Is it a good idea to get a revision tummy tuck and BBL from two different doctors?

Question

I first had 360 lipo in 2019. Botched job - dents and laxity...I now want a bbl and a revision tummy tuck. 1) First, I want to do a second 360 lipo plus bbl. 2) Then, I want to go to a different doc to revise first two 360 lipos and tuck my tummy. I know people normally do both with the same doc, but I really to work with specialists in each category. Any issues with working with two different docs for my goals? Thanks!!!

Daniel Barrett, MD · Answer

Dear idance,
these procedures can be done at the same time, but you can also get them separately and by different surgeons. Make sure you are fully healed after the first procedure. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ryan A. Stanton, MD · Answer

Allow me to answer your question as best i can without any 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.

Fillers, such as Sculptra and hyaluronic acids,  for augmentation of the buttock/hips are a rip-off, 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.

Zoran Potparic, MD · Answer

In some cases both of these procedures can be done together while in other group of patients they should be separated at least 6 months until initial surgery result settles. Most board certified plastic surgeons would be able to do both procedures safely and with predictable results but your approach may also be considered. Good luck.

Kenneth R. Francis, MD, FACS · Answer

Dear idance,
Your plan is not a good one...unless you allow enough time between the second 360 liposuction and the TT revision, i.e. at least 6 months to see the results of the second liposuction.  Those results could affect the need for, and/or technique used for the TT.  Good luck!

Mats Hagstrom, MD (license on probation) · Answer

If you want quality assessment as suggested, including before, and after pictures.
There are two variables that determine the outcome of most cosmetic surgical procedures.
The first is patient candidacy, and the second is the choice of providers.
You probably know from firsthand the importance of selecting the best providers.
Some providers specialize in certain procedures, and I generally encourage people to seek the highest level of excellence, even if that means having multiple procedures and using different doctors.
In the end, having different providers It’s not what’s important it is finding someone who has sufficient skill and experience.
If I need, the right provider is more difficult than most people realize.
From what I see famous is inversely correlated to talented in regards to being a talented surgeon.
Patients often select providers for all the wrong reasons.
People are often drawn to contacting providers with lots of reviews and strong social media presence.
From my experience, the best plastic surgeons tend to be focused on taking care of patients not promoting their practice. 
Best,
Mats Hagstrom, MD

Is it a good idea to get a revision tummy tuck and BBL from two different doctors?

Answers (5)

Answer: Revisions of revisions

Answer: Revisions of revisions

Answer: Provider selection

Answer: Provider selection

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Is it a good idea to get a revision tummy tuck and BBL from two different doctors?

Answers (5)

Answer: Revisions of revisions

Answer: Revisions of revisions

Answer: Provider selection

Answer: Provider selection

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Recommended reading

Everything you need to know about Brazilian Butt Lift Revision

Our mission is to create a world where every investment in modern beauty is Worth It.