Do hip dips come back after a BBL?

Question

I have hip dips and heard the surgery isn't worth it because the fat is likely to die in that air due to low blood circulation.

Semih Yildiz, MD, FEBOPRAS · Answer

Hip dips do not usually “come back” because of air or because the area has no circulation. They are often an anatomic contour related to the pelvis, greater trochanter, muscle/tendon attachments, and fat distribution. With a BBL or hip dip fat transfer, some of the transferred fat commonly resorbs in the first few months, so the early fullness may decrease. The fat that survives after healing can be long-lasting, but it can still change with weight gain or loss.

The hip dip area can be harder to fill than the central buttock because the tissues may be tight and there is a limited safe capacity for fat placement. Whether it is worth it depends on your anatomy, donor fat, skin quality, and how much correction you expect. A smoother lateral hip transition is often more realistic than a perfectly round, no-dip shape, and some patients need more than one session. Safety is essential: fat should be placed only in the subcutaneous layer, not into the gluteal muscle, and overly aggressive filling is not worth the risk.

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. To provide a valid medical opinion I will need to see pictures of you body from different angles. I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results.

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Daniel Barrett, MD · Answer

Dear Nice4671,
I instruct my patients not to sit for 2 solid weeks. We provide them a specialized pillow that our patients can sit on during that time. They can sleep on their stomachs or sides. Fat viability depends a lot of surgeon technique. The fat has to be placed back into the buttocks as soon as possible so that it has a greater chance of survival. It has to be placed carefully so that not too much fat is placed in only one area.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Karl William Schwarz, MD · Answer

There is a link to a video that explains this exact question--there are others too--but basically the answer to your question depends on your "soil"--that is the softness of your tissue and the amount if any fat you have in those areas already. The bottom line is if your tissue in the hips is soft and there is a little bit of fat then the fat placed in your hips will survive and be permanent but if your hips are very hard and the tissue won't move and there isn't any fat there already to place the fat then it will be very hard to fill in your hip dips at all. Watch the video for a better explanation.

Mats Hagstrom, MD (license on probation) · Answer

Grafting fat in hip dips can be challenging and some individuals.
The results are basically based on two variables. The first is the individual candidacy of the patient. Since you didn’t include pictures we can’t really address your candidacy for the procedure. The second variable is the skill and experience of the provider. In order for fat graft to survive they need to be grafted do you think good technique combined with a sufficient amount of hosta tissue to support the graft. A big improvement and hip dips can be obtained by simply doing quality liposuction of the love handles starting at the top of the hip dip. Doing liposuction alone can almost eliminate hip dips for many individuals as part of well done Liposuction of the torso.
For typical patients hip dips can definitely be treated and eliminated with a single session if done by someone who has sufficient skill and experience.
Delivering quality liposuction and fat grafting results is more difficult than most people believe.
Consider that results are permanent and more or less irreversible any person considering these procedures should be cautious and put a substantial effort into finding the most experienced provider.
Do that by having multiple in person consultations. During each consultation ask each provider to show their entire collection of before and after pictures. for fat transfer always confirm that after pictures were taken at least three months from the date of surgery. early fat transfer pictures can look very impressive I do not represent final results.
An experienced surgeon should have no difficulty showing you at least 50 sets of before and after pictures for these type of treatments.
Highly experienced surgeons will have hundreds or even thousands.
Being shown a handful of pre-selected sample pictures which most likely represent the best results of the providers career is insufficient to get a clear understanding of what average results look like in the hands of each provider.
Ask each provider to show examples of excellent outcomes, average outcomes and less than outcomes.
Ask them to show you pictures of results where the fat transfer or the hip dip didn’t get adequately treated.
An experienced, honest at ethical provider who serves as a patient advocate should have no difficulty doing these things for you.
Continue having consultations until you feel quite certain you found the right provider for you.
I also recommend reading all reviews on various physician review websites avoiding providers with any significant number of justified negative reviews.
The absence of justified negative reviews is my important and more telling than having an abundance of positive reviews.Treating hip dips whether done by Liposuction alone or Liposuction with fat transfer is not difficult in the hands of the right provider. Patients should expect quality long-term results that are excellent as long as their candidacy for the procedure has been confirmed and they are in the hands of the right provider.
Best,
Mats Hagstrom MD

Do hip dips come back after a BBL?

Answers (5)

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