Why Do I Have Dimples in my Butts After BBL?

Likely the dimples (and unfortunately but possibly the fat as well) will fade as the swelling subsides over the next couple of months.   

Allow me to share with you some information that you may not hear elsewhere. There are only two proven safe and relatively effective methods for Buttock Augmentation and Hip Augmentation: 1) Autologous Fat Transfer (using your own fat, transferring from one area of the body to the other) and 2) Buttock/Hip Implants (semi-solid silicone rubber implants that cannot rupture &/or leak). Both are very good options so what it comes down to, like any surgery, is proper patient selection. Indeed because at least 50+ % of the fat transferred will melt away within a year, most patients are not good candidates because they lack an adequate amount of fat to harvest. Another tip is that if you gain weight for the procedure, the fat that you lose first when you go back down to your baseline weight after surgery is in fact that fat that you originally gained and transferred into your buttocks...so don't fall victim to this recommendation.  Although using your own fat is relatively safe, the one serious complication that can rarely (< 1%) happen is "fat embolism" in which some of the fat gets into the blood stream and travels up into the lungs, heart, and/or brain causing serious problems. This complication is more likely to happen with the larger amount of fat being transferred. This can also happen when using fillers like PMMA and hyaluronic acids. Also fillers, when injected in large quantities, have a relatively high tendency to migrate away from the original area they were placed and tend to stimulate a lot of inflammation and subsequent scar tissue/hardening.

Thus buttock/hip implants become a very good, safe, and long term reliable option for most patients seeking buttock augmentation (at least in my practice). I prefer to insert the buttock implants through a single 2 ½ inch long incision over the tailbone (concealed within the crevice between the buttock cheeks) and the hip implants through a ~ 1 inch incision just below the beltline above the hip region. The buttock implant should always be placed under or within the gluteus maximus muscle. In this position, the implant is less palpable, less visible, and does not sag or shift/migrate over time unlike implants placed on top of the muscle. Therefore it is extremely important to seek consultation with a board certified plastic surgeon who specializes in this procedure. And in this case too, at least in my surgical practice, the infection rate is minimized to ~5%. Glad to help… @drryanstanton

                          

    Dimples may be the result of lumpy fat deposits, swelling, or fat necrosis.  This will probably improve with healing.  However, the size of the buttock tends to decrease over the first 6 weeks to 3 months.  Kenneth Hughes, MD Los Angeles, CA

The dimples in your buttock are generally superficial indentations in the skin that are not corrected by fat injections into the buttock for enlargment purposes.  If you want to correct dimples, you need to have specific fat injections under those sites along with a release of the skin attachments under the dimples. 

There is a certain amouont of fat loss after fat injections, however, buttock enlargement with fat is generally successful with little fat loss.  The survival of fat injections depends upon the technique used and the amount of tension in the buttock that the fat is exposed to.  With increased tension, there is a greater tendency for fat absorption. 

Regarding the size of the butt, you can make the butt look larger by scupting the fat off of your waist and lower back.  Additional fat injections will increase the size but you will probably lose some fat with additional procedures, as well.