Do I have enough fat for a second round BBL?

Question

I had a BBL 15 months ago however I am not satisfied with my final result. I was told that i needed to gain weight in order to have enough fat I was hoping to have a rounder butt with more hips. My surgery report states that 2000 ml of fat was lipo suctioned from my back and another 2000ml from my abdomen however i question if my back was actually liposuction b/c i do not see a big difference. 600cc of fat went into each butt cheek. Is it possible to have a second round without gaining weight?

Daniel Barrett, MD · Answer

Dear Independent825408,
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

Without in person evaluation it would be very difficult to suggest anything. If your last photos are after surgery, there is no quastion that you achieved nice improvement. In person consultation with board certified plastic surgeon with good reputation in BBL surgery, is recommended. Good luck.

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.

Mats Hagstrom, MD (license on probation) · Answer

When describing Liposuction fat harvest volumes, it’s important to recognize that there are several ways of interpreting those numbers.
Most people calculate total aspirate harvested, which includes a significant percentage numbing solution. The percentage of water and the harvested fat can be anywhere from 10 to 70%. It’s unlikely 4000 mL of pure fat was harvested from your torso.
Some surgeons will record it how much of the aspirate fluid was actually fat. The separation process so identify how much is fat and how much is water also takes time because the separation process is not immediate.
It may be challenging to harvest sufficient amounts of fat from your torso for a second to fat transfer it. Your liposuction looks like it was done well with emphasis on high definition. I’m guessing your procedure was done aggressively using VASER.
It may be challenging to get substantial amounts of fat from your torso, but your extremities from what it sounds like, have still not been treated so inner and anterior thigh and arm liposuction it should be able to give it a substantial amount of fat to work with.
Best,
Mats Hagstrom, MD

Do I have enough fat for a second round BBL?

Answers (4)

Answer: Secondary BBL assessment

Answer: Secondary BBL assessment

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Do I have enough fat for a second round BBL?

Answers (4)

Answer: Secondary BBL assessment

Answer: Secondary BBL assessment

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Everything you need to know about Brazilian Butt Lift Revision

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