Flat and Shapeless Buttocks After Butt Liposuction

Hi there-
You are not alone. I see many patients who, a few years after liposuction of the buttocks and or thighs, lose some elasticity of the skin and become increasingly unhappy with their shape. What would be most appropriate to consider will depend on exactly what is causing your problem... If it truly is just that you lack volume, but the skin tone is good and there is no appreciable ptosis (sagging) of the buttocks, then a Brazilian Buttock Lift (fat transfer to the buttock are to increase fulness) would be a great option for you.
If, however, there is some loss of skin tone and or sagging of the buttocks, then you would probably be best served by a buttock lift, in which the excess, loose skin is removed and the buttocks lifted to a younger position, with or without placement of fat for more volume. Your best bet is to find a Board Certified Plastic Surgeon in your area that performs these procedures and schedule a consultation. After a careful examination, he/she should be able to make a recommendation that will have a good chance of achieving your goals.

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

While it may seem simple to just remove fat and make the bottom smaller, it may result in flattening and sagging if not enough attention is given to shape, which is more important than size much of the time. In fact, I do more fat grafting to lift and shape the bottom than liposuction per se. If you skin tone isn't too lax, then fat grafting may be helpful if it is done right.