Are revision BBLs as successful as the initial procedure, especially as I'll be transferring to a different area?

Hi,Sometimes the skin of the lower buttock will not allow expansion. Without photos it is difficult to tell but you have to consider the future, and the fact there is less support of the lower buttock than there is in the upper. Too much fullness in the lower buttock will sag over time and it might not be aesthetically pleasing. An experienced plastic surgeon who has done many of these procedures would be able to know ahead of time if that would be a concern for you. Best of luck.

First, congratulations on a successful first round BBL at achieving upper buttock fullness.

However, 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.). It is not quite as much the quality of the doctor 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. Generally, the fat survives reasonably well in the upper third of the buttock but relatively poorly in the central and lower part of the buttock. Buttock implants provide a much 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.

Dear Bri3218,
fat viability depends a lot of surgeon technique. The fat has to be placed back into the buttocks as soon as possible so that it has a greater chance of survival. It has to be placed carefully so that not too much fat is placed in only one area. 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