Loose skin after BBL. What can be done to improve this? (Photo)

Question

I had a BBL done 7 months ago and now have back rolls and flat spots on the bottom parts of my butt. I consulted with a doctor who said my only option to fix this and make it look better is to get a BBL revision done with a tummy tuck. For more contex, I have no kids, am 36, and am 5’3. Was the doctor correct in this assessment, or are there other options available? I’d like to avoid the tummy tuck, but am willing to do that as a last resort.

Oliver Chang, MD · Answer

Based off your photos (and no before pictures to compare it to) - your abdominal skin and back skin will have a period of looseness post liposuction from the fat being removed and the skin needing time to retract or contract. The problem is, this doesn't always happen, which results in loose appearing skin. If you continue to decrease your weight and tone (esp the back and the core areas) that can help with the skin tightening some. 
There are a few skin tightening modalities that can help potentially get some more skin tightening before you just give into a abdominoplasty - 
1. Internal energy - something like, J Plasma (needs to be done with liposuction) helps contract skin and procedure more collagen while you heal post procedure over the following 8-12 months (problem here is that you've had lipo once already, it works less each time). 2. External energy - Morpheus is an example - applied to the external skin everywhere you want to be tighter - uses radiofrequency, heat, and pins to help tighten skin and also stimulates the skin to produce more collagen. 3. Decreasing your body fat with weight loss and muscle building - also helps with tightening the skin more.4. You can use a combination of these. 5. Cutting the skin - aka abdominoplasty. 
The flat parts of your butt (hard to see on the photos and no before photos to compare) - are likely some spots that the fat didn't survive or areas where you put pressure (to sit, to sleep). So can try to put fat there again and see if it improves - which would require fat grafting again.

Karl William Schwarz, MD · Answer

I would suggest having a second BBL. It will improve your shape and even out the areas of liposuction and fill in the divet in your buttock. I don't see how it would be possible to perform a tummy tuck on you, to me you don't have excess skin to allow for the performance of a tummy tuck.

Usually you have to have had a significant weight loss or children in order to be a candidate for a tummy tuck.

Michael S. Kluska, DO · Answer

Depending on which technologies were used for your most recent surgery will determine what the next step is. That being said, in a patient like you&hellip; a second treatment of liposuction plus or minus the use of vaser and skin tightening device like a Renuvion will give you the ability to improve the tone, texture and quality of the skin in all treated areas and thus no tummy tuck. Many times the slight flattening at the infra-gluteal region is due to a retaining ligament that can be gently treated with a second session of Fat Grafting to improve the overall Contour.

Daniel Barrett, MD · Answer

Dear kbee,
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

Alan Gonzalez, MD, FACS · Answer

Hello @kbee, thank you for your question. Ideally, a patient should undergo a personalized consultation with a surgeon, during which a surgical plan tailored to the patient's expectations will be presented. That said, from your pictures an option can be a BBL revision and JPlasma for achieving more retraction in the skin. For more information and recommendations, it is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.    American Society of Plastic Surgery Member (ASPS),International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Loose skin after BBL. What can be done to improve this? (Photo)

Answers (9)

Answer: Loose skin

Answer: Loose skin

Answer: Loose skin after BBL. What can be done to improve this?

Answer: Loose skin after BBL. What can be done to improve this?

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.

Loose skin after BBL. What can be done to improve this? (Photo)

Answers (9)

Answer: Loose skin

Answer: Loose skin

Answer: Loose skin after BBL. What can be done to improve this?

Answer: Loose skin after BBL. What can be done to improve this?

Browse related questions

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.