(A, C) Preoperative views of a 27-year-old female with grade 4 gluteal ptosis who underwent liposuction of the lower gluteal region combined with fat grafting to the upper gluteal and infragluteal regions. (B, D) Postoperative views 10 months after surgery. The total volume of fat removed was 170 mL, and the volume of fat grafting was 150 mL in the gluteal region and 210 mL in the infragluteal region. The grade of gluteal ptosis was improved by 1 grade after surgery (from grade 4 to grade 3). The arrow shows lateral translocation of the fat graft.