Non surgical BBL to achieve symmetrical buttocks? (Photos)

Question

Can a non surgical BBL help achieve greater symmetry with my buttocks? I saw a plastic surgeon and repurposing fat is not an option through a traditional BBL.

Hooman Khorasani, MD · Answer

Yes, a non-surgical BBL can potentially help achieve greater symmetry with your buttocks, and Sculptra is indeed one of the viable options for this purpose.Sculptra (poly-L-lactic acid) works as a biostimulator that gradually stimulates your body's natural collagen production over time. For buttock asymmetry, this can be particularly useful because:Advantages for asymmetry correction:
Sculptra can be strategically injected into the smaller or less projected buttock to help balance the appearanceThe treatment allows for precise, gradual volume enhancement where needed mostResults develop slowly over several months, allowing for natural-looking improvementMultiple treatment sessions can be customized to achieve the desired level of symmetry
Treatment considerations:
Typically requires 2-3 treatment sessions spaced 4-6 weeks apartResults continue to improve for up to 6 months after the final treatmentEffects can last 2+ yearsRequires an experienced injector familiar with buttock anatomy and Sculptra technique
Since a plastic surgeon has already determined that traditional fat transfer isn't suitable for your case, Sculptra could be an excellent alternative for addressing the asymmetry. The key is working with a board-certified provider who has specific experience with Sculptra for buttock enhancement and can develop a treatment plan tailored to achieve the symmetry you're seeking.I'd recommend scheduling a consultation with a provider experienced in non-surgical buttock augmentation to discuss your specific anatomy and aesthetic goals.

Anna Chacon, MD, FAAD · Answer

Non-surgical Brazilian Butt Lift (BBL) options can help achieve greater symmetry in the buttocks, though results may vary compared to surgical methods. Here are some considerations:

Dermal Fillers: Injectable fillers, such as Sculptra, can add volume and improve symmetry. These fillers stimulate collagen production and can gradually enhance the shape of the buttocks over multiple sessions.

Radiofrequency or Ultrasound Treatments: These non-invasive treatments can tighten the skin and improve the overall appearance of the buttocks, potentially aiding in achieving a more symmetrical look.

Limitations: Non-surgical methods generally offer more subtle results compared to surgical options. The degree of asymmetry correction might be limited, and maintenance treatments are typically required.

Consultation: Discuss your goals with a qualified aesthetic practitioner who can evaluate your specific situation and recommend the most appropriate treatment plan to achieve your desired symmetry.

These options can be effective for those seeking non-invasive solutions, but it's important to have realistic expectations regarding the outcomes.

Ryan A. Stanton, MD · Answer

Allow me to answer your question as best i can based upon your photos. However, please keep in mind that an in-person, or at least a virtual, consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.

It appears as though your left buttock cheek is significantly larger than the right side.

There are currently only two FDA approved surgical options for augmenting the buttock/hip area:  1) Buttock and cosmetic Hip Implants (which are soft semi-solid silicone rubber implants that cannot rupture &/or leak) and 2)Brazilian Butt Lift (aka BBL) - which utilizes the patients own fat from liposuction then transfers this fat into the buttock. On the other hand, BBL using fillers such as hyaluronic acids, Sculptra, etc… is a dangerous, guaranteed waste of money, and is NOT FDA approved. So what it comes down to, like any surgery, is proper patient selection and long-term results. Indeed, you do not appear to even be a candidate for BBL. Implants provide the only guarantee for a sustained permanent result and tend to be ideal for perking up not only lean or deflated buttocks but also providing substantial projection & volume to any butt, which is what every single patient wants.  Based upon your photos, a Stanton Anatomic®️ shape buttock implant may serve you best.

Please read on for some additional useful general information:

Beware, if a surgeon asks you to purposely gain weight (i.e. fat) before BBL, know that the fat you lose first as you get back to your baseline weight after surgery is that very same fat that was transferred into your buttock, hence your new buttock shrinks first, the fastest, and the most...so please do not fall victim to this recommendation. Even those patients that had adequate amounts of fat pre-operatively, still end up seeking buttock implants after a year or so because most of the fat transferred melted away leaving them with minimal result.  Fillers such as Sculptra are cost prohibitive, provided enough volume is injected (i.e. at least 400 cc of active ingredient costing over $300,000) and last only 12 - 18 months.  Additionally, any physician promoting “biostimulators” for buttock enhancement is just a joke, and any board certified plastic surgeon promoting such, should not be trusted with your butt.

Finally, note that an extremely few number of board certified plastic surgeons specialize in buttock or hip implants, so you may need to travel far and away from home to find this particular surgeon.  Getting it done right the first time around is not only the best chance for success, but also will save you from a lot of headaches and money in the future. Glad to help.

Mats Hagstrom, MD (license on probation) · Answer

All people have body asymmetry.
The asymmetry is primarily based on bone structure, not soft tissue coverage.
For that reason, soft tissue treatments are not going to correct the asymmetry.
I have a low faith that any non-surgical procedure is going to create any type of real contouring.
 I suggest you accept your body for the way it is and don’t look to have this corrected.
You may want to have your legs measured to see if one is longer than the other.
If it does getting an orthotic insert may be helpful.
A podiatrist can help you with this.
Best,
Mats Hagstrom MD

Non surgical BBL to achieve symmetrical buttocks? (Photos)

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