The pre op consultation is vitally important between the Dr. and the Patient prior to surgery to make sure each is on the same page, and to make sure what you are expecting is something the surgeon feels he can reasonably deliver. In other words, is the patients expectations reasonable and can the surgeon reasonable acheive these goals. Understanding that no Surgeon can guarantee results of any kind, there should be some understanding of what will be completed and the intended ideal result. It is important to understand that about 50 percent of the result in a Brazilian Butt Lift comes directly from the liposculpture. From the limited view in your photo, it appears like furthere liposculpting would enhance your result, however, is there enough fat remaining to harvest and produce your desired results? What areas were treated with liposculpture the first time as compared to remaining excess fat in other areas. If there is enough available fat in areas where liposculpting was not performed the first time? The second BBL could be performed between 6 months and one year after the initail surgery. The reason to wait longer when performing liposculpture and fat transfer on the same previously treated areas, is to wait for the the firmness and scar tisssues to soften and resolve. You can't see it or feel it, however, areas previously treated with liposculpture and fat injections can be very firm with scar tissue making the procedure of viable fat harvesting and transfer very difficult. Firmness and scar tissue from previous surgery will generally continue to soften and and resolve over 6 months to one year. The bottom line in performing a second BBL is to be able to aesthetically improve on the liposculpting and harvest enough viable fat to produce desired results.
It is critical to understand what this surgery can do for you. Although I've done this operation repeatedly, it is one of the most delicate operations in terms of clarifying expectations. This is probably because there is an element of body contouring with variable amounts of fat removed that will improve certain areas, there is an ill defined amount of skin retraction and an unknown amount of fat graft survival. Properly done by a board certified plastic surgeon, the operation can be very effective. Best wishes
Buttocks augmentation via fat grafting has some degree of uncertainty with respect to survival ot the fat grafts. It's best to wait several months to allow for complete healing in order to plan a repeat procedure. The minor dimpling and asymmetries may soften and can be addressed more precisely at that time.
Good luck and remember to have resonable expectations for improvement.
Dr. Pedy Ganchi
The majority of patients that have a Brazilian Butt Lift surgery performed are extremely happy. However occasionally patients do not receive the aesthetic result that they were hoping for from their procedure. This can be for any of several reasons such as the patient is very thin so there was a limited amount of fat, or the fat did not take as well as the surgeon and patient were hoping.
First of all I would wait at least six months before proceeding with any type of revision. This time will allow all the swelling and scar tissue to settle. Then both you and the surgeon will know exactly what the results are and he or she can give you options to improve the results. Doing surgery before this point is typically a moving target as your body is still changing from surgery. Also giving your body this time to heal will allow the scar tissue from liposuction and fat transfer a chance to heal so that the next surgery can be as precise as possible.
There are several ways to go about enhancing the results of your Brazilian Butt Lift depending on the individual desires of the patient. The first and most common is a second session of liposuction and fat transfer. In patients that have enough fat this is a great option as the liposuction will further sculpt their body and then the fat can be used to add volume and enhance the appearance of the buttock.
However if patients are too thin and there is a limited amount of fat available then other options will need to be considered such as butt implants. The implants are a great option for thin patients and for patients that have an extremely flat buttock. There are a wide range of implants that can be used add shape and volume to the buttock after a Brazilian Butt Lift (fat transfer) surgery.
Many patients that come see me get a combination of fat transfer and butt implants to improve the results from their previous Brazilian Butt Lift. Though the exact treatment plan depends on the individual patient.
The good news is that there are options to enhance your buttock. Please consult with your board certified plastic surgeon that performs a high volume of butt augmentation surgeries.
Setting realistic expectations is an essential part of the initial consultation. Matching your wishes with what is achievable with your body is key. The earliest that I would perform a revision would be 6 months. This allows enough time for all of the swelling and scar tissue to settle and soften. Seek an in person consultation with a plastic surgeon who specializes in gluteal shaping. Best of luck.
Hello, and thank you for reaching out to us. Without seeing your before-surgery pictures, it is difficult to determine what effect the surgery had on your buttock.
Generally, patients who are unhappy with the results of their Brazilian butt lift suffer from a low retention rate; the amount of fat that survives the transfer from your abdomen to your buttock. This is part your genetic makeup and part the skill of your surgeon.
Make sure you consult with a board certified plastic surgeon who specializes in the Brazilian butt lift. Request before and after photos, which should be readily available through the surgeons office.
I would also like to take the opportunity to thank Dr. Placik for his kind words.
Please let us know how everything turns out. Normally, a patient looking for additional surgery will have to wait for the first to be completely healed, which can take up to 6 months.
Dr. Constantino Mendieta.
Thank you for your question. You have to give your self at lest 3 months after your procedure and follow your surgeon procedure before you can see result. I see areal good work there. Your last doctor should be able to help you at no cost help you to resolve your concern with a revision if you are still not satisfied. Please visit with a board certified plastic surgeon with years of experience and great reviews in your procedure.
When you are fully healed from your first procedure, and you have more fat available to perform the procedure again, you can seek a doctor for a revision. I usually suggest waiting 6 months. To achieve the results you are looking for, you needed more than 500cc of fat per buttock. I believe I can give you the butt you are looking for. Internet conversations can never replace an in person consultation, so be sure to find a board certified plastic surgeon.
You may want to contact Dr. Mendieta in Florida who lectures extensively on this procedure. He has alot of experience with buttock augmentation.
There are few problems with your results.
That is why We empasize that your surgeon be an experienced BOARD CERTIFIED PLASTIC SURGEON (AMERICAN BOARD OF PLASTIC SURGERY)
Otherwise the repair becomes more expensive.
You nne a butt that fits your body, not some one else immage.
You need to wait about 6 month before you can have another surgery.
Depending on examination, is there fat necrosis, fat resorption, infection all are factors to decide when the repair needs to be done. Also do you have enough fat now to correct ahe deformities and enhance the buttocks?