How can I fix my bbl, butt is now so big & sagging? (Photos)

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, 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.

Dear Exciting733624,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Within the last 2 years a new postoperative issue has occurred. Hyper inflated BBLs, whether in general over inflation or specific areas of the buttock. There are so few boarded experienced Plastic Surgeons willing to accept or even surgically treat these ever increasing numbers of patients. I have been accepting these patients for the last 2 years. After virtual or in person assessment, I recommend lipo reduction surgery with taping as surgical step 1. Even if a mild to significant improvement is obtained, most patients are satisfied with the 1 surgery. The other patients proceed to surgical step 2: excisonal removal either superiorly based or inferiorly based or both with lipo and taping. Fees are quoted as a per case event. Hope that helps you. Regards Dr Blinski, South Miami ON IG drfixitmiami

Based on your pictures, you are an excellent candidate for a Brazilian Butt Lift (BBL) revision. The optimal BBL revision outcomes are achieved with: 1) use of VASER liposuction to harvest the fat since your fat has already been harvested 2) a closed looped system to process the fat in order to optimize transfer time and avoid your fat from becoming contaminated and 3) strategic micro-packet transplant technique that maximizes graft take. These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight. Finally, attention must be given to providing you the buttock shape that YOU desire. This means using our proprietary BBL assessment tool. As an official VASER trainer, I am routinely referred unhappy BBL patients. One of the most common reasons for disgruntled BBL patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons. Our buttock assessment tool can be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring. A Skype or FaceTime consultation with a BBL specialist can help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Your pictures tell a story that’s more comprehensive than what you’ve posted.

To make an assessment we need complete accurate information.

This means including listing all previous procedures and including appropriate before and after pictures for each procedure.

Ultimately your surgeon is responsible for the outcome of the procedure and you were responsible for choosing that surgeon and what was requested.

Your current post leaves us wondering what happened?

Personally I don’t think this is the result of a single procedure.

If you want valuable feedback then redo your post with all pertinent information needed or better yet schedule in person consultations with local board-certified plastic surgeons.

If you don’t have a proper before and after pictures then ask the surgeons who did your previous procedures to forward the ones they took.

Best,

Mats Hagstrom MD