It is specifically targeted for patients with relatively big and fat buttocks complicated by distinct droopiness. Because buried thread suspension or other methods such as autologous fat grafting cannot effectively treat this problem, excess upper buttock skin and fats should be dissected and removed to lower the weight load of the buttock, which eventually lifts and tightens the buttock. This surgery includes various resection methods, and the physician designs the surgery in light of each patient’s buttock size and laxity degree. Generally, if the buttock cellulite droops and concentrates at the buttock inferior margin, inferior gluteal resection and inferior gluteal fold reconstruction are directly conducted so that the scar is concealed in the concave shadow of the gluteal fold and is less visible. However, in case of severe gluteal depression at the superior buttock, superior gluteal resection (belt lipectomy) should be conducted to remove the skin and fats at the margin between the buttock and lower back, and then, inferior gluteal tissues can be suspended and stitched upward to the incision, thus lifting the overall buttock. This method leaves a refractory scar, which necessitates postoperative scar care for a period of time.