Is it possible to get a BBL after S-Gap Surgery?

Question

I had a S-Gap surgery in 2016. Is it possible to have a BBL procedure still?

Semih Yildiz, MD, FEPOBRAS · Answer

A BBL can sometimes be possible after an S-GAP procedure, but it needs a more careful evaluation than a first-time BBL. An S-GAP flap removes tissue from the upper buttock/hip area and can leave scar tissue, contour changes, and altered blood supply in that region.

The key questions are how much usable donor fat you still have, where the S-GAP donor scars are, how the buttock tissues feel on exam, and whether the previous surgery affected the areas where fat would be placed. Fat grafting into scarred or previously operated tissue can be less predictable, and the surgeon may need to avoid certain planes or areas.

It is very important to bring your operative report if you have it, along with photos of your result and any reconstruction history. A board-certified plastic surgeon experienced with both post-reconstruction anatomy and gluteal fat grafting can examine you and decide whether BBL, limited contouring, scar release with fat grafting, or another approach is safest.

If you are a candidate, safety matters more than volume. Fat should be placed carefully in the appropriate layer, and your surgeon should discuss the specific risks created by your prior S-GAP surgery before proceeding.

Daniel Barrett, MD · Answer

Dear feprincess,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ned Snyder, IV, MD · Answer

Thank you for submitting your question!  Without knowing any other information, it would be possible to undergo a BBL after an S-Gap reconstruction.  You 'll need to meet with a board certified plastic surgeon who is very familiar with both procedures in order to make sure you are a good candidate.  You'll also most likely need preoperative surgical clearance.  Good luck and thanks again for reaching out.

Is it possible to get a BBL after S-Gap Surgery?

Answers (3)

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