Did my surgeon place the fat incorrectly/lack skill (tombstone BBL result)? (Photos)

Question

I had lipo 360 and a BBL. I paid approx 30k. I asked my surgeon to fill in my hip dips, widen my hips but not too wide and focus on backwards projection. I noticed immediately post op that my shape was very square and maximum projection was at the top of my butt/love handles and I now have a tombstone appearance not a round shape butt. I am unhappy and unsure if this is a result of my surgeons skills/lack of communication or due to my existing shape. I expected to have roundness in my mid glute.

Zoran Potparic, MD · Answer

There is no doubt that your result is less than optimal and expected. Part of that is in underlying anatomy (squareness of your buttock/hips to start with), tight skin envelope which can change only to a certain degree with injection of fat grafts (not always in a way patient and surgeon want), unpredictable nature of fat grafts take-survival and, in significant part, suboptimal execution of the procedure. However, this can be corrected with combination of liposuction of upper, square buttocks, and secondary grafting- enlargement of hips and upper lateral thighs. This will give you more acceptable, elongated buttocks/hips. In person consultation and discussion about possible outcome with a true expert in this procedure, is recommended. Good luck.

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.). 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.   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.

Daniel Barrett, MD · Answer

Dear Fantastic9284,
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

I fix many bad BBLs Yours is easy fix btw. You need redistribution of fat with specialized upper buttock taping. Please connect see messages. Sorry for your poor outcome.

Douglas Taranow, DO, FACOS · Answer

There are several things going on here. First, your buttocks had a natural upper pole fullness. The operative photo shows nice roundness, however I’m sure a good amount of the transplanted fat was absorbed. There’s nothing wrong with the way that the procedure was done, however, your upper outer buttocks/hips are fuller than they should be. If this area bothers you, you may simply liposuction it. Best wishes. 
Dr. Taranow

Did my surgeon place the fat incorrectly/lack skill (tombstone BBL result)? (Photos)

Answers (6)

Answer: Did my surgeon place the fat incorrectly/lack skill (tombstone BBL result)?

Answer: Did my surgeon place the fat incorrectly/lack skill (tombstone BBL result)?

Answer: BBl results

Answer: BBl results

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Did my surgeon place the fat incorrectly/lack skill (tombstone BBL result)? (Photos)

Answers (6)

Answer: Did my surgeon place the fat incorrectly/lack skill (tombstone BBL result)?

Answer: Did my surgeon place the fat incorrectly/lack skill (tombstone BBL result)?

Answer: BBl results

Answer: BBl results

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Recommended reading

Everything you need to know about Brazilian Butt Lift Revision

Our mission is to create a world where every investment in modern beauty is Worth It.