Left disfigured after BBL. What are my options? (Photo)

Question

After bbl, I got rushed in the ER as I had multiple abscesses after 2 months post op of the procedure. They surgically removed the liquid that was coming out inside my buttocks and it is majorly disfigured now. I just want to ask if there’s still hope. I’m planning to get butt implants instead of .Brazilian butt lift as I am traumatised ’please help

Ryan A. Stanton, MD · Answer

Sorry to learn of your misfortune. You are in good company with many others who had high hopes for BBL but instead received disappointing results (lumpiness, unevenness, lack of projection in the central and/or lower buttock, post-deflation sagging, etc.) as most of the fat melts away. It is not always 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 round 2 BBL most often produces the same disappointing results but at another financial loss.   Buttock implants indeed 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. Please keep in mind that an extremely few number of board-certified plastic surgeons specialize in 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.

Daniel Barrett, MD · Answer

Dear ZaraTiti,
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

Darryl J. Blinski, MD · Answer

Need more photos t see the buttock. When was the surgery? By whom, a private practice or clinic? Was it in USA? PLEASE allow full healing since these open wounds must be completely healed before even considering any more surgeries. I DO NOT recommend implants since their infection rates are very high. Best to virtual consult with....

Mats Hagstrom, MD (license on probation) · Answer

Two months is a long time to go before getting a postoperative infection treated.
Were you following up with your plastic surgeon after surgery?
Most surgical infections develop about a week after surgery and typically start getting worse after that. 
Infections after fat transfer or lead to loss of grafted fat and infections that have been persistent for a long time while also cause further tissue necrosis.
At this point you need to get yourself healed up with proper wound care.
Is your plastic surgeon managing your wounds?
Use of a VAC or vacuum assisted closure device can greatly assist the time it takes to close large wounds.
The infection will most likely lead to substantial scars and some deformities.
Gluteal implants have a long list of serious complications that are far more frequent than complications from fed transfer.
I would not recommend gluteal implants unless you have thought long and hard about what it really means to have that operation and secondly you have found surgeons who have a track record of doing the procedure well consistently.
Most plastic surgeons do not offer gluteal implants for good reasons.
The complication rate and dissatisfaction rate with the outcomes is simply too high for it to be a good procedure to perform.
Your experience is unfortunate and I wish you the best in getting yourself healed up hopefully with not too bad of an outcome.What’s important now is getting yourself healed.
When things go awry with cosmetic surgery sometimes slowing down the train is a good idea and giving yourself lots of time to heal and think about potential future procedures.
Any future work will be very different because of your infection and previous procedure. 
Give yourself plenty of time and don’t rush into making decisions.
I hope you won’t heal relatively soon. Hopefully you are getting optimal wound care at this point.
Best,
Mats Hagstrom MD

Left disfigured after BBL. What are my options? (Photo)

Answers (4)

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