Cellulite & uneven dips post BBL - suggestions for bigger booty? (Photo)

Question

I had a BBL 2yrs ago, but unfortunately my body has absorbed most of the fat harvested. I now have cellulite and uneven dips. What're some recommendations I could do (besides getting another BBL)?

Ryan A. Stanton, MD · Answer

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 round 2 BBL most often produces the same disappointing results but at another financial loss.   Buttock implants indeed provide a more reliable, predictable, relatively safe, and permanent result, especially for adding projection to the buttock and often smoothing out lumpiness. 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.

Zoran Potparic, MD · Answer

Unfortunately, there is no good way to correct cellulitis. Although signs of cellulitis can be improved for few months after fat transfer, mostly due to volume expansion and swelling, it will not last long due chronic nature of cellulitis. However, difference in graft take in different grafted areas comes from a fact that approximately 50% of injected fat will survive after 8-12 months and become integral part of patient's body. Fat survival does not have to be uniform and for that reason it may survive (take) better on one location than opposite site, location. The way to treat that asymmetry is by means of new, localized liposuction and fat grafting, to correct these, most frequently minor asymmetries. Hope this helps.

Daniel Barrett, MD · Answer

Dear nguyenlmonica,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Darryl J. Blinski, MD · Answer

Thanks for the questions. I offer cases as yours a "COMPOSITE BBL"- that is more lipo with any fat transfer in combination with Sculptra/Radeisse injections (minimum amounts 20 vials). Fee $15,000. 
If interested virtual consult. Regards

Douglas Taranow, DO, FACOS · Answer

Pre-op photos would have helped evaluate your present situation. You do have a couple of flat areas and minor cellulite. Your right hip/upper lateral buttock is fuller than the left. 
Cellulite of the thighs is difficult to address. Sometimes feathering (liposuction without the suction on) combined with micro fat transfers helps.  The smaller dents in the buttock may respond well with Radiesse injections. 
Size and evening out larger areas of the buttocks is best served with a revision BBL.

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

Based on your pictures, you are an excellent candidate for a Brazilian Butt Lift (BBL) revision. I understand you are seeking alternative options, however those alternatives will solely provide a temporary solution. The optimal BBL revision outcomes are achieved with: 1) use of VASER liposuction to harvest the fat since your fat has already been harvested 2) a closed looped system to process the fat in order to optimize transfer time and avoid your fat from becoming contaminated and 3) strategic micro-packet transplant technique that maximizes graft take. 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. Finally, attention must be given to providing you the buttock shape that YOU desire. This means using our proprietary BBL assessment tool. 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. Our buttock 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, FACS
Realself 100 Hall of Fame Inductee

Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

In order for us to make an assessment on the outcome of a surgical procedure we need to see quality before and after pictures.

If you don’t have before and after pictures then contact your surgeon and ask them to forward the ones they took.

From the single picture you’ve shown there is a volume deficit on the right side at and below the hip dip. A second fat transfer with some revision work could help create better S curves.

Cellulite is typically made worse from fat transfer and there are not a lot of great treatments for cellulite.

Subsicion either using Celfina or not is about the only treatment option.

Best,

Mats Hagstrom MD

Cellulite & uneven dips post BBL - suggestions for bigger booty? (Photo)

Answers (7)

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