Hate how unnatural I look, how do I remove my BBL from years ago? (Photos)

Question

I had a BBL done years ago and I absolutely hate how unnatural I look! I really want to look as natural and normal as possible again. I would like the fat removed but I’m also scared about potentially having saggy skin after as it’s been many years since the procedure and I’m guessing my skin would have stretched. Could I achieve this? I’m also in the UK and I can’t seem to find many surgeons here who do BBL reversals?

Justin Yovino, MD, FACS · Answer

I reviewed your photos and you definitely have the option to downsize your buttocks. This procedure is performed under local anesthesia with oral sedation. No general anesthesia needed. I spend a lot of time drawing out the buttocks and the specific areas that you desire reduced. Before we start the procedure, we go over the markings in the mirror. The procedures takes about 2 hours to complete. A compression garment is worn afterwards. Realistically, you can't have the exact buttock that you had before the fat transfer but you can have a significant downsizing and improvement of what you have now.

Daniel Barrett, MD · Answer

Dear Ziggypop,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Luis A. Mejia, MD · Answer

Hello Ziggypop, so sorry you feel this way, to improve your buttock shape a BBL revision (with Liposuction)  could be done, either you choose to reduce it or reshape.

George Marosan, MD · Answer

Thank you for your question and photos. Based on these photos, what I see is some grooving in the buttocks either from very superficial fat injections or you might have scar retractions. The buttocks seem to be too long and need to be sculpted and rounded superiorly. You have small amounts of saddlebag fat that needs to be removed and fat added to your hip dips, more visible from anterior view. An in person consultation/evaluation is a must to determine the quality of the skin, how much reshaping can be done safely without ending up with a poor result which will be hard to correct. Good luck.

Kenneth R. Francis, MD, FACS · Answer

Dear Ziggypop,
As pop cultural norms continue to evolve the BBL and a curvaceous booty seem to be falling somewhat out of favor.  This is creating a new population of patients that now want their BBLs reversed.  Not as easily done as said.  We learned many years ago that liposuction of the buttocks can be very tricky and sometimes create a sagging diaper butt appearance.  This is the reason for your difficulty finding many surgeons that perform BBL reversal.  Fortunately, since those days, there have been many refinements in liposuction technologies and techniques, and surely there must be a few liposuction "experts" in the UK.  Good luck!

Mats Hagstrom, MD (license on probation) · Answer

Body contouring procedures are a bit like getting a tattoo. They are in a sense, quite permanent and irreversible.
To make a quality assessment regarding the outcome of any plastic surgery procedure we generally want to see a complete set of proper before and after pictures. If you have before and after pictures, then always post those. If you don’t try to get copies of the before and after pictures from your provider.
 I do not recommend people travel long distances for elective surgical procedures.
Sometimes travel is necessary, because there may be a lack of talent in each person’s geographic area.
When that’s the case, patient should also be ready for travel for proper consultations and follow up visits. Revision work is many times more difficult and complex compared to primary procedures so the need for accurate assessment goes so that saying.
 I personally do not do BBL revisions without an in person consultation first.
Generally speaking, the first step is to make a list of potential providers that are preferably within traveling distance.
Confirm that they have a BBL experience and are willing to do revision work.
After that start scheduling consultations.
Best,
Mats Hagstrom, MD

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