Dr said I'm not a candidate for round 2 because he was only able to harvest 600cc and a second time he'd get less? (Photo)

Question

Had an awake bbl in 2021 (I was 25 5'4 119lb) but wasn't happy with the results as I saw no difference in my shape. The dr I went to only specializes in awake bbls and told me I'm not a candidate for another because he will harvest less fat then the first time. Is that true or is he telling me this because he can't give me the results I want since he only does awake bbls and can't be as aggressive as when your asleep? I'll post my before and after pics. Thank you!

Daniel Barrett, MD · Answer

Dear Rational2683,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ryan A. Stanton, MD · Answer

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, 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. Long story short, your doctor is being honest with you.

Fillers, such as Sculptra and hyaluronic acids,  for augmentation of the buttock/hips are a rip-off, period!

Buttock implants, however, 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.  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. 
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.

Zoran Potparic, MD · Answer

Only on the basis of in person evaluation, an experienced, board certified plastic surgeon, could help you with decision. Liposuction and fat transfer performed in general anesthesia definitevly allow surgeon to havest fat more aggressively. Hope this helps.

Geuris Cruz Quiroz, MD · Answer

Thank you for your questions dear @Rational2683. 
Sorry to hear your results are not the one you was looking for with your BBL procedure, but Unfortunately awake BBL will never give you amazing results as a conventional Liposculpture and BBL procedure. I understand you want to minimize the risk with general or epidural anesthesia, awake BBL do not allow the surgeon to be aggressive as a conventional procedure, in order to archive the results you are looking for I definitely will recommend you another BBL round with a board certified plastic surgeon, you are a good candidate for a BBL procedure. 
Good luck!

Malik Abaci, MD · Answer

Hello, we can help you with any revision or problem related to BBL, which is your area of expertise. Can you share your photos with us. We can give you information about the whole process.

Dr said I'm not a candidate for round 2 because he was only able to harvest 600cc and a second time he'd get less? (Photo)

Answers (8)

Answer: Awake BBL results

Answer: Awake BBL results

Answer: Bbl revision

Answer: Bbl revision

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Dr said I'm not a candidate for round 2 because he was only able to harvest 600cc and a second time he'd get less? (Photo)

Answers (8)

Answer: Awake BBL results

Answer: Awake BBL results

Answer: Bbl revision

Answer: Bbl revision

Browse related questions

Recommended reading

Everything you need to know about Brazilian Butt Lift Revision

Our mission is to create a world where every investment in modern beauty is Worth It.