double buttocks

Double Butt Deformity: Understanding the Condition, Reasons, and Solutions

Double butt deformity refers to the presence of two distinct creases under the buttocks, characterized by an abnormal separation of the upper and lower buttocks. This condition can create a appearance of a double or multiple butts, hence the term "double buttocks." It can have a significant impact on an individual's self-esteem and confidence, often causing feelings of shame or embarrassment.

History and Context

The exact etiology of double butt deformity is not entirely known, but it is thought to be influenced by a combination of genetic and environmental factors. Some people may inherit a genetic predisposition for this condition, making it more likely to manifest as they age or undergo changes in body composition. Additionally, natural changes in body composition, particularly with aging or weight fluctuations, can exacerbate the appearance of this extra fold of fat under the buttocks. Sedentary lifestyles or occupations that require prolonged sitting can also contribute to the development of this deformity over time.

Symptoms and Identification

The most obvious symptom of double butt deformity is the presence of two or more distinct creases under the buttocks. These creases may appear as vertical or horizontal lines, depending on the person's body shape and posture. Other symptoms may include tenderness, discomfort, or an altered sensation in the area around the hips and buttocks.

Identifying double butt deformity can be straightforward, especially if the condition is severe. However, it can be challenging to accurately diagnose in its early stages or in individuals who may have minimal symptoms.

Diagnosis and Treatment

Diagnosis of double butt deformity typically involves a physical examination and may include the use of diagnostic imaging, such as an MRI, to better assess the underlying anatomy.Treatmentoptions vary depending on the severity of the condition and the individual's goals. Non-surgical treatments, such as diet and exercise, can be tried initially. However, in many cases, surgical correction is recommended, including the Miami Thong Lift technique.

Miami Thong Lift

The Miami Thong Lift is a revolutionary surgical procedure designed specifically to address double butt deformity. This procedure involves a minor incision within the intergluteal crease, allowing access to the underlying tissues and fat. Through careful manipulation and fat removal or transfer, the goal is to create a more symmetrical and shapely buttock appearance.

The benefits of the Miami Thong Lift include:

  • Minimal visible scarring
  • Natural-looking results
  • Predictable outcomes
  • Increased confidence

After surgery, most patients can expect to experience some swelling and bruising, but this typically subsides within a few weeks. Full recovery may take several weeks or months, during which time patients are advised to avoid certain activities that could interfere with healing.

Candidates for Treatment

Potential candidates for the Miami Thong Lift are typically individuals who are in generally good health, non-smokers, and have realistic expectations of their surgical results.

Postoperative Care

Postoperative care for double butt deformity patients typically includes regular follow-up appointments with the surgeon to monitor healing progress. It is important to adhere strictly to the postoperative instructions, including avoiding sitting flat and using specific analgesics to control pain and swelling.

Risks and Complications

As with any surgical procedure, there are risks associated with double butt deformity correction, including infection, bleeding, asymmetry, numbness or altered sensation, poor wound healing, seroma or hematoma, and skin irregularities. Dr. Agullo, who practices in El Paso, Texas, ensures that every patient is well-informed about these risks before undergoing the procedure.


Double butt deformity is a challenging condition that can have a profound impact on an individual's self-esteem and confidence. However, with advancements in plastic surgery technology and techniques, such as the Miami Thong Lift, effective treatment is now possible. If you or someone you know is struggling with this condition, it is crucial to seek professional guidance and treatment. Contact Dr. Agullo's office today to schedule a consultation and start your journey toward a more beautiful, confident buttocks.


This article provides a comprehensive overview of double butt deformity, including its causes, symptoms, diagnosis, and treatment options. It emphasizes the importance of consulting with a qualified plastic surgeon to ensure that the condition is correctly identified and that the best possible outcome is achieved.

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