I was told I couldn't do a BBL due to my butt having a dent. Can this be fixed? (Photo)

Question

I went for lipo plus bbl and only got lipo . I would like to know if there's a way to work around this.

Semih Yildiz, MD, FEPOBRAS · Answer

A dent or contour depression in the buttock/hip area can sometimes be improved, but the best plan depends on what is causing it. In the photo, there appears to be a visible contour indentation along the buttock/hip area, but an exam is needed to judge whether this is mainly a fat deficit, skin tethering, scar tissue, or natural anatomy.

If there is enough donor fat, a staged fat transfer can sometimes soften the depression and improve the transition between the waist, hip, and buttock. If the dent is tethered by scar tissue or tight bands, the surgeon may need to release that area before or during fat grafting; simply adding fat over a tethered area may not fully correct it. If there is very limited donor fat, poor skin quality, or a deep structural hollow, the improvement may be partial rather than complete.

I would ask for an in-person evaluation with a board-certified plastic surgeon who performs revision BBL and body contouring. They should assess your donor fat, skin elasticity, scar tissue, and whether a staged approach would be safer and more predictable than trying to overfill the area in one surgery.

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. Yes based on the picture this can be fix by having intense liposuction and take the fat we get and transfer to the buttocks and hips, to mold them and get better volume, contour and butt projection, is that we know as "Brazilian Butt Lift" (BBL).

Kind regards

Kind regards

Miguel Mota, MD · Answer

Hello and thank you for posting. It seems odd that you couldn’t get a BBL because of a dent. Fat grafting can actually be used to fill up dents on a patient’s butt. A dent should be an issue, it most likely is one of the reasons patients want to get fat grafting or BBLs. In any case you can always wait about six months for a revision and just make sure your surgeon is ok with performing a BBL next time around.

Best of luck,
Dr. Miguel Mota

Best of luck,
Dr. Miguel Mota

Alan Gonzalez, MD, FACS · Answer

Hello @xiomararose1, thank you for your question. To make an informed recommendation, more information is needed. A consultation is vital to establishing a surgical plan that meets your needs, meets your expectations, and takes into account what is possible. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS),International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Zoran Potparic, MD · Answer

It would be helpfull if you submitted your recent photos. In person consultation with a board certified plastic surgeon would present an oportunity to evaluate your current fat deposits (as a source of fat grafts) and give you an idea how much of buttock augmentation/shaping can be expected. Good luck.

Geuris Cruz Quiroz, MD · Answer

Thank you so much for your question. Sorry to hear your experience with your previews surgery. I believe some information is missing, a BBL can be done perfectly base on your picture. Please look for another doctor opinion.
The best of luck
Dr. Quiroz

Daniel Barrett, MD · Answer

Dear xiomararose1,
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

Cengizhan Ekizceli, MD · Answer

Thank you so much for your question! Unfortunately, your picture doesn't provide the full view of the areas of concern, thus it`s better to have a full consultation for better evaluation. In general, depending on the severity of the dent fat transfer to buttock can be successfully performed.

Olivier Deigni, MD · Answer

Hello and thank you for your picture and your questions. However, the photo you provided gives a very limited view of the areas of concern and it seems to be a picture with markings just prior to your procedure. Please provide updated pictures with different views in order for us to more adequately evaluate the buttock area. Best wishes!

Darryl J. Blinski, MD · Answer

Why did you not have the BBL? Posted 1 photo very confusing??? Please connect virtually with... Where is the buttock dent? So many questions.

I was told I couldn't do a BBL due to my butt having a dent. Can this be fixed? (Photo)

Answers (12)

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