Can you have a revision BBL if you developed fat necrosis from the 1st surgery? (Photo)

Question

I had a BBL in June 2017 and developed fat necrosis in one area that is painful and has required lancing multiple times to release fluid. I am having it surgically excised. I want to have a 2nd BBL because I am very unhappy with the results from my first surgery (flat spots and very uneven) and to correct the contour deformity from the fat necrosis excision. I’ve already had one surgeon turn me away for a revision because of the fat necrosis. Will I be able to find a surgeon to help me?

Kenneth Hughes, MD · Answer

The fat necrosis needs to be removed first and then secondary fat grafting to improve overall contours can be performed.

Ethan E. Larson, MD · Answer

Fat necrosis from a previous surgery does not prevent revision surgery.  You may want to consider having a slightly lower volume of fat injected.  Also, the surgeon will need to be very precise in placing the fat to optimize its survival.  For that reason, the procedure could take longer than average.  I would wait until the scar has completely healed after they excise the previous necrotic area so that your surgeon will know what to do to address any deformity that results from its excision.  Good luck.

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

Fat necrosis occurs not because of you but following poor surgical technique especially in the buttocks region. What you need is a buttocks specialist who performs this surgery weekly. We have devised the buttocks assessment tool that allows you to communicate the ultimate buttock shape to your surgeon. Since you are a good candidate for a Brazilian Butt Lift (BBL), the optimal outcomes are achieved with: 1) use of VASER liposuction to harvest the fat, 2) a closed looped system such as Puregraft to process the fat, and 3) strategic micro-packet transplant technique. 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. 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.  A buttocks 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

Can you have a revision BBL if you developed fat necrosis from the 1st surgery? (Photo)

Answers (3)

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Everything you need to know about Brazilian Butt Lift Revision

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Can you have a revision BBL if you developed fat necrosis from the 1st surgery? (Photo)

Answers (3)

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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.