Transverse Flank‐Thigh‐Buttock Lift with Superficial Fascial Suspension

The thigh-buttock lift of Pitanguy was originally designed in 1964 to allow direct excision of trochanteric fat deposits. With certain modifications, it remains the standard procedure today for surgical treatment of buttock ptosis, thigh-skin laxity, and cellulite. However, Pitanguy's procedure is not commonly performed because of such problems as noticeable scars, early recurrence of deformities, unnatural contours, significant wound complications, long operative times, and prolonged postoperative disability