Post BBL deformity - deep infragluteal contour depression. How can I fix this? (Photos)

Question

I’ve had a BBL 1 year and a half ago and I developed a deep infragluteal contour depression after my BBL that was not present before surgery. I haven’t seen or heard about this in anyone else but me. So I’m a bit concerned. I would like to know whether this is an adhesion/tethering or a volume deficiency, and what would be the safest way to correct it I developed also cellulite that wasn’t there before. Could someone please give me an advice and tell me if there is any way to correct this?

George Marosan, MD · Answer

Thank you for your question and photos. You are correct, this is an adhesion and not a volume deficit. Trying to fat graft this area without scar detachment and biostimulator placement will lead to further distortion, since fat transfer will not release the depression. Cellulite can happen too, if the surgeon injects the fat too superficially. All that is treated with the above stated procedure. The scar depression is treated with subcision and placement of biostimulators like Radiesse. This is done awake under local anesthesia and needs to be done in a standing position. See a board certified plastic surgeon who understands this concept. Without an appropriate diagnosis, can't expect to get a good result. Good luck.

Mats Hagstrom, MD (license on probation) · Answer

My best guess is that your surgeon did Liposuction under the gluteal area which is simply using bad technique.
I don’t think there’s any otherexplanation that makes sense.
Overall, the result on the other side looks fairly good so it’s hard to know if your surgeon just didn’t have skills necessary.
 Most likely fat grafting is the way to go. In paragraph I think it’s going to be difficult to make a quality assessment based on photographs alone
I highly recommend you rely on in person consultations to get a quality assessment.
I suggest you schedule a few in person second opinion consultations withplastic surgeons in your area who have extensive BBL experience.
I’m sorry this happened to you.
Hopefully it will be fairly straightforward to correct this may require more than one procedure and it may not be possible to get you back to where you want to be.
 Revision surgery tends to be more difficult in primary procedures.
Good luck,
Mats Hagstrom MD

Post BBL deformity - deep infragluteal contour depression. How can I fix this? (Photos)

Answers (2)

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