Bbl done 2015, now bilateral burning pain in buttocks , usually at night. Can anyone please advise?

4 years after a procedure is a long time to have issues related to that procedure. I would send you for an mri to evaluate your buttocks though. AssuMing that comes back without abnormality a consultation with a neurologist would be helpful as well.Best

Hello, Thank you for your question. It is unusual to have symptoms related to your surgery appear four years later. It may be related to irritated nerves but it is impossible to say or properly advise you without an assessment, history and physical exam. I recommend following up with a board certified plastic surgeon in your area for a follow up. 

Hello. Great question. I am sorry that you are experiencing this pain. Unfortunately, without closer examination it is not easy to evaluate you. Please consult with a board certified plastic surgeon.

Dear Sugarhips,
I understand your concern. The most common complication after fat transfer is fat necrosis. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment. Only after 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

patients do not appreciate the importance of aftercare or the complications actually do happen from surgery.  Generally we would encourage you to follow up with your provider and I suppose most of us still would.  I suggest you talk to your primary care doctor and have him or her help you out. As was stated previously and I'm all right work up it's a good place to start.  After that consider consulting either with the pain management doctor or a neurologist.  Gluteal pain often comes from pathology to lower back.  Without a thorough history it's hard to know if this is even related to your surgery. For example did you have pain ever since the surgery or are you just having pain now?  You can try consulting with local board-certified plastic surgeons but you will probably not get satisfactory treatment.  Each one of us takes care of our own patients with each and all of their issues.  Best, Mats Hagstrom MD