Thank you for your question regarding your dissatisfaction with the results of your buttock liposuction, which has left you with a flat and shapeless appearance. A very effective way to address this issue is through a procedure known as a Brazilian Butt Lift (BBL). This involves fat transfer to the buttocks, where fat is harvested from other areas of your body, purified, and then meticulously injected into the buttocks to enhance shape and volume. However, for a BBL to be feasible, there must be sufficient fat available in other areas of your body to harvest. Common areas for fat removal include the abdomen, thighs, and back. If you have adequate fat in these or other areas, it can be used to restore the roundness and fullness to your buttocks that was lost due to the previous liposuction. If you do not have enough body fat for a BBL, alternative options include buttock implants or a combination of implants and fat grafting, depending on your body composition and desired outcome. Buttock implants are more invasive and come with their own set of considerations such as placement, size, and potential for complications, but they can provide a permanent solution for enhancing the shape and size of the buttocks. I recommend consulting with a board-certified plastic surgeon who specializes in buttock augmentation. They can assess your current condition and discuss the best options based on the amount of available donor fat and your aesthetic goals. The surgeon can provide you with detailed information about what to expect from each procedure, including potential risks and recovery details. Restoring shape to your buttocks after over-liposuction is definitely possible, and with the right approach, you can achieve a more rounded and aesthetically pleasing outcome. Sincerely, J. Timothy Katzen, MD, FASMBS, FICS Plastic Surgeon