Can I do Vacuum Suction Butt Therapy if I’ve had a BBL less than two years ago?

Thank you so much for opening up and sharing your story so honestly — I can tell how much this has been weighing on you, and it’s completely understandable to want to feel confident and comfortable in your own skin again.

To answer your question: vacuum suction butt therapy is generally not recommended after a BBL, especially within the first two years. The reason is that this type of therapy applies strong mechanical suction to the treated area, which can potentially disrupt or damage the delicate fat grafts that were transferred during your BBL. Even though it’s been a year and a half, the fat cells that have survived are still sensitive to trauma, and aggressive suction could alter the contour or lead to further irregularities.

The indentations you’re noticing are, unfortunately, not uncommon after BBL or liposuction procedures, especially when there’s limited fat available for grafting or uneven fat survival. If you’re exploring Sculptra, that’s actually a thoughtful next step — it works by stimulating collagen production to gradually smooth and fill minor irregularities. When done by a skilled injector familiar with post-BBL anatomy, it can give a more natural and subtle improvement over time.

As for the loose skin on your arms, thighs, and stomach, there are non-surgical treatments that can help improve firmness and texture — for instance, radiofrequency-based tightening, ultrasound therapy, or even microneedling with radiofrequency can help promote collagen remodeling. These won’t replace surgical tightening, but they can offer meaningful improvement without additional downtime.

You’ve been through a lot, and it’s clear you’re doing your best to explore safe, realistic options. Don’t lose hope — there are ways to enhance and refine your results carefully and safely, even after your original surgery.