Excess fat under butt after BBL revision. Pointy appearance and feels heavy when I walk. What are my procedure options? (photos)

Question

Hello, I’ve had a BBL in 2018. In 2019, and 2020 I Had corrective surgery. The surgery in 2019, left my butt overstuffed and wide. In 2020, I had another surgery to reduce projection and fix my shape. I’m still unhappy with my results. I had excess fat under my butt that appears pointy. What is this area called and how do I get rid of it? Would you recommend another round of lipo? All of my fat is going to my hips, thighs, and butt area and my legs feel heavy when I walk.

Ryan A. Stanton, MD · Answer

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, post-deflation sagging, 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 round 2 BBL most often produces the same disappointing results but at another financial loss.   Buttock implants indeed provide a more reliable, predictable, relatively safe, and permanent result, especially for adding projection to the buttock and often smoothing out lumpiness.  Occasionally a lower buttock tuck may be advantageous for lower buttock fold asymmetries and/or sagging. Please keep in mind that an extremely few number of board-certified plastic surgeons specialize in 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.

Daniel Barrett, MD · Answer

Dear Kelz198,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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

Darryl J. Blinski, MD · Answer

Great series posted photos. You have irregular placed fat with chicken butt deformity. Revision BBL surgery is very difficult to preform and attain the results desired. Only very few boarded Plastic Surgeons attempt. Fee $6,000 Best to virtual consult with...

Mats Hagstrom, MD (license on probation) · Answer

The droopiness of your lower inner buttocks is related to skin laxity or lack of connective tissue holding up the skin. The area cannot be corrected by adding or removing fat.
It requires cutting out a strip of skin called tuck procedure. It is best described by Dr. mendieta in the YouTube video he caused the Miami thumb liftWatch that YouTube video to get a better understanding of the condition and treatment options.
Best,
Mats Hagstrom MD

Excess fat under butt after BBL revision. Pointy appearance and feels heavy when I walk. What are my procedure options? (photos)

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