(A, C) Preoperative views of a 21-year-old female with grade 5 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 30 months after surgery. The total volume of fat removed was 150 mL, and the volume of the transplanted fat was 220 mL in the gluteal region and 140 mL in the infragluteal region. The grade of gluteal ptosis was improved by 2 grades after surgery (from grade 5 to grade 3).