New buttocks-lifting techniques are evolving rapidly, with some so recent that very few surgeons have performed them. However, a few new principles may be drawn from the various techniques in an attempt to produce better results and minimize scars. The indications for use of a medial, lateral, lower, or upper buttocks lift are presented in this article. There is no technique for all seasons and a surgeon who intends to perform a buttocks lift must evaluate the four techniques and the indications for each. An intramuscular implant helps to improve results even further and should be used when appropriate.