Would a second BBL make a difference, or should I consider hip implants? 7 months post op. Goal is a more curvy look. (photos)

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, loss of hips, etc.) as most of the fat melts away. It is not quite as much the quality of the doctor nor liposuction technique 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 and/or hip implants indeed provide a more reliable, predictable, relatively safe, and permanent result, especially for adding projection to these areas. Please keep in mind that an extremely few number of board-certified plastic surgeons specialize in buttock/hip 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.

Thank-you for your query! Based on your photographs, you seem to have an excellent result. A gentle weight gain may make it possible to have some further enhancement of your hips next year, but I would not recommend implants as they come with their own set of problems. Please discuss your concerns with your Plastic surgeon who has done a great job and should be able to help you get the best possible results. All the best!

It takes 8-12 months for BBL result to stabilaze. It would be best to wait at least 1,5 years after first surgery before concidering additional augmentation. Quality of fat grafts as well as quality of recipient site will improve in time and provide better chances for good graft take. Since you achieved very nice result with your first surgery, it would be best to discuss these issues with your surgeon. Good luck.

Dear Trustworthy648756,
I understand your concern. Based on your photos, it looks like you have great results. 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

Only 1 posted photo of your self?? Need virtual consult... I think you could have a round 2 to focus on the hip dips. Your wish pics are very unrealistic for your body type BTW.

Hello! Your result is excellent! I would recommend consulting with your surgeon for a second stage of fat harvest and transfer. Looks like your torso is pretty thin now so most likely fat donor sites for you at this point would be arms, anterior axillae (bra strap area), possibly back again (I assume this was liposuctioned the first time around), and medial thighs. It's unlikely that your surgeon will be able to harvest as much fat as they did the first time, but it likely would be enough to make a nice improvement especially if you are specifically interested in focusing on your hips. I would favor that options before hip implants. Hope that helps!All the best,Dr. Victoria Aimé

Your results look excellent. On your after pictures you appear substantially slimmer than in your before pictures. Perhaps slimmer than from Liposuction alone.
Have you lost weight?
If so that would explain some of the loss of volume.
I think your body looks pretty idea where it is right now and all plastic surgeons know the expression the enemy of good as perfect all too well.
The decision to have more surgery is for you to make not us. Afton plastic surgeons failed to do Liposuction have the entire back and under arm areas. There’s also lower extremities and secondary Liposuction of your torso which can always deliver some fat.
Talk to your surgeon who seems to have done a nice job for you.
Best,
Mats Hagstrom MD