5 months post op BBL, have cellulite, stretch marks and a dent. Is my BBL revision realistic? (photos)

Question

I got a BBL done 5 months ago. It was nice the first 2 months, however, when the fat settled everything came tumbling down (literally). My fat sticks way too out on my hips. I’ve never had cellulite nor stretch marks on my butt prior to a BBL. Also, I have this weird DENT on my rip cheek. I want to get a revision, I want my butt to look natural again. Is my goal realistic?

Robert M. Lowen, MD · Answer

Yes, this can be revised. Revision would consist of removal of excess fat, particularly the sides to get a more natural contour and fat transfer to the dent. SAFE lipo and Cellulaze would greatly improve the cellulite appearance of the buttocks.

Kenneth Hughes, MD · Answer

This will require much more skill than one may imagine to correct shape and excess at the same time without creating droop of the skin envelope.

Thomas A. Pane, MD · Answer

Inside of six months, you still should be waiting as you still are not at final results, but I agree it is less likely these issues will resolve at this point.  The skin irregularities can be due to stretching of the tissues from the fat, though this isn't common, it happens once in a while.  There are non-invasive options for trying to improve the skin contour, and yes surgery is an option but the results tend to be mixed.  However, reducing the fullness on the sides is very achievable and filling in the dent on the right is also possible.  So a revision procedure - by an experienced BBL surgeon has a good chance of improving the overall situation for you.

Daniel Barrett, MD · Answer

Dear fay1132,it is hard to tell for sure without an examination, but you might improve after revision surgery. 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

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Adolfo Sesto, MD · Answer

Hi. For a revision you should wait at least for a year after your BBL, to let the fat finish its integrations to the receptor area. After a year then revision can be discussed and performed.International Member of the American Society of Plastic Surgeons (ASPS)
Member of the International Society of Aesthetic Plastic Surgery
25 years experience

Erika Sato, MD, FACS · Answer

When a BBL is carried out safely the fat is injected into the patient's fat more superficial to the muscle or fascia and deeper than the skin. Cellulite is more superficial to where the fat is injected as it is attachments to the skin. Cellulite appears to look better early after a BBL secondary to swelling. Once things settle ~3 months after the procedure, the skin quality will return to what it was before the surgery. This means cellulite will resurface. Also, we develop more cellulite over time so it may even get worse. As far as stretch marks, this is permanent damage to the dermis of the skin. Stretch marks  do not go away with a BBL. If a very large volume of fat is injected into the buttocks, new stretch marks may form post op. Stretch marks present before surgery may become more apparent when the butt is made larger as the skin may be pulled more taught.

Arian Mowlavi, MD, FACS (license on probation) · Answer

Given that 3-6 months post-op is the typical duration required for BBL results to settle in, a revision in advised for obtaining optimal results.Based on your pictures, you are an excellent candidate for a Brazilian Butt Lift (BBL) revision. The optimal 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, FACSRealself 100 Hall of Fame Inductee

5 months post op BBL, have cellulite, stretch marks and a dent. Is my BBL revision realistic? (photos)

Answers (7)

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