Is it possible to do Liposuction on the lower part of the butt when i have implants? (photos)

Interesting question. Implants are placed inside the muscles so there really isn’t any issue as far as liposuction affecting the implants. The real question is if liposuction is worth doing on the butt. Liposuction can result in excess skin or loose saggy skin. This can make your butt sag even more. Energy assisted liposuction like vaser or even j-plasma will help avoid loose skin after lipo. This along with not over doing the liposuction might be an option.
Another option, and probably better option because it is less risky, is Sculptra injections! Sculptra works to improve the collagen production in your skin. This makes for tighter skin and helps produce lift. Most importantly, there is zero risks of more saggyness.

Hope this helps!
Dr. Miguel Mota

Hope this helps,

Dear Eva14,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

No, never have liposuction done in that area or you will have even more sagging. The implants should pick up the residual skin and it will look much better. Plus, you need fat for cushion in that area when sitting.

I can see the area of concern from your photos. Based on what I see there are a few options to correct that area but I honestly think it is too soon to be discussing or looking into revisions. You are only 2.5 months post-op from your initial surgery and need to give your body time to adjust and heal from the surgery. That being said I believe in the future some gentle liposuction may help or you may also want to look into a small fat transfer to help with the contour issues.

There are two things that I see from your pictures. The buttocks has a very nice shape with the implants, but there is a flat area just below the implant and just above the lower buttocks fullness.
Options are to fill the flat area (BBL) or to attempt liposuction of the lower out pouch. Liposuction of the lower buttock fullness may cause deflation of the fullness but also excess skin issues. No one can tell how the lower buttock skin will react to the liposuction. Removal of skin leaves scars which may be unsightly
Best wishes
Dr. Taranow

I do recall the initial posted inquiry w/o photos. NOW, we can determine exactly what you may need, require with the nicely posted 2 photos. Only a very experience boarded PS could use ultrasound guided lipo reduction of your inferior buttock seeing the butt implants to protect them from the lipo cannula. Fee from $5,000. Best to virtual consult with...

Gluteal implants has a very high complication rate and also a high up patient dissatisfaction rate.
They simply don’t work well in the hands of most plastic surgeons. The edge of your implant is showing because it’s not intramuscular.
It is not a problem of fat distribution and removing fat to contour the area isn’t going to fox the problem.
This is what your implant looks like at 10 weeks and it’s most likely only going to continue getting worse as you sit on the implant and it starts migrating.
In order to maintain a high percentage of quality outcomes with patient satisfaction this procedure needs to be performed in a very certain way. There’s only a handful of providers who do gluteal implants correctly and have mastered the procedure. The implant needs to be intramuscular and needs to be small enough to properly fit within the confines of the gluteus muscle.
If these two variables(intramuscular and small enough to fit within the muscle) i’m not done then the implant will not stay intramuscular and the edges will pop out and show.
The bigger the implant the more problematic.
If you want to correct your outcome you’ll need a revision.
Liposuction or fat transfer isn’t going to fix the problem because the problem is not related to fat distribution.
The correct way to solve the problem is to deal with the problem itself and that is your implant isn’t in the correct position.
There are a handful of plastic surgeons whose practices focus almost extensively on gluteal implants. Perhaps they will give you a response and give you some further recommendations.
There is a reason most plastic surgeons don’t offer this procedure.Best,
Mats Hagstrom MD