Uneven butt cheek 4 months post BBL - Can it be fixed with Renueva or Sculptra? (photos)

Thank you for your query. Renuva a is a new filler that depends on your own fat being replenished and may be useful in buttock augmentation. Sculptra stimulates collagen formation in the skin and can be used for improvement of your BBL. A revision with your own fat, however, when done carefully, may be the best option in achieving symmetry, as the procedure will be much less extensive than your first BBL. Please discuss your options with your Plastic surgeon who can help you with all your concerns. All the best!

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.

It is important to note that you are still early in the recovery process, and can likely expect more swelling and fat to melt away over the next 6 to 8 months. At that point, you should be re-evaluated for what may be your next best option(s). I can tell you this much, fillers, such as Sculptra and hyaluronic acids, for augmentation of the buttock/hips are a rip-off, period!

Furthermore, 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.

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.

This is a good question. While renuva or sculptra can be helpful to corrector minor asymmetries and un-evenness, it may not be as immediate as a BBL revision. Renuva takes weeks to months for it to take its full effect. Similarly, Sculptra is a journey that often requires a few sessions over the course of months for a modest improvement. While a BBL revision surgery may not be ideal, it is the quickest and most direct way to correct and balance both sides. It also may even be more affordable than series of injections depending on what area you live in and how much your plastic surgeon charges. Every city has different price ranges. Hope this helps!

Dear Pearl ida,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Fillers would only offer you a very, very small volume and would fall way short of being able to correct the volume discrepancy. Only one thing to consider is that your larger cheek is also a little longer than the other cheek and this is not correctable but you should be able to match much closer than you are now. There is always asymmetry in everyone for every type of surgery but if it is noticeable or significant as your than a correction is needed although perfect symmetry is never achievable.

Imagine if you fill a wine glass and a regular water glass with the exact same volume--they would still have differences in the shape. Now, your don't have as dramatic a difference in your cheeks as this example of two totally different glasses but you see the concept.

Nice posted photos demonstrating uneven injection of fat grafting. Why not round 2 revision surgery with lower buttock having ultrasound guided fat reduction with specialized taping and fat grating to flatter side(fee $6,000)? Plus might also use injection BBL options, I prefer combination of Radeisse
/Sculptra since Renueva is TOOO expensive! That total fee $10,000 for 10 vias/syringes. Best to virtual consult with....

A proper revision will require surgical intervention. Based on your pictures you had some asymmetry in your pre op picture.
I suggest discussing your concerns with your provider.
Best,
Mats Hagstrom, MD