How can a square butt be fixed? (Photos)

Question

I've had 2 bbls my butt is still squared. I don't want it to be any bigger because its already wide. I just want it to be rounded out. How can this be fixed or is this just my anatomy?

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. I understand your concern and I have a good news for you, this have a solution, what you need is an Special DBL which consist in remove the upper crest butt and reshape and provide better butt contour with the fat transfer also remove the outer thighs.

Finny George, MD · Answer

Hi, thank you for sharing your question. A revision may be helpful to contour the shape specifically of the upper and mid-hip region in order to round out the square.

George Bitar, MD · Answer

It is difficult to answer this question without actually examining you, especially since you have accumulated scar tissue and loss of skin elasticity due to your prior surgeries.  Given my experience with primary and revision Brazilian buttlifts and body contouring, I believe that you would benefit from aggressive liposuction to the waistline and to the buttocks to create smoother curves and more anatomically-pleasing contour.  My recommendation would be to consult with an experienced, board-certified plastic surgeon who does revisional work and get their opinion.

Alan Gonzalez, MD, FACS · Answer

Hello @fdelarosa14, thank you for your question. It is possible to improve the shape of your buttocks with the help of glutes Liposhaping. In such procedure, the buttock's shape is improved and lifted to create a greater sense of harmony. For more information and recommendations, it is prudent to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez

Daniel Barrett, MD · Answer

Dear fdelarosa14,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Felix Omar Márquez, MD · Answer

Hello, thanks for your question and photos. You are a candidate for Tummy Tuck with Lipo and BBL. You can have amazing results by extracting saggy skin and fat deposits and having a fat transfer to the buttocks. Consult a board-certified plastic surgeon in your area for an in-person exam.

George Lefkovits, MD · Answer

BBL surgery does not mean just injecting fat into the buttocks. It involves contouring the buttocks as well as the hip area so as to result in curves. The photos suggest that your buttocks can be made more contoured by injecting to the hips as well as into the central buttocks. But you need to be examined by a Board Ce5tified plastic surgeon with lots of experience performing BBL surgery. Good luck!

Darryl J. Blinski, MD · Answer

Thanks for posted excellent photos. You need a BBL reshaping by a true boarded PS expert. I see excess areas of fat with limited areas. I do these surgeries every week. Using ultrasound guided removal and re injections with specialized taping. I also would lipo upper back areas. Fee $7,900. Best to virtual consult with...

Arian Mowlavi, MD, FACS (license on probation) · Answer

Based on your pictures, you are a candidate for a Brazilian butt lift with the goal of reshaping your buttocks and lateral hips rather than augmenting or reducing. The optimal BBL revision outcomes are achieved with: 1) use of VASER liposuction to harvest the fat since your fat has already been harvested 2) a closed looped system to process the fat in order to optimize transfer time and avoid your fat from becoming contaminated and 3) strategic micro-packet transplant technique that maximizes graft take. These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight. Finally, attention must be given to providing you the buttock shape that YOU desire. This means using our proprietary BBL assessment tool. As an official VASER trainer, I am routinely referred unhappy BBL patients. One of the most common reasons for disgruntled BBL patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons. Our buttock assessment tool can be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring. A Skype or FaceTime consultation with a BBL specialist can help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

The transition zone from your lower waist onto your buttocks does not transition correctly.
The transition zone needs to be lowered so that your upper buttocks doesn’t look so square.
Personally I do this by correctly using the Liposuction Equipment doing the procedure with patients laying on their side.
Different providers have different ways of doing these procedures. My personal goal is to create a smooth harmonious S curve rather than a big buttock.
The lower part of your buttocks is more difficult to shape but the upper half is simply not done correctly.
Best,
Mats Hagstrom MD

How can a square butt be fixed? (Photos)

Answers (10)