I had a BBL 2 years ago. The fat has disappeared on the bottom half of one side. Should I have more fat in that side? (Photo)

Dear coke,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from revision surgery. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

The infero lateral (lower outer) area of the buttock is the trickiest to fill and to maintain the fat specially when doing superficial fat transfer of fat. You can have more fat transferred to that area, and may need some skin tightened on the lower buttocks (lower buttock lift). To reduce the chances of buttock flattening you need to avoid sleeping on your back or sitting with pressure on the buttocks for 3 weeks post op.

Thanks for using RalSelf. I "fix" many of these deformities. But there is NEVER a guarantee to results. I would offer 3 options: 1. Re lipo/Re BBL Fee $7,999. 2. Non Surgucal BBL using Sculptra injections under local anesthesia. Amounts either 200 mixed cc's or 400 mixed cc's. Fees respectively $7,000 or $12,000. 3. Both 1 & 2 Fee $15,000 . If interested call my S Miami office 305 598 0091 or FaceTime my personal cellular 305 308 5736.
Regards Dr Blinski
IG: drfixitmiami

You would benefit from a BBL revision. This would resolve the asymmetry as well as take care of the loose, excess skin. The optimal BBL outcomes are achieved with: 1) use of VASER liposuction to harvest the fat, 2) a closed looped system such as Puregraft to process the fat, and 3) strategic micro-packet transplant technique. These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight. As an official VASER trainer, I am routinely referred unhappy BBL patients. One of the most common reasons for disgruntled BBL patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons. A buttocks assessment tool can be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring. A Skype or FaceTime consultation with a BBL specialist can help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

BBL results should be predictable and consistent.

These two variables have gradually improved in my career with each year of experience.

You’re a single picture doesn’t allow us to make an assessment. To do that we need to see before and after pictures preferably over time.

Typically most plastic surgeons believe the primary surgeon is responsible for taking care of their patients and follow up should be with your provider.

If you’ve lost faith then consider second opinion in person consultations. To do a proper second opinion consultation meet in person, bring copies of your original operative report and all before and after pictures taken by your previous provider.

Best,

Mats Hagstrom MD