Age 50, is hard butt/BBL after 13 years normal, is there anything I can do?

Dear Awesome2882,

I'm sorry to hear that you're experiencing issues with hardness in your buttock 13 years after your BBL procedure. It's not typical for the buttock to remain hard for such an extended period following a BBL. The hardness you're describing could be due to scar tissue that has developed around the injected fat. Alternatively, it's possible that a non-FDA-approved substance was used for the augmentation, which could lead to long-term complications like you're describing.

Given the duration and the nature of your symptoms, I strongly recommend consulting with a board-certified plastic surgeon who has experience in the removal of foreign bodies and dealing with complications from cosmetic procedures. An MRI may be necessary to accurately diagnose the cause of the hardness and to determine the best course of action for potential removal or correction.

It's crucial to address this issue with a specialist who can provide you with the appropriate care and guidance. There may be options available to improve the condition and appearance of your buttock, but a detailed evaluation is essential to determine the most suitable approach for your specific situation.

I understand how distressing this must be for you, and I hope you find a resolution that brings you comfort and satisfaction. Please take the next step in consulting with a qualified surgeon to explore your options.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS
Plastic and Aesthetic Surgeon

To get an accurate assessment you need an examination.
Firmness after fat transfer is most likely due to fat necrosis and scar tissue.
Developing excessive or clinically noticeable fat in the crosses is at direct reflection of how the procedure was performed.
Surgeons attempt to avoid these type of outcomes by grafting fat in a more stratified manner as opposed to grafting a lot of fat in small areas.
To begin to assessment, we generally need to see a complete set up before and after pictures and what you currently look like.
It’s always a good idea to maintain before and after pictures and if you don’t have them, it may be worthwhile to contact your provider and ask them to send copies if they still have them.
Unless someone has an isolated single firm nodule, there isn’t all that much that can be done noticeable fatten the crosses.
For single, isolated lesions the treatment would be direct surgical excision.
Best,
Mats Hagstrom, MD