Tummy tuck revision and BBL - will 450cc be proportional and natural? (Photos)

Question

I have a few questions about my upcoming revision surgery. I previously had a 360 tummy tuck, liposuction of my back and flanks, and a BBL with 400 cc of fat transferred to each buttock. Unfortunately, I developed skin necrosis after surgery, but it has completely healed, although I do have some scar tissue. I’m planning to have a tummy tuck revision and would also like another round of 360 liposuction with additional fat grafting to my buttocks. Ideally, I would like to add about 450 cc per buttock, but if you feel 300 cc per buttock would give me the most natural-looking result, I’m happy with that as well. Based on my body frame (5’4”, 140 pounds), do you think 450 cc would still look proportional and natural, or would it be too much? Also, because I had skin necrosis and now have scar tissue, will that affect my candidacy for additional liposuction or a second BBL? Do you think it’s safe to combine the tummy tuck revision with another BBL, and what volume would you personally recommend to achieve a fuller but still natural appearance? The last two pictures were from before my tummy tuck lipo and bbl. The last picture is the look i Would like.

Ryan A. Stanton, MD · Answer

Allow me to answer your question as best i can based upon your photos. However, please keep in mind that an in-person, or at least a virtual, consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.

You may be 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, insignificant hip augmentation, post-deflation sagging, fatty necrotic cyst or scar tissue, 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 additional rounds of BBL most often produces the same disappointing results but at another financial loss.   Beware, if a surgeon asks you to purposely gain weight (i.e. fat) before BBL, know that the fat you lose first as you get back to your baseline weight after surgery is that very same fat that was transferred into your buttock, hence your new buttock shrinks first, the fastest, and the most...so please do not fall victim to this recommendation.

Important note, do not fall victim to anyone recommending fillers, such as Sculptra and hyaluronic acids,  for enhancement or augmentation of the buttock/hips because they are a rip-off and guaranteed to fail, period!

Buttock/hip implants, however, provide a more reliable, predictable, relatively safe, and permanent result, especially for adding projection to the hips and central buttock, and often help smoothing out lumpiness. Occasionally a lower buttock tuck may be advantageous for lower buttock fold asymmetries and/or sagging.  When considering buttock implants make sure that the surgeon is going to be placing the implants within gluteus muscles , (a.k.a. “intramuscular pocket”), and that they are using anatomically correct, oval-shaped implants, such as Stanton Anatomic ®️ implants. 
Please keep in mind that an extremely few number of board-certified plastic surgeons specialize in these buttock 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.

Tummy tuck revision and BBL - will 450cc be proportional and natural? (Photos)

Answers (1)

More Brazilian Butt Lift Revision Questions

Dents one year after BBL - how can this be fixed? (Photos)

How can I fix my 3 year old BBL results? (Photos)

What are the available treatments for sagging in the inferior gluteal region, particularly at the gluteal fold? (Photo)

BBL, pregnancy and weight loss - How to fix a sagging BBL? (Photos)

Bbl round 2 - how can the butt crease be improved? (Photo)

1 Year post op and I've had this bump since the beginning - do I need a revision? (Photos)

WE SEND PRETTY
EMAILS