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