When you get a round 2 lipo/BBL will most of the fat survive since you already did 2 rounds?

Thank you for your question! The fat survival rate should be the same as the first surgery.  Best of luck!Dhaval Patel

Double Board Certified 
Plastic Surgeon
Chicago
Hoffman Estates
Oakbrook
Orland

 As the saying goes, “there’s no chance like the first time”. The donor site fat and recipient bed (buttock) are the most viable the first round of BBL. Thereafter, the fat is limited and it and the buttock tissue have scar tissue within which is inelastic and has poorer blood supply necessary for fat survival. Your only relatively safe, predictable, and permanent option is buttock  and/or cosmetic hip implants. Glad to help. 

Having the BBL done a second time is an option as long as the patient has enough fat to be transferred. The revision implies that there is less fat than the first time, and scar tissue will make the surgery much more difficult on the surgeon. The percentage of fat survival in the second BBL should be about the same as the first. The volume loss occurs over the first 6 weeks or so.  After that period of time the volume remains stable assuming weight is maintained. Wait six months to a year to evaluate results before scheduling a BBL revision. Your best answer will come from the PS who performed your first BBL.

The fat cell survival is about 50-60% during a second liposuction and fat transfer procedure, similar but perhaps slightly less depending on the amount of scar tissue at the recipient site. The surgeon's technique is also very important in determining how much of the injected fat will survive.Best wishes,Dr.Bruno

Dear Cali Love,
fat viability doesn't depend on number of previous surgeries. Fat viability depends a lot of surgeon technique. The fat has to be placed back into the buttocks as soon as possible so that it has a greater chance of survival. It has to be placed carefully so that not too much fat is placed in only one area.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Yes, possibly. If your buttocks are very small and cannot receive much fatgrafting, they will get bigger with second round and can receive more graft. Hence, second rounds often do the trick for very small, inverted (V-shape) buttocks

A Brazilian butt lift (BBL) is a cosmetic surgery procedure that enhances the shape and size of the buttocks by transferring fat from other areas of the body: Brazilian butt lift (BBL)ProcedureFat is removed from other areas of the body, such as the thighs, hips, lower back, or belly, and injected into the buttocksGoalTo improve the shape and volume of the buttocks, and sometimes to create an hourglass figureResultsMore rounded and fuller buttocks, and sometimes a smaller-looking waistRisksExpensive, can be dangerous, and there are no guaranteed resultsRecoveryPain is usually minimal, and full recovery takes about six monthsMaintenanceResults should last for many years, but it's important to maintain a stable weightA BBL is different from a traditional "lift" procedure, like a breast lift or facelift, because it doesn't improve sagging or excess skin. A BBL is also different from other butt lift techniques because it doesn't use implants. Candidates for a BBL should have good skin tone in their buttocks and hips, be in good health, and not have medical conditions that would impair healing.

The 2nd BBL will be essentially the same as the 1st one in the fact that 30-50% of the fat volume will be lost in the first 3-6 months after your surgery. What I can say is in the right hands, the result of the 2nd BBL can appear more dramatic as many patient need multiple transfers to obtain the shape and size they desire. Doing the surgery the safe way to avoid a fat embolus does put limitations on how dramatic the results can be. 

The survival of fat is dependent on several factors.   The amount of fat that survives is not affected by a history of fat transfer surgeries.     If you are having trouble with your results, you should see several experts in your area to discuss a game plan.

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