Can I get a BBL revision to treat fat necrosis and reshape my butt? (Photo)

Question

I had a bbl 5 years ago and now have fat necrosis on the top of the left side of my butt. It is very hard and noticeable. Is there a doctor preferable on the east coast that can remove t necrosis and reshape my butt?

Zoran Potparic, MD · Answer

Fat necrosis is, unfortunately, very frequent complication of fat transfer. Fortunately, we do not see such a large mass, like in your case that frequently. Correction includes selective liposuction and fat grafting. In some cases, direct excision of scarred mass may be needed. Only on the basis of in person evaluation, a board certified plastic surgeon with good reputation in fat grafting/body contouring surgery, can give you possible options of treatment. Good luck.

Ryan A. Stanton, MD · Answer

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, 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 round 2 BBL most often produces the same disappointing results but at another financial loss.   Buttock implants indeed 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. Please keep in mind that an extremely few number of board-certified plastic surgeons specialize in 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 erikathomas,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Mats Hagstrom, MD (license on probation) · Answer

In order to make an assessment on the outcome of a procedure need to see a proper before and after pictures. If you don’t have a before and after pictures and asking the surgeon who did your procedure to forward the ones they took.
Removing the fat necrosis should probably be done as a separate procedure then the revision but it’s possible both could be done at the same time depending on what you’re trying to achieve and the amount of fat necrosis. we can’t really assess fat necrosis based on pictures.
Sometimes it’s better to leave necrotic fat in place. If it bothers you enough to have it removed it needs to be done with open excision.
Because that necrosis can be diffuse in multiple areas this can make it a complicated procedure that is either limited or becomes quite invasive.
Your situation is complex and you will definitely need an interesting consultation for an assessment.
Secondary procedures are always much more difficult than primary procedures so take that into consideration when it comes to finding a sufficiently skilled provider.
Start by talking to the surgeon who did your procedure and continue scheduling more consultations with local board-certified plastic surgeons in your community who have experience with the procedure as needed.
Best,
Mats Hagstrom MD

Can I get a BBL revision to treat fat necrosis and reshape my butt? (Photo)

Answers (4)

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