What if my Butt Still Looks Flat After a Brazilian Butt Lift?

Unfortunately, this is much more common than your surgeon or any other proponent of this procedure wants patients to be aware of. In order for fat grafts to survive, they must be harvested in atraumatic manner, placed in tiny tunnels with adequate blood supply surrounding the grafts in order to provide oxygen and nutrients to the transplanted fat, and not damaged (sitting) as they heal. And more than one procedure is commonly necessary for maximum final fullness.

Secondary procedure(s) and costs should have been discussed PRIOR to your operation. If it was, then you know what to expect. It sounds as if it was not, and an unhappy result and what the surgeon's policy for dissatisfied patients should also have been known in advance.

What you spent is unfortunately immaterial at this point, since what you have to do is discuss this with your surgeon, or start over with someone ABPS-certified (and perhaps more ethical, if your original surgeon has not made these options completely transparent and open). But first, speak with your surgeon and be calm and non-threatening. Your surgeon will (in most cases) be interested in making you happy. Give it a try and best wishes! Dr. Tholen

Thank for your question. Healing after plastic surgery is a process and the earlier parts are the most challenging.  Emotions are a big part of the process as well.   Best is to discuss specifically with the operating surgeon so that he /she can take a look. After surgery there is a predictable swelling process that mostly resolves over two months, when the final result really settles in.  That said, you definitely have to choose your surgeon correctly and make sure that he/she has the training and experience to meet your goals with absolute safety.  Best is a Board Certified Plastic Surgeon with specialized expertise in this procedure.

About 60% of fat from the transfer is retained and the results are permanent. The size will change with your weight just as the rest of your body does. In other words, the fat acts like it was naturally there. You can get a good idea of the final result after 6 months.