Fat Injections in Lower Buttocks to Round out Brazilian Butt Lift Results?

Question

I had a brazilian butt lift (fat injections to my butt) about 2 1/2 mos ago. Most of the fat was injected in the upper region of my butt cheeks. My waist and lower back were lipo'ed as well so there is improvement in projection but it slopes down in the lower third region.Can more fat at a touch up or addtional procedure be injected directly in the middle and lower regions to get a more rounded bubble butt look without sagginess devloping? I had about 360ccs in each cheek. I am 5'9 and weighed in at 161lbs the day of my surgery.

William Alan Dulin, MD · Answer

You can always have more fat injected as long as you have an area to take fat. It is always a little more difficult to take fat from the same areas again. Also I would want you to wait longer after the first surgery before doing more treatments(6 months). I would talk to your surgeon and be very specific about where you want the fat injected.

Jaime S. Schwartz, MD, FACS · Answer

A good candidate has enough fat available for transfer in the procedure. The amount of fat that can be transferred in a BBL depends on how much fat the patient has to harvest and the amount of space there is to move the fat into. It is recommended for the patient to have a BMI of 30 or less. If you are too thin, a Brazilian Butt Lift may not be possible.

Dhaval M. Patel, MD · Answer

Thank you for your question! You can absolutely add more fat to your lower buttocks, there is no limit as to how many BBLS you can have.  Best of luck!Dr Dhaval PatelDouble Board Certified Plastic SurgeonChicagoHoffman EstatesOak Brook

Richard J. Bruneteau, MD · Answer

It’s
not unusual for Brazilian butt lift patients to request additional fat
injections following their original procedure.The vast majority of these patients are happy with their results but
want even more rounding and projection of the buttocks.When
this situation arises additional fat grafting can be undertaken as long as
sufficient donor sites are present.We
generally recommend waiting 3 to 6 months before proceeding with secondary
procedures.At this point, the surviving
fat cells have re-established blood supply and the soft tissue swelling has
usually resolved.Under these
circumstances aesthetic judgements can be made more effectively.If
you’re considering secondary fat grafting it’s important to consult your
plastic surgeon.Your plastic surgeon
should be able to determine whether or not this represents a viable option for
you.

Johnny Franco, MD, FACS · Answer

This is a good question. 
Occasionally patients will need a second session of fat transfer to
achieve the results that they desire. 
Unlike an implant, there is a set limit to the amount of fat that can be
placed in the in buttock or breast at any one time.

As long as you have more fat that can be liposuctioned and
used for the fat transfer your buttock can be improved.  Many patients receive upwards of 800cc per
cheek for their augmentation so it is not unreasonable to transfer fat a second
time to your buttock.

When considering this procedure it is very important that
you have your procedure performed by a board certified plastic surgeon.  You also want a surgeon that performs this
procedure frequently as they can give you a realistic idea of what to expect
and help you achieve the results that you desire.

Good Luck!

Scott C. Sattler, MD, FACS · Answer

For any region of the body, face, breasts, buttocks- fat grafting procedures are often enhanced by additional 'touch up' injections to improve contour and volume.

Armando Soto, MD, FACS · Answer

Hi there-
As long as you have remaining areas of donor fat available, there should be no reason you cannot have more fat grafted to perfect the outcome.
I would visit with your Board Certified Plastic Surgeon for a consultation and review of your options.

Tania Medina de Garcia, MD · Answer

Hello dear!!
Thanks for the question and provided information as well.
You are still early on the healing process, it can take up to six months to see your final results, so please be patient. At the stage you are in, inflammation is normal.
If you have any concerns, please follow up close with your plastic surgeon.
Good luck :)

Pat Pazmino, MD, FACS · Answer

Thank you for the great question. In our practice, we have seen many patients that have received implants, liposuction or fat grafting in other clinics and would like additional reshaping performed. If the patient has sufficient fat, they are excellent candidates for fat harvesting and further fat grafting. This works extremely well. In these patients, we find it very useful to take their photographs and with our software, morph their photographs so that they can get an understanding of what it could look like after their surgery. Using these software, also allows us to help strategically plan their surgery.

	For more information on Brazilian butt lifts or butt augmentation, please schedule an iConsult or visit us online.

Steven Wallach, MD · Answer

Touch-ups to fat injections to the buttocks certainly is possible.   Of course it depends upon the availability of donor sites.  I do not see it as a problem.