My butt has a weird contour & is top heavy with an indent transition on each cheek (Photos)

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, insignificant hip augmentation, 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/hip implants, however, provide a more reliable, predictable, relatively safe, and permanent result, especially for adding projection to the hips and central buttock, and often help 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.

To make an assessment regarding the outcome of any plastic surgery procedure, we generally need to see a complete set of proper before and after pictures.If you don’t have before, and after pictures and ask your surgeon to forward the pictures they took.My best guess is that if you’re unhappy with the outcome of your procedure, maybe you should review your before pictures a little longer. When you have a BBL done in conjunction with the body lift, it’s going to be difficult to determine the impact of the BBL.I’m guessing that most of your outcome is related to the body lift, but I wasn’t there during surgery.I think you could probably get some improvements from Liposuction alone Reducing the lower part of your love handles Just below the scar should improve your female contour. Anytime you get a second opinion consultation always include before and after pictures.Either follow up with your provider and talk to him or her about revising the outcome or get in person second opinion consultations with other providers in your community.If you’re going to get a second opinion consultation, then you should also have a copy of your operative report Since that would be important for a new surgeon to read. Before, and after pictures and copies of your operative report are part of your medical record, and you can request them from your current provider by simply asking for them.Best,Mats Hagstrom MD