Will a second BBL give me the result I want? (photos)

Question

I had a BBL in April of 2022. The doctor really did an amazing job in changing my shape for the better, but I am not happy with the fact that he did not inject any fat in the indentations at the bottom of my butt . When I asked about it, he said that he doesn't inject the bottom & most surgeons don't. Are there any surgeons that do? I really want them filled in. My left side is also smaller than right. If I'm going to do a revision, I want a surgeon who specializes in this.

Ryan A. Stanton, MD · Answer

Allow me to answer your question as best i can based upon your photos. However, please keep in mind that an in-person, or at least a virtual, consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.

You are in good company with many others who had high hopes for BBL but instead received disappointing results (lumpiness, unevenness, lack of projection in the central and/or lower buttock, post-deflation sagging, fatty necrotic cyst or scar tissue, etc.) as most of the fat melts away. It is not quite as much the quality of the doctor nor liposuction technique but rather the quality of the procedure that is a large part of the problem.  Thus, going back for additional rounds of BBL most often produces the same disappointing results but at another financial loss.   Beware, if a surgeon asks you to purposely gain weight (i.e. fat) before BBL, know that the fat you lose first as you get back to your baseline weight after surgery is that very same fat that was transferred into your buttock, hence your new buttock shrinks first, the fastest, and the most...so please do not fall victim to this recommendation.

Fillers, such as Sculptra and hyaluronic acids,  for augmentation of the buttock/hips are a rip-off, period!

Buttock implants, however, provide a more reliable, predictable, relatively safe, and permanent result, especially for adding projection to the buttock and often smoothing out lumpiness. Occasionally a lower buttock tuck may be advantageous for lower buttock fold asymmetries and/or sagging.  When considering buttock implants make sure that the surgeon is going to be placing the implants within gluteus muscles , (a.k.a. “intramuscular pocket”), and that they are using anatomically correct, oval-shaped implants, such as Stanton Anatomic ®️ implants. 
Please keep in mind that an extremely few number of board-certified plastic surgeons specialize in these buttock implants so be sure to consult with one that is reputable and experienced. Unfortunately you may have to travel long and far away from home to find this particular surgeon. Glad to help.

Daniel Barrett, MD · Answer

Dear jclady2000,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Zoran Potparic, MD · Answer

There is no doubt that in expereinced hands you can get better result; fat graft placement in lower aspect of lateral butts (dent areas) and minimal augmentation of upper portion of thighs (to avaoid round, melon like appearance) would be my suggestion. In person consultation or teleconference with a board certified plastic surgeon with expertise in fat grafting, is recommended. Good luck.

Mats Hagstrom, MD (license on probation) · Answer

The results overall look very good. There are only small modifications needed to get an ideal outcome. The transition from your love handles to your waist is a little abrupt and bringing in the hips just slightly where they transitio tear waste on the upper part of the buttocks could help. Adding small amount of fat in the transition to your thigh could help as well. Follow up with your provider since that person seems to do overall quality work. It doesn’t seem like it would be all that difficult to fine tune your results.
Best,
Mats Hagstrom, MD

Will a second BBL give me the result I want? (photos)

Answers (4)

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