Autologous dermal flap body lift too big - is it reversible?

Question

Hi doctos BMI 28 stable for 10 years (by pass). 3 years ago I had liposuction as a 1st stage. Pear shape It helped with my saddlebag- 6 months ago I had the body lift. I feel my saddlebag is more noticeable as my hips are gone and I am very annoyed by the butt augmentation with flap I never discussed before, it is too big, not my personality. I look heavier, i hide my back now! Is it reversible? My appointment with surgeon is in 2 weeks, how can I approach this? Thanks!

J. Timothy Katzen, MD, FACS · Answer

Hello queenjenna,

Thank you for your question regarding the possibility of reversing an autologous dermal flap body lift.

Yes, the autologous dermal flap body lift can be reversed. The reversal of the autologous dermal flap or propeller flap can be achieved by making an incision over the buttocks. Through this incision, the flap can be accessed, and the autologous dermal pedicle can be removed. This procedure will reduce the size of the buttocks, which seems to be your goal. This method is considered the most reliable way to address your concern.

Another option could be liposuction, but it may not be as reliable as the direct removal of the dermal flap. Liposuction may help to some extent, but it might not provide the precise reduction you are looking for.

Your situation highlights the importance of clear communication between patients and their plastic surgeons. It's essential for patients to express their goals and desires clearly to ensure that the surgical outcomes align with their expectations, not just the surgeon's vision.

When you meet with your surgeon in two weeks, it will be important to discuss your concerns openly and clearly. Explain how the current results do not meet your expectations and how you feel about the size and shape of your buttocks. Ask about the best approach to achieve the look you desire and ensure that both you and your surgeon have a mutual understanding of your goals.

Thank you for your question. I hope this helps provide clarity on your options for reversing the autologous dermal flap body lift.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS

Camille Cash, MD · Answer

I'm sorry you are unhappy with your results.  Without photos or more information it is difficult to provide helpful recommendations.  I encourage you to speak openly with your surgeon about your concerns.  Bring along a list of questions as you may forget one or two items as you are discussing others.

Mark Eberbach, MD · Answer

Posting questions like this are intriguing.

Unfortunately, without photographs, it would be entirely impossible to give you any reasonable educated advice.

Try reposting with pictures.

Mats Hagstrom, MD (license on probation) · Answer

To make an assessment regarding the outcome of a plastic surgery procedure we generally need to see a complete set of proper before and after pictures.
If you don’t have before and after pictures, then ask your surgeon to forward the pictures they took.
I think your best option is to bring up your concerns with your provider in the similar way you wrote them out in this post.
It should be possible to improve the contour of your bottom with revision surgery.
Best,
Mats Hagstrom, MD

Autologous dermal flap body lift too big - is it reversible?

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