When weight loss leaves loose skin and no shape
The patient in this video lost a significant amount of weight and arrived with loose skin and a deflated buttock. He is lean now, with very little fat to harvest, but the skin that remains has no structure underneath it.
Dr. Emer's approach is to rebuild the foundation first with fat grafting, then tighten and lift the skin with a buttock roll lift. Removing loose skin alone leaves the area flat. Adding volume before the lift creates the rounded, lifted shape that reads as natural.
What the fusion technique adds
This is not fat grafting alone. Dr. Emer blends the harvested fat with stem cells, exosomes, PRP and peptides before placing it into the buttock. The goal is density and survival: the added biologics are chosen to help the grafted fat integrate and last.
He massages the area by hand after placement so the fat spreads evenly and settles into the existing tissue. The result is a rounded, lifted contour that firms over the following weeks as the graft takes.
The buttock roll lift finishes the shape
Once the fat graft sets the foundation, the next step is the buttock roll lift: the loose skin is folded inward and tightened to create a new shape. Without the volume underneath, that lift would leave the area flat. With the graft in place first, the skin tightens over a rounded base.
The patient will follow the procedure with hyperbaric oxygen therapy to support graft survival, a protocol Dr. Emer uses to improve outcomes after fat transfer.
Who this fits
This treatment is built for men who have lost significant weight and are left with loose skin and deflated volume in the buttock. It is not a shortcut for someone who has not lost the weight. It is a reconstruction plan for someone who has.
Candidacy depends on how much fat is available to harvest, the degree of skin laxity, and whether the patient can commit to the aftercare protocol, which is decided in consultation.
Watch Dr. Emer explain it on YouTube: | Dr. Jason Emer
Talk to Dr. Emer's team
Every plan starts with a private consultation, in West Hollywood, New York or by video.
Clinical note. Exosome and stem cell products are not FDA approved for these uses. PRP for sexual function and tissue healing is considered experimental.
Originally published by Dr. Jason Emer at jasonemermd.com. General information from Dr. Emer's own procedure explanations, not medical advice. Results vary, and candidacy is decided in consultation.