How to regain natural shape after Smart Lipo to lower back and flanks?

Photos not really helpful. Best to seek in person or virtual consult with…I think only revision lipo with bbl revision can effectively offer nicer results.

To make an assessment on the outcome of a procedure we always need to see proper before and after pictures. If you don’t have before and after pictures then I suggest you contact your surgeon and ask them to forward the ones they took.
We can’t really give any recommendations without seeing the change that was made and that requires seeing what you look like before and after with proper before and after pictures.The only way to significantly change your fat distribution is going to be surgery.
Best,
Mats Hagstrom MD

most minor irregularities will improve over the course of one year after smartlipo. I must say that i do not see anything too wrong in your photos especially with your clothes on. where you have your circle placed, it does look like an abrupt transition. It may be easier to appreciate the "deformity" in real life than in a photo. If you have waited a full year and it has not smoothed out and still appears rather abrupt, it should be possible to do a small amount of smartlipo to take down the ridge over your buttock and that should fix it. The trick is just to do a small amount so as not to create additional problems.

sincerely
david berman md, frcsc