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)

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