow post-operative instructions
  • Want a butt lift without implants

If your primary goal is dramatic volume enhancement, a fat-transfer-based procedure may be more appropriate. Your consultation at The Gallery of Cosmetic Surgery will help determine the safest and most effective option as per your individual assessment.

Incisions and Scar Placement

The defining feature of the Miami thong lift is its incision placement strategy. The incision is typically planned along the gluteal sulcus or cleft, where the buttocks naturally meet. This location:

  • Allows excess skin to be removed effectively
  • Supports lifting of the lower buttock
  • Is intended to conceal scars within natural folds

While scar quality depends on individual healing and aftercare, this strategic placement is a key reason many patients feel comfortable wearing swimwear or fitted clothing after recovery.

The Miami Thong Lift Procedure

Surgical technique varies based on anatomy and goals, but a Miami thong lift generally involves:

  • Careful planning of incision placement within the gluteal crease
  • Removal of excess, lax skin
  • Elevation and securing of buttock tissue to a higher position
  • Refinement of the buttock-to-thigh transition
  • Layered closure designed to support healing and minimize scar visibility
The Miami Thong Lift Procedure

Miami Thong Lift Recovery

Recovery timelines vary based on the extent of lifting and whether other procedures are combined.

Typical Recovery Milestones

First Few Days

  • Swelling, tightness, and soreness are expected
  • Sitting may be limited depending on your surgeon’s protocol
  • Careful positioning and hygiene are important

After 1-2 Weeks

  • Improved comfort and mobility
  • Continued swelling
  • Incision care remains critical due to the high-movement area

After 1 Month

  • Gradual return to normal activities with guidance
  • Light exercise may be approved

After a Few Months

  • Contours continue to refine as swelling resolves
  • Incisions mature and soften

Because the incision sits near a high-friction area, following post-operative instructions closely is essential for optimal healing.

Interested in a Miami Thong Lift?

To schedule a complimentary consultation with Dr. Jonov or with questions at The Gallery of Cosmetic Surgery serving Kirkland, Bellevue, and Seattle, WA.

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    Results You May Expect 

    The goal of a Miami thong lift is a more lifted, tighter buttock shape, especially in the lower buttock region. Patients often notice:

    • Improved firmness
    • A smoother buttock-to-thigh transition
    • Better definition of the lower buttock crease
    • A more youthful, athletic contour

    For patients whose main concern is laxity rather than size, this procedure offers a buttock tightening solution without implants.

    Risks and Safety Considerations

    All surgical procedures carry risks. Potential risks of a Miami thong lift may include:

    • Bleeding or infection
    • Delayed wound healing
    • Scarring or scar thickening
    • Asymmetry or contour irregularities
    • Fluid collections
    • Anesthesia-related risks

    Your consultation at The Gallery of Cosmetic Surgery includes a personalized risk assessment, scar-care planning, and recovery guidance to support safety and optimal outcomes.

    How Much Does a Miami Thong Lift Cost?

    How Much Does a Miami Thong Lift Cost?

    The cost of a Miami thong lift varies based on:

    • The extent of skin removal required
    • Facility and anesthesia fees
    • Whether procedures are combined (liposuction, fat transfer, thigh contouring)

    Because each plan is individualized, exact pricing is provided after an in-person evaluation.

    Book Your Consultation for Miami Thong Lift in Bellevue, WA

    The Gallery of Cosmetic Surgery serves patients throughout Bellevue, Kirkland, and the greater Seattle area, offering advanced body-contouring solutions tailored to each individual. If your primary concern is sagging buttocks, loose skin, or poor lower-buttock definition, the Miami thong lift may provide the lift and tightening you are looking for, without implants or excessive volume.

    During your consultation, we will help you compare all available options and design a plan that fits your body, goals, and lifestyle. Call us at (425) 230-6244 to book now.

    Frequently Asked Questions (FAQs)

    Is a Miami thong lift better than BBL for loose skin?

    For patients with significant skin laxity, a Miami thong lift may be more effective than BBL alone.

    Can a Miami thong lift be combined with liposuction?

    In some cases, yes. Combination plans are determined during consultation based on safety and goals.

    Will scars show in swimwear?

    Scars are planned in areas intended to be concealed by natural creases or thong-style swimwear, though visibility depends on healing.

    How long is the recovery after the Miami thong lift?

    Most patients resume light activities within weeks, with continued improvement over several months.