Would I benefit from a BBL revision to treat this fat pouch and unevenness?

Question

I’m a 5’4 175lb female Got a BBL done in March 2021. Was completely flat in the bum. I got a BBL and had an okay result for round 1. I’ve noticed that certain parts of my butt are uneven. And I still have this fat pouch on the top of bum stopping it from being a perfect cup. From the front I look good except he did lipo in the lower half of my belly not the top so it looks a little off (only I notice it). I’m thinking about round 2 of bbl or lipo360.

Zoran Potparic, MD · Answer

There are several facts that are unpredictable when it comes to liposuction and in particular, fat transfer. It takes good year, possibly longer for result to settle and mature. Only at that time consideration should be given to second stage which will in your case include combination of liposuction and fat grafting. In person consultation with your surgeon is recommended. Good luck.

Ryan A. Stanton, MD · Answer

Before and after photos would be very helpful. However you do note that your result was just “okay”. If so, you may 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, post-deflation sagging, 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 round 2 BBL most often produces the same disappointing results but at another financial loss.   Buttock implants indeed provide a more reliable, predictable, relatively safe, and permanent result, especially for adding projection to the buttock and often smoothing out lumpiness.  Occasionally a lower buttock tuck may be advantageous for lower buttock fold asymmetries and/or sagging. Please keep in mind that an extremely few number of board-certified plastic surgeons specialize in 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.

Daniel Barrett, MD · Answer

Dear noelle_erica,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Darryl J. Blinski, MD · Answer

Without posting any photos can not offer an opinion. Best to in person or virtual with private practice boarded PS. Revision fees in th $6,500 ranges.

Douglas Taranow, DO, FACOS · Answer

Photos would help us answer your questions.  Revision BBL procedures do aid in rounding out flat areas and recontouring high areas

Arian Mowlavi, MD, FACS (license on probation) · Answer

We perform BBL and body contouring revisions routinely. In order to know what you will need, we need to evaluate your excess fat and skin redundancy. Revision surgery will address all of your concerns and optimize your contour lines and shape. please consider a virtual consultation with a high  definition BBL specialist.

Mats Hagstrom, MD (license on probation) · Answer

The decision if she should have more surgery is yours to be made and yours alone.

If you want us to make an assessment then you will need to post proper before and after pictures.

Without seeing pictures there isn’t much any of us can tell you.

I typically view the torso as a single anatomic unit and treat the entire torso when doing Liposuction. Not doing so tends to leave people with it unnatural fat distribution that typically doesn’t look normal.  my analogy is painting three sides of a house.  if you’re gonna paint the house you should paint all the sides. Likewise, if you’re going to reduce the fat on the torso you should do it on all the surfaces so that the patient has a normal fat distribution. Simply treating the problem areas makes people look partially treated.

Some peoples buttocks have connective tissue that limits projection and shape and this can create a flat spot on the lower inner buttocks which is worsened with doing a fat transfer.  patients will often blame the surgeon for not having put the fat in the right place when they see the results later.

With that pictures we can’t make an assessment.

Consider reposting with proper before and after pictures.

If you don’t have before and after pictures ask your surgeon to forward the ones they took.

Best,

Mats Hagstrom MD

Would I benefit from a BBL revision to treat this fat pouch and unevenness?

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