Help! Can this horrible BBL be fixed? (Photo)

Question

I had a BBL several months ago and I'm devastated by the results. My butt looks worse than before and I don't understand all the dents. I found my surgeon on RealSelf based on his perfect results and seeing patients with the same body type. How did this happen and what can I do to fix it? The only thing I noticed (different from other patients post op pictures) is that I had major bruising on my butt on the spots that ended up being dents.

Camille Cash, MD · Answer

I'm sorry you are unhappy with your BBL.  You can consider Aveli for the cellulite.  This is nonsurgical one time treatment that is FDA approved for cellulite of the buttocks.  To improve contours you can consider further sculpting with liposuction and/or fat grafting.

Daniel Barrett, MD · Answer

Dear loveyoucrystal,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ryan A. Stanton, MD · Answer

When you say “perfect results“, how far out from surgery were the after pictures you were viewing? They may have been either on the surgery table results are within only 2-3 months or so postop, in which case there is still a lot of swelling masking problems such as yours.

That being said, you are in good company with many others who had high hopes for BBL but instead received disappointing results (lumpiness, dents, unevenness, lack of projection in the central and/or lower buttock, 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.

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

Buttock implants, however, 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.  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.

Darryl J. Blinski, MD · Answer

Though your posted photos are helpful ONLY in person or virtual consult with ... can I offer a better explanation to the poor outcome. I think the "major bruising" lead to superficial fat necrosis because thid went un noted and treatment was not started quickly. As for the chicken butt deformities I need to see before photos.

Kenneth R. Francis, MD, FACS · Answer

Dear Crystal,
It is difficult for us to assess a result of a BBL without preoperative photos.  So some, much, or all of the cellulite dimpling that is present may already have been present.  I inform all of my BBL patients that have cellulite dimpling in their buttocks before surgery that BBL is NOT considered to be a treatment for cellulite (at least in my hands).  Despite that, even the best surgeon in the world can have the worst result on any given case as the human body is sometimes unpredictable in the healing process.  Return to your plastic surgeon for a discussion of your possible options for improvement.  Good luck!

Help! Can this horrible BBL be fixed? (Photo)

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Answer: Help! Can this horrible BBL be fixed?

Answer: Help! Can this horrible BBL be fixed?

Answer: BBL and cellulite

Answer: BBL and cellulite

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Help! Can this horrible BBL be fixed? (Photo)

Answers (6)

Answer: Help! Can this horrible BBL be fixed?

Answer: Help! Can this horrible BBL be fixed?

Answer: BBL and cellulite

Answer: BBL and cellulite

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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.