For a BBL reduction, what should I ask for if I want my butt to be smaller overall? (photo_

Thank you for your question and photo! I suggest you seek a board certified plastic surgeon and discuss your options.  Best of luck!Dhaval Patel
Double Board Certified 
Plastic Surgeon 
Chicago
Hoffman Estates
Oakbrook
Orland Park

This can be tricky as skin and tissue distensibility may preclude any further improvement in shape or dimension with revisional attempts. Selection of a PS who has performed numerous successful  BBL revisions is key to the outcome.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

Dear fay1132,
you didn't mention when you had your BBL surgery. If it was recently, then you can wait some time to see the final results of your surgery. If it was a long time ago, then a liposuction might be a better option. While there is always a chance for contour irregularities with liposuction, someone who takes their time and uses the appropriate sized cannulas should give you a superb result.I have all my patients wear compression garments and I use multiple sized cannulas to feather out the result.
If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

The key to revision of the Brazilian butt lift to create a natural look is to use the patient's frame in their natural shape as a basis for the liposuction and the fat transfer.   When you  do not follow the patient's frame when you do a procedure you get up done fake look.  If you follow the patient's frame you get a natural look.Just like a facelift surgery, or a breast augmentation surgery the best surgery is the one that looks natural that no one would ever know whether you had surgery or not.  When you see a person walking down the street a block away and you know they had a facelift, that facelift is not that good.Revisions can be done without complications with good skin quality after surgery.  It's more difficult to do the revision and do the surgery right the first time because of the scar tissue from the first surgery but it can be done.  You do not want to do multiple surgeries because at some point there's going to be too much scar tissue to get a good result.  Dr. Nahai told me in 1988 that you have two chances to get a rhinoplasty right before you are operating through scar tissue and will not get a good result.  I had a fun month as a medical student atCrawford Long following around Dr Nahiai, Dr. Bostwick and Dr. Jurkewicz.

you have to tread very carefully with liposuction of the buttocks. I’ve seen a lot of really horrible results. It’s a precision thing and has to be done by someone with skill and experience.   You have a good result. I would live with it if you possibly can. 

 First, it is important to make sure that this is all due to fat transplantation and you do not have silicone injected in your buttocks. If you have silicone injections in your butt, the following advice will not be applicable. If however your projection is due to fat grafting, first I would applaud the surgeon who did it because they did a great job of getting you the projection. But if you would like less, it is important that you have reduction all over your buttock so that you can equalize the skin appropriately. If you just remove the central mound you will have a deformity that looks obvious. Again, it’s important to spread everything around and equalize the skin so that it has a chance to re-distribute evenly. 

You will do well with a buttocks reduction. We perform BBL revisions weekly and the number one mistake is miscommunication with your surgeon. We have devleoped the buttocks assessment tool that allows you to choose the exact buttocks size and shape you desire. The secret to avoiding deformities includes: a) removing fat in the deep plane; b)tightening the skin of the buttocks using Renuvion scarless technology after the fat has been removed. Based on your pictures, you are an excellent candidate for a Brazilian Butt Lift (BBL). The optimal BBL outcomes are achieved with: 1) use of VASER liposuction to harvest the fat, 2) a closed looped system such as Puregraft to process the fat, and 3) strategic micro-packet transplant technique. 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. 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.  A buttocks 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