Cellulite after BBL? Need some clarity on what this is, what could it be due by and if there is a procedure to fix it. (Photos)

Question

Hello I need some clarity on what this is and what could it be due by and most importantly if there is a procedure to fix it. I have gotten 2 BBL totals my last one was 1 year ago I did have some drastic weight changes during those year but now I notice this collection of cellulite or I'm not sure what this is (pls tell me) it goes away completely when I stretch my skin what could this be due by ? is it dead fat ? I never had this before BBL this use to be a dip I wanted to be filled

Otto Joseph Placik, MD · Answer

Hello, thank you for your question, hard to tell with photos. I welcome you to book a consultation so we can provide you a full and thorough assessment. 
Thank you and good luck!!

Daniel Barrett, MD · Answer

Dear LinaKasley,
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

Camille Cash, MD · Answer

There is help for cellulite of the buttocks!  Qwo is an FDA approved treatment for moderate to severe cellulite of the buttocks.  The medication is injected in three treatments sessions spaced 21 days apart.  Final results can be seen just 28 days after the final session.  You can learn more about Qwo by clicking the link to my website.

Mats Hagstrom, MD (license on probation) · Answer

Cellulite can definitely be caused by fat transfer and has often made worse by having a BBL. It’s rare that patients develop severe cellulite if they truly had none before the procedure. Typically cellulite is simply made worse by having fat transfer. Obviously having two rounds of fat transfer and gaining weight is going to simply double up the problem.

Cellulite is caused by connective tissue that pulls the skin down to the underlying muscle fascia. It’s a bit like furniture with tufted buttons creating indentations in stuffed pillows or sofas.  The human body has an abundance of this connective tissue in areas that can take a lot of pressure. This includes the back of the thigh, the back and lower part of the buttocks, soles of the feet and palms of the hands.

The best analogy is using the hand. If you pinch and lift the skin on the back of your hand you can easily do so. If you tried doing that in your mid palm you’ll realize you can’t pinch and lift the skin in this area. The reason is that connective tissue is anchoring the skin to the underlying fascia. The same is true for your buttocks. The connective tissue does not stretch when the volume is added and a tufted cellulite appearance is created.

This should always be discussed during in person consultations before the procedure in patients who have cellulite to start with. There’s no great treatment for cellulite but avoiding excessive fat transfer is probably the first step.

The only real treatment option is a procedure called Subsicion.  This can be done with a device called Celfina.   It can give partial improvements.

Best,

Mats Hagstrom MD

Cellulite after BBL? Need some clarity on what this is, what could it be due by and if there is a procedure to fix it. (Photos)

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