When is it OK to have round 2? Brazilian Butt Lift

Hi ReneeRobinnson,
Your body continues to heal well over a year postop from liposuction and BBL. Even your butt and hips continue to change after 6 weeks. Every surgeon has different criteria for when to perform a second round of surgery. I personally recommend waiting 9 months to a year to allow your transferred fat to fully settle and allow the inflammation from previous liposuction to resolve. Best wishes in your journey,
Dr. Andre P. MarshallDouble Board Certified Plastic SurgeonBeverly Hills, CA 90210

Hello @ReneeRobinnson, thank you for your question. The early stages of recovery usually happen between the first and second months following surgery, while a full recovery can take up eight months to a year that is a prudent time to have a revision. For more information and recommendations, consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Thank-you for your query. A second BBL procedure can certainly enhance your results. I usually have my patients wait for at least six months before planning a second BBL but different surgeons have different protocols. You should discuss all your concerns with your Plastic surgeon who can discuss with you his/her protocol. All the best!

While you consider round 2 BBL…

You may be 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. 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.

Hi, thank you for sharing your question. I would recommend waiting one year. This will allow for ideal planning and fat grafting.

Dear ReneeRobinnson,
every plastic surgeon has his own preoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

at least in six monthsA Brazilian butt lift (BBL) is a cosmetic surgery procedure that enhances the shape and size of the buttocks by transferring fat from other areas of the body: Brazilian butt lift (BBL)ProcedureFat is removed from other areas of the body, such as the thighs, hips, lower back, or belly, and injected into the buttocksGoalTo improve the shape and volume of the buttocks, and sometimes to create an hourglass figureResultsMore rounded and fuller buttocks, and sometimes a smaller-looking waistRisksExpensive, can be dangerous, and there are no guaranteed resultsRecoveryPain is usually minimal, and full recovery takes about six monthsMaintenanceResults should last for many years, but it's important to maintain a stable weightA BBL is different from a traditional "lift" procedure, like a breast lift or facelift, because it doesn't improve sagging or excess skin. A BBL is also different from other butt lift techniques because it doesn't use implants. Candidates for a BBL should have good skin tone in their buttocks and hips, be in good health, and not have medical conditions that would impair healing.

Great question. The response - it depends??? No posted photos?? Do you have any more donor fat areas? Was any fat injected into the hip dips? Is your Hb or blood count OK? Not anemia? So you see your questions needs much more information.... In general terms I recommend if all the above questions are answered satisfactorily then 4 months is the time frame. Best to virtual consult with....

You should wait at least 6 months post BBL procedure to have a second BBL. This allows the initial fat transferred to obtain a solid stable blood supply.

You need to wait at least 6 months to allow everything to settle down; not only do we have to wait for your body swelling to resolve (this is where the lipo was done) but also to see if your butt volume will be lost. Please consider a virtual consultation from a BBL revision expert.