Is BBL revision (Round 2) less dangerous?

Question

I am looking to have a round 2 bbl and am wondering whether the risks around the surgery and the danger of death is less because there will be less fat to transfer this time? Thanks so much!

Ryan A. Stanton, MD · Answer

The short and quick answer is, No.  Your risk profile is the same as round one, except the chance for more fat survival is often less.

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 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.

Daniel Barrett, MD · Answer

Dear holiday81,
it is hard to tell for sure without an examination. Generally speaking, revision surgeries are linked to a higher risk of complications than primary surgery. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Andrew Gear, MD · Answer

The risks of fat embolism, and overall risk is essentially the same. The risk of aesthetic complications is even higher because of the scar tissue and lack of fat present. It takes precision and experience with revisions. Find a surgeon who has that.

Mats Hagstrom, MD (license on probation) · Answer

We do not have current mortality, statistics related to the BBL procedure after the investigation of safety recommendations by the American society of plastic surgeons.
Federalism can still happen, but the incidence seems to have been dramatically reduced since the plastic surgery community was made aware of the correlation. 
It is also I think were the to point out that many of the fatalities that added to the statistical combination came from a very small number of providers. In particular two doctors in Florida, who had a combined total of 10 fatalities. Neither of these doctors were trained in a plastic surgery.All procedures have inherent risk. I believe the biggest risk patients take one day undergo Liposuction and fat transfer is the risk of permanent disfigurement, and having results that are undesirable, while serious medical complications, including fatal outcomes, may seem far more dramatic living with horrific aesthetic outcomes that border on disfigurement can have very negative quality of life consequences, and these are often preventable, if patients put in sufficient effort and provider selection.
I suggest you focus on the variables if you do have a choice over. In particular choosing the most talented and experienced provider for your needs. To do this, I recommend patients stay local for elective surgical procedures, avoid virtual consultations, instead choose to have multiple in person, consultations with providers in your community who have a proven track record with the BBL procedure. They will get you the first hand chance discussing complications, including feed allowed, comes with each provider what their personal philosophy, and what their history has been.
Results that are significant Lee different than what people had anticipated, including it. Significant dissatisfaction with outcomes happens far more frequently than people believe while serious medical complications are still fairly rare.
Most people do not think twice about getting into a car and driving to work on a daily basis. The annual fatality of an average driver isn’t one per 10,000 per year. This means that even in its most negatively described circumstance of the BBL having a fatality of one per 3000 cases which I believe is no longer anything close to being accurate still is the same as an average drivier driving a car for three years.
I recommend anybody considering having this procedure schedule at least five in person consultations at which time you should ask providers to open up their portfolio and ask to see at least $.50 a before, and after pictures, especially a previous patient whose body characteristics are similar to your own.Being shown a handful of preselected images, representing the best outcomes of a providers career is insufficient to get a clear understanding of what average results look like. Or heading up with disappointing outcomes is when I think patients need to focus far more effort on because this in the end, it is highly related to poor decision-making when it comes to choosing your plastic surgeon.Being board-certified and plastic surgery with years of experience, and an overall good reputation, does not mean that somebody has mastered liposuction or fat transfer, which, in fact are far more difficult operations to do well within most people believe. The number of providers to do these procedures exceptionally well on a consistent basis, and can reproduce predictable outcomes is relatively small and patients generally need to put in serious effort to find the best provider. Not doing, so is he highly correlated with an outcome that is far less than what it could’ve been. 
Good luck,
Mats Hagstrom MD

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