Is this rippling/cellulite caused by BBL? (Photos)

Thank you for your question. It is very common after a BBL procedure that the appearance of cellulite is more pronounced. Currently, a few treatments are available for cellulite and it is best to speak with a board certified plastic surgeon or dermatologist who is experienced with these treatments. 

Hello, and thanks for this very good question. The most likely answer is that there was always some degree of cellulite/dimpling there to begin with, but it wasn't obvious. The increased buttock volume from your fat transfer pushing the tissue out caused these irregularities to become more obvious, and maybe even enhanced them. It is unlikely that the fat transfer actually caused cellulite. Both cellulite and dimples occur because of irregularities in the length of fibers called "septa" that run from the undersurface of the skin down to the fascia (covering of the muscle). When the fibers are all of similar lengths, the fat in between the fibers is spaced out in a smooth, uniform manner. When the fibers are of different lengths, the fat in one "compartment" bounded by fibers all around it may be lower or higher than the compartment of fat next to it. This causes the irregular, bumpy look to the skin we see in cellulite, and if the fibers are all shortened in a larger area compared to the surrounding fibers, it causes a dimple (also likely a form of cellulite). This, unfortunately, has to do with your genetics more than anything else, because even thinner people can have some cellulite. However, exercise and hydration can improve things to some degree. There are creams and procedures involving rollers and suction that have been used for years, but results are transient, and they do not cure the condition. Various other procedures involving lasers and/or cutting of the fibers beneath the skin (to allow the fat compartments to equalize and smooth out) have also been used for years with unpredictable results.I tell my patients (and there are many with cellulite and dimpling) that fat transfer (BBL) will make their buttock fuller and improve their figure, but it will not smooth out cellulite and dimples, and could even enhance them. I do, however, perform limited "subcision" (cutting of the shorter, tighter fibers) during fat transfer procedures where there are deeper dimples. If it is done carefully (with a small cannula with a small forked blade on the end) deeper dimples can be safely softened and partially or completely smoothed out. Too much subcision, however, could lead to irregularities that are even worse than the dimples.There are two procedures which may have some value. One is Cellulaze, which uses a laser to cut the fibers, and another is Cellfina, which uses a wire to uniformly cut the fibers in a given area. Both are done under local anesthesia. I have no experience with these treatments, but I know they can be successful, especially in limited areas.I hope this helps.

Thank you for your question. A BBL procedure doesn't cause cellulite in your body. It has to be there before the surgery.
I hope my answer will help you to your question.Before undergoing any surgical procedure, please seek a board certified plastic surgeon

It is possible that the contour irregularities you are seeing are related to the fat transfer procedure (Brazilian Butt Lift). Liposuction itself can sometimes make cellulite appear worse because cellulite is really a series of fibrous connections between the skin and the underlying fascial layers over the muscle. The fat that is between can serve as a sort of buffer making cellulite appear less obvious. So, when patients lose weight or have the fat surgically removed, that buffer can be diminished making the abnormal fibrous connections stand out more. The grafting of the fat to certain areas can also create contour irregularities, but for different reasons including the irregular placement of the fat or that some of the grafted fat survived while other areas did not and were reabsorbed. There is no cure for true cellulite, however if you feel that some of your concerns were only present after surgery, it’s best to meet with your plastic surgeon and give her/him a chance to discuss what they think may be causing the problem and potential solutions. Best of luck!

Thank you for your question. At this time there is no treatment for cellulite. In some patients cellulite and/or contour irregularities can become more pronounced after a BBL and liposuction. Cellulite occurs due to fibrous connective cords that tether the skin to the underlying muscle, with the fat lying between. As fat cells become larger, they push up against the skin, while the fibrous tough cords pull down, which give the dimple appearance. 

BBL's do  not get rid of cellulite. In some patients it may become more pronounced. I have not been overly impressed with cellulite reduction procedures or machines.