What causes a ripple effect after a BBL?

Question

Why do some people's thighs to buttocks have a ripple look or separate looks after a BBL? Is it due to lack of lymphatic massages?

Kenneth Hughes, MD · Answer

Liposuction revision with Bodytite can be very effective in rippling after a BBL though 100% fix is not realistic. If you find a very experienced surgeon, the flap created from liposuction will be uniform.  There should not be contour issues even in thinner patients.   I will say that sometimes healing is not perfect, and some results are clearly not technique related. It may also be due to not wearing the compression garment as instructed and not following post-operative guidance as directed.

Adolfo Sesto, MD · Answer

Hello. There is not such a thing a rippling but when talking about breast implants. Could you be more specific.
American Society of Plastic Surgeons
International Society of Aesthetic Plastic Surgery
29-year experienced 
Practice in Dominican Republic

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

To ensure the best BBL results you should consult a board certified plastic surgeon. If you are a good candidate for a Brazilian Butt Lift (BBL), the optimal 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

Mats Hagstrom, MD (license on probation) · Answer

It would be helpful if you included some pictures describing the concerned appearance.
I think you’re referring to cellulite which is made worse with fat transfer.
Cellulite forms in certain parts of the body. It tends to be weight-bearing areas like the back of the thighs and the sitting or pressure point on the buttocks.
These areas have more anchoring connective tissue stabilizing the skin to the underlying muscle fascia.
A good analogy to demonstrate this is the skin on the back of your hand compared to the palm of your hand.
You can tent up or pick up and lift the skin on the back of your hand.
Now try doing that on the middle of your palm.
The palm can handle greater pressure than the back of the hand.
It has lots of connective tissue stabilizing the skin so it doesn’t slide around.
These connective tissue bands are not pliable and don’t stretch as surrounding volumes increase.
When the surrounding volume increases the connective tissue bands get tight and dimples in the skin form.  This is cellulite.
If more fat is added through fat transfer or weight gain the dimpling effect or cellulite gets worse.
These areas  also does not project well with fat  transfer while  the surrounding areas project better because of a lack of connective tissue bands.
People who have a flat spot on the pressure point (inner lower ) on the buttocks tend to have that flat spot remained after a BBL while surrounding areas get increased projection and volume making the flat spot look worse.
People who have these type of conditions are not good candidates for the BBL procedure. This should be reviewed and discussed during in person consultations.
An experienced board-certified plastic surgeon will recognize and anticipate these patients as not being good candidates for the procedure while those with insufficient training or those who lack experience may step in to the pitfall of thinking this can be corrected and look good with fat  transfer.
Being properly assessed to determine the type of outcome you can expect is a key component to delivering consistent high patient satisfaction.
Insist on board-certified plastic surgeons.
Insist on in person consultations.
Choose providers with a proven track record of experience and high patient satisfaction.
Accept limitations and understand that not everyone is a candidate for a great outcome with the BBL procedure.
Best, 
Mats Hagstrom MD

What causes a ripple effect after a BBL?

Answers (4)

More Brazilian Butt Lift Questions

WE SEND PRETTY
EMAILS

Answers (4)

More Brazilian Butt Lift Questions

I was asked to gain weight for BBL. How can I make sure I am gaining subcutaneous rather visceral fat?

How many inches am I expected to lose in waist and gain in hips after having a BBL? My measurements are 34 32 41

How much would I be looking at paying for my BBL surgery using Care Credit?

Does having dense fat affect contouring for a BBL?

Which is better traditional BBL or AirSculpt power BBL? (photos)

My doctor does not recommend massages after a BBL?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS