Chicken butt after BBL - how can this be fixed without another BBL? (Photos)

Question

Looking to fix chicken butt after a bbl. What alternatives are there besides another bbl procedure?

Yasemin Aydinli, MD · Answer

From your photos, most of the volume sits in the lower part of the buttock while the upper and middle part look flat, so the buttock has little projection and sits low, with some skin laxity and cellulite under the crease. The tissue based way to correct this is fat transfer to the upper and middle part of the buttock, which needs enough donor fat, and liposuction of the waist and flanks to improve the contour. If you do not want fat transfer, a gluteal implant is the alternative, but its complication rate is higher and it does not suit everyone. With skin laxity, liposuction can make the skin look looser, so it has to be limited. Not every fat transfer survives, and the final shape cannot be guaranteed. This can only be determined by physical examination.

Ryan A. Stanton, MD · Answer

Allow me to answer your question as best i can based upon your photos. However, please keep in mind that an in-person, or at least a virtual, consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.

You are in good company with many others who had high hopes for BBL but instead received disappointing results (lumpiness, unevenness, lack of projection in the central and/or lower buttock, insignificant hip augmentation, post-deflation sagging, fatty necrotic cyst or scar tissue, etc.) as most of the fat melts away. It is not quite as much the quality of the doctor nor liposuction technique but rather the quality of the procedure that is a large part of the problem.  Thus, going back for additional rounds of BBL most often produces the same disappointing results but at another financial loss.   Beware, if a surgeon asks you to purposely gain weight (i.e. fat) before BBL, know that the fat you lose first as you get back to your baseline weight after surgery is that very same fat that was transferred into your buttock, hence your new buttock shrinks first, the fastest, and the most...so please do not fall victim to this recommendation.

Important note, do not fall victim to anyone recommending fillers, such as Sculptra and hyaluronic acids,  for enhancement or augmentation of the buttock/hips because they are a rip-off and guaranteed to fail, period!

Buttock/hip implants, however, provide a more reliable, predictable, relatively safe, and permanent result, especially for adding projection to the hips and central buttock, and often help smoothing out lumpiness. Occasionally a lower buttock tuck may be advantageous for lower buttock fold asymmetries and/or sagging.  When considering buttock implants make sure that the surgeon is going to be placing the implants within gluteus muscles , (a.k.a. “intramuscular pocket”), and that they are using anatomically correct, oval-shaped implants, such as Stanton Anatomic ®️ implants. 
Please keep in mind that an extremely few number of board-certified plastic surgeons specialize in these buttock implants so be sure to consult with one that is reputable and experienced. Unfortunately you may have to travel long and far away from home to find this particular surgeon. Glad to help.

Mustafa Aydinol, MD · Answer

Correcting a fat grafting procedure, bbl in this case, is possible with a liposuction procedure. Simply a fat removal will correct this issue.
Regards,Dr. Mustafa AYDINOL

Daniel Barrett, MD · Answer

Dear Tasteful14935,

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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. I've never heard of a chicken butt, but I did look it up, and that is exactly what you have. I've been in practice for over 30 years and I developed and published a paper for this exact problem, termed "Thong lift." You're an excellent candidate for this. Best wishes to you.

Mats Hagstrom, MD (license on probation) · Answer

I recommend you check out the YouTube video called the Miami thong lift by Dr Mendieta. 
It explains the problem and what the best solution is.
It’s not an easy condition to correct and it cannot be fixed by Liposuction or fat transfer 
Best,
Mats Hagstrom MD

Chicken butt after BBL - how can this be fixed without another BBL? (Photos)

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