More fat grafting? BBL? (Photo)

Question

Had a BBL August 2020. Wanted to really fill the noticeable dips on upper buttocks. I’m now almost 3 months post op and the right dip is still there. Will more fat grafting solve this? Can you even tell I had a BBL? I’m disappointed I spent all this money and went through the pain and feels as tho I can’t see any difference My doctor wants to do a minor procedure for more fat grafting once we hit the 3 month mark. Do I have enough fat, Should I wait longer?

Kenneth Hughes, MD · Answer

Hello, thank you for your question. A physical examination is required, having the BBL done a second time is an option as long as you have enough fat to be transferred. The revision implies that there is less fat than the first time, and scar tissue will make the surgery much more difficult on the surgeon. The percentage of fat survival in the BBL the second time should be about the same as the first.

Ryan A. Stanton, MD · Answer

Probably the most important question to discern is what is the cause of your buttock dips? Have they just developed over time, from trauma/surgery, or have you had them your entire life? Additionally, are you also hoping for a bit of buttock augmentation and increase in projection at the same time or are you just concerned about filling in the dip? Once these questions are answered clearly then a discussion to can begin whether more fat grafting or a totally different technique may serve you best. If you’re looking for overall buttock augmentation and projection, you would be best served with the more reliable, predictable, and permanent result of buttock implants. Glad to be of help.

Zoran Potparic, MD · Answer

It is very hard to comment on postoperative result without preoperative photos. Loss of fat grafts in certain areas due to poor graft take may be experienced in every fat graft transfer; it is usually asymmetric, as in your case. Consecutive scarring after fat graft resorption may leave deformity like yours. It would be in your best interest to wait at least 1 year after surgery until current result and deformity mature. Only when problem is well defined, correction may be attempted with new fat grafting; it may take several corrections to achieve desired goal. Good luck.

Daniel Barrett, MD · Answer

Dear Gorgeous560196,
I understand your concern and it is quite normal to be concerned about the outcome following a BBL surgery. However, you are still in the very early stages of the healing process.Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues are still swollen. Once the swelling subsides you will be able to see the final result of your surgery.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Arian Mowlavi, MD, FACS (license on probation) · Answer

It is highly recommended to wait 6 months to a year for your body to heal from the previous surgeries. If you are still not satisfied with the results, then a BBL Revision may be an option for you. The optimal BBL outcomes are achieved with: 1) use of VASER liposuction to harvest the fat, 2) a closed looped system such as Puregraft to process the fat, and 3) strategic micro-packet transplant technique. These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight. As an official VASER trainer, I am routinely referred unhappy BBL patients. One of the most common reasons for disgruntled BBL patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons. A buttocks assessment tool can be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring. A Skype or FaceTime consultation with a BBL specialist can help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

In order for us to properly make an assessment on the outcome of a procedure you need to post proper before and after pictures. Do you still want that your plastic surgeon took. If you don’t have them then ask them to forward copies to you. They are part of your medical record and you have the right to those pictures.

It’s important to know what you’re right outer upper buttock looked like before the procedure to see if there was any limiting factors.

In regards to the extent of the revision it is a discussion that you need to have with your plastic surgeon.

I can understand the apprehension of wanting to redo the entire procedure at the same time your surgeon is acknowledging their results needs to be improved and is committing to doing that.

Fat can be harvested from any previously untreated area or potentially the areas that were treated with liposuction during the first procedure.

Consider re-posting with proper before and after pictures.

Best,

Mats Hagstrom MD

More fat grafting? BBL? (Photo)

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