Can I achieve a smaller butt shape and a corrected cheek with lipo to the butt / BBL revision?

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 are 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.

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.

In your case, the hips can be reduced with liposuction, the lump (most likely a fatty necrotic oil cyst) removed by surgical excision, and the buttock projection enhance with 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.

The simple answer to your question is yes.
The degree of improvement depends on the number of variables.
It depends on what you’re hoping to achieve, and it depends on your candidacy for the procedure which intern is dependent on what you look like before your previous operation and exactly what was done during your previous BBL.
if you’re happy with your previous surgeon, then follow up with her and discuss having a revision procedure.
If not, then begin the process of provider selection by having multiple in person consultations with plastic surgeons in your community who seem to have a lot lot of experience doing the BBL procedure.
During each consultation, ask providers to open up their portfolio and show you as many before and after pictures of the BBL revision surgery as possible.
For second opinion consultations always come prepared with you a complete set of proper before and after pictures and copies of your previous operative report.
You should be able to get those from your current providers office if you request them.
They are part of your medical record.
Whenever seeking an assessment, always present proper before and after pictures.
Quality assessments require quality information.
Gluteal fat transfer primarily adds volume.
It’s more of a volume creating procedure than it is a shaping procedure though hopefully if done correctly, the procedure can also improve shape and contour.
Projection of the posterior buttocks is sometimes inherently limited due to the amount of connective tissue in this anatomic region, anchoring the skin a certain distance from the underlying muscle fascia.
This is the same connective tissue that creates cellulite and cellulite can infect become worse from having fat transferI question if you needed a BBL in the first place?
My best guess is well done Liposuction was really all you needed.
Provider selection is by far the most important variable.
There’s no correct number of consultations needed to find the right provider.
The more consultations you scheduled the more likely you are to find a better provider for your needs.
I generally recommend people do not schedule consultations as virtual consult Especially not for revision work.
Schedule in person consultations, preferably with experienced providers in your community.
The biggest mistake I see patients make is having only one consultation and then scheduling surgery.
Having only one consultation, more or less eliminates the ability to choose a better provider.
Delivering consistent quality, liposuction, and fat transfer is more difficult than most people recognize.
The number of plastic surgeons who approach mastery of this kind of work is in reality quite small.
Most plastic surgeons think they are better at Liposuction than they actually are.
Best,
Mats Hagstrom MD