Can my gluteal crease be fixed after too much liposuction? (photos)

Question

5’9” 35(f) I had a bbl in Dec 2021. The plastic surgeon did lipo where my buttocks meet my thighs and has created a very unattractive contour along the bottom of my cheek in the crease. Can this be repaired? Should I accept the results and move on or pay for a revision? Could trying to correct this make it worse?

Daniel Barrett, MD · Answer

Dear Intelligent977654,
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

Darryl J. Blinski, MD · Answer

Best to virtual consult with... I think you have beginning "Chicken Butt". Specialized lipo and fat transferr with taping can improve this. Fee $6,500.

Omer Sagir, MD · Answer

Hello dear, 
Thank you for the information and questions you have provided. I don't think you should give up on trying. This outcome can be fixed with a revision operation. Your only responsibility is to choose a skilled surgeon who has a lot of experience with revision surgeries. 
Another surgery won't make it worse if you have a nice, clear consultation with the doctor of your choice, and please make sure to do your research. 
Be safe, be happy

Mats Hagstrom, MD (license on probation) · Answer

Unfortunately far too many plastic surgeons falsely believe that liposuction of the upper thigh somehow creates a fuller and better looking buttocks. I sometimes called this the lollipop look.
Unfortunately it is completely counter to creating feminine smooth continuous S-curves which should be the goal when doing female body contouring.
The ability to correct previously poorly done Liposuction is very case dependent and also varies greatly on who you choose to do the revision work.
Areas that were aggressively treated with Liposuction who will create the most difficult situations sometimes requiring multiple operations to restore the volume.
Delivering consistent quality liposuction and fat transfer results is more difficult than most people believe and this includes plastic surgeons.
Revision work is many times more difficult than primary work so take that into consideration when it comes to finding the right provider.
To find the best providers I suggest patients that plastic surgeons thoroughly by having multiple in person consultations.
During each consultation ask each provider to show their entire collection of before and after pictures for the procedure you’re interested in. ask especially to see as many pictures as possible of patients with similar body characteristics to your own. You should ask to see examples of excellent outcomes, average outcomes and less than outcomes. All plastic surgeons have varieties of outcomes and it’s fair game to ask to see different types of outcomes.
For fat transfer make sure all after pictures were taken at minimum of three months from the date of surgery.
An experienced provider should have no difficulty showing you at least 50 sets of before and after pictures of commonly performed procedures like the BBL.
I also recommend reading all the reviews on various physician review websites avoiding providers for any significant number of justified negative reviews. The absence of justified negative reviews is more important and more telling then having an abundance of positive reviews.
Continue having consultations until you feel quite certain you found the most talented and experience provider who meets your needs preferably in your own community.
For a vision work each case is going to be unique and you’re not going to find surgeons who can demonstrate the types of before and after picture portfolios that you can from primary procedures.
Still, the surgeons who can do the best primary procedures are probably also the ones who are best equipped to handle revision work as well.
In many ways you’re a surgeon is responsible for the outcome likewise you are responsible for choosing that surgeon. That said considering your surgeons approach he or she may not be the right person to do your revision work.
You could attempt to see if you can get a partial refund on the money paid but some surgeons are reluctant to do that. It never hurts to ask.
More than anything relating the message that the concept of removing fat inappropriately from the thigh in order to make the buttocks look better is incorrect and it would be nice if you could convince that surgeon to stop doing this.
Instead they should be aiming to create a smooth continuous S-curve from the armpit to the knees.
Of all the pictures I’ve seen your result while not ideal is probably fixable and doesn’t look all that bad.
Personally I take a different approach to how to do the procedure but I think in the right hands you should be able to have a good outcome.
It’s hard to say without an examination. If your fat layer is extremely thin then building up volume requires multiple procedures. it all depends on how much fat your surgeon removed.
In regards to doing liposuction of the torso I typically treat the entire torso as a single anatomic unit and treat all aspects of the torso if I’m going to do liposuction of any part of it. A full torso includes upper abdomen, lower abdomen, love handles, waste, fullback and under arms. On a male patient it would also include the chest and in some individuals may include lower back and pubic area as well. The idea is to leave patients with an even natural thin fat distribution without evidence of having had previous liposuction.
I find that in particular the back and under arms tends to be ignored and under treated. ideally Liposuction should be done all the way to the side and edges of the breast.
I’ll stop rambling.
Take your time if you’re going to have a revision. it’s worth the effort to find the right provider. This simply takes time. start by scheduling at least five consultations and you may need to schedule many more. Avoid the temptation of doing consultations virtually if at all possible.
The doctor will get a far better assessment by being able to examine you and you will be able to vet the surgeons far better if you meet them in person.
Good luck,
Mats Hagstrom MD

Can my gluteal crease be fixed after too much liposuction? (photos)

Answers (4)

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