Hello Optimistic 151770, Thank you for inquiring about the possibility of undergoing a Brazilian Butt Lift (BBL) seven years after having your implants removed. Your situation is unique and requires careful consideration of several key factors to determine if a BBL is right for you: Quality and Quantity of Fat: The success of a BBL largely depends on having enough quality fat for transfer. If your body doesn't have sufficient fat reserves, or if the potential areas for fat harvesting are compromised by scar tissue or previous silicone injections, the procedure may not be viable. Handling of the Fat: The harvested fat should be as pure as possible, cleansed of impurities, and treated with antibiotics to reduce the risk of infection. Some surgeons also use Platelet-Rich Plasma (PRP) to enhance fat survival. Anatomy of Your Buttocks: The history of your buttock implants and any associated scar tissue is crucial. If your buttocks have extensive scar tissue or remnants of previous procedures (like silicone injections), it could complicate the fat transfer process. Insertion Technique: The technique used to inject the fat is critical. The fat should be injected just under the skin and not into the muscle, to avoid risks like fat migration. The technique should ensure minimal tension and even distribution. Postoperative Care and Body’s Response: Post-surgery care is vital for the survival of the transferred fat. This includes avoiding pressure on the buttocks for a few weeks and following all postoperative instructions, like taking antibiotics. Your body's response to the transferred fat also plays a significant role in the outcome. Given these factors, it’s crucial to consult with a board-certified plastic surgeon experienced in BBLs, especially in cases like yours with a history of implant removal. They can provide a personalized assessment and help you understand the feasibility and expected outcomes of the procedure. In summary, while you may be a candidate for a BBL, careful evaluation of your specific circumstances is necessary to ensure the best possible outcome. Sincerely, Dr. Katzen