I have a deformed BBL, can it be fixed without going under the knife again? (Photo)

Question

I have had 2 BBL's in the past so going under the knife would not be ideal but would be open to any other method to at least feel confident in wearing leggings again :-(.

Luis A. Mejia, MD · Answer

Hello, thank you for the question and great photos.. after analysing your case.. I can say there's not much you can do to fix it (non surgical) but I can say you're a good candidate for a BBL revision, this would fix your problem, give you great results and improve the look of your butt. I know it's hard for you to trust since you already had two bad experiences, but give it a last chance and please visit a board certified plastic surgeon, specialized in cases like this, so you can talk about your goals and any extra information you need to know.
Best of lucks.
Dr. Luis Mejia

Ryan A. Stanton, MD · Answer

A profile side photo would be very helpful and an in person physical exam eventually necessary before any final recommendations could be made.  That being said, i have seen this phenomenon before and typically treat it with a modified lower buttock tuck.  A lower buttock tuck is kind of like a tummy tuck for the buttock in that it removes loose sagging skin/fat tissue from not only the lower buttock but also the back of the thigh to tighten both areas and create a more defined buttock crease. In doing so it also aesthetically shortens and/or rounds out the buttock cheek. It is ideal for those patients that have had significant weight loss or fluctuations, changes from fillers injected, multiple pregnancies, or who’s derrieres have succumb to the dreaded effects of gravity and aging. It is also effective for those whom feel their buttock cheek is naturally too long or square and just want it proportionately shortened and rounded, respectively.  Glad to help

Zoran Potparic, MD · Answer

Based on these photos, I do not think that your problem can be corrected without surgery. What exactly needs to be done (buttock lift, skin excision, liposuction, or combination of these) can be decided only on the basis of in person consultation. Good luck.

Kenneth Hughes, MD · Answer

Hello, thank you for your question. It is hard to tell without a physical examination, you may benefit from a Lift. I recommend you to schedule a consultation with a board certified plastic surgeon to discuss about your goals and determine the procedure that would work best for you.

Daniel Barrett, MD · Answer

Dear  Emely3339,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would need a surgery to correct your issues. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Mary Ann Contogiannis, MD · Answer

Thank you for your question. In general it can be very stressful for patients to undergo revisions of a cosmetic surgery. It would be helpful to look at pre-operative photographs to see if there was skin laxity and sagging of these contours before the BBL. Also more photos but most importantly a physical exam by a board certified Plastic surgeon is important to be able to better judge the soft tissue fullness and contours to decide what might be the most appropriate treatment. Sometimes there are limits as to what a surgical procedure alone can accomplish and sagging tissues may not always be corrected by filling the tissues with microfat grafting, rather other surgical procedures such as a lift may be necessary. I would not recommend a non-surgical treatment such as CoolSculpting because it will not provide skin tightening, may compromise the fat grafting that was performed to give you the fullness you want and placement of the applicator would be difficult. If you are healed enough from the fat grafting procedures, a possible consideration may be to use non-surgical muscle toning procedures to tighten your muscles and possibly improve the sagging, but it likely is a long shot. Overall, you will likely need a surgical procedure to correct it. Talk to your surgeon again with an open mind as this sometimes happens. If you do not feel comfortable with your original surgeon, then consult another Plastic Surgeon.

Raja Mohan, MD · Answer

A 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.

Douglas Taranow, DO, FACOS · Answer

Emely,Unfortunately, there is other treatment for your buttocks other than surgery.  With excess skin or looseness, a lower buttock lift is most likely the only treatment left.Dr Taranow

Andrew Gear, MD · Answer

providing more pictures and more of a description of your deformity would be helpful moving forward.  It’s hard to decipher much from that one grainy photograph.

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

It is hard to answer your question without a consultation. That being said, this may be corrected using high defintion VASER Liposuction or another BBL. The definitive correction for liposuction deformities requires the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I encounter suboptimal liposuction outcome referrals weekly. VASER liposuction has been the only modality that has consistently corrected liposuction caused deformities. VASER liposuction ensures a smooth contour regardless of severity of contour irregularities by virtue of being able to remove any and all remaining fat comprehensively and uniformly. Finally, when skin redundancy irregularities are observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing. 
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

I have a deformed BBL, can it be fixed without going under the knife again? (Photo)

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