Can a BBL help chronic coccydynia and pudendal neuralgia that is close to being in remission?

Fat grafting in the area of scar formation and around nerves, to provide cushion, has shown some good results. Only on the basis of extensive evaluation and planning with reconstructive surgeon, should such a highly selective procedure be done. You are not a candidate for a "classic" BBL because of possible nerve injuries. Good luck.

Dear ms.new.bawdy,
BBL is a cosmetic procedure and it is unlikely that it will improve your pain. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

It’s unlikely a traditional BBL would do anything to improve your pain syndromes and it can definitely make things worse though fat it’s not really grafted over the coccyx or over the course of pudendal nerve during this procedure.

Whether a fat transfer to allow more padding over the nerve would be of any benefit is a very separate question that cannot be answered in a post on real self.

At this point I would suggest avoiding any unproven procedures and stay away from surgery in general as much as possible.

Best,

Mats Hagstrom MD