I'm not happy with my BBL result. What should I do? (Photo)

Question

not happy with the results, I was looking for a natural shape but obviously bigger than what I was, but its being 4 weeks and butt got so much smaller is almost the same size than before, with clothes on, there is not a difference, and it will probably get smaller over the time :( what should I do now? Im a small person I don't really have any fat left to do a second round other than my arms, i didn't get lipo there is that a possibility? and if so, will be worth it?

Matthew Schulman, MD · Answer

I am sorry to hear that you have had a bad experience with your BBL. Despite, what my esteemed colleague may say, fat transfer to the buttocks and hips is a terrific procedure with results that will be permanent. This however assumes that you were a good BBL candidate originally and your surgeon is experienced in this procedure. Without seeing your pre-op photos, it is impossible to say if a BBL was (or still is) appropriate for you. Find a board certified plastic surgeon who does 6-8 BBLs per week and can show you results that are several years out.

Shlomo Widder, MD · Answer

Dear Chula,    Sorry for your disappointment , but that was predictable. Fat injection to the butts ( BBL) , sounds like a great idea, however, the sad reality is that the fat does not survive beyond 6 -12 months as I have seen on many patients who came to my surgery center for butt implants after their disappointment from fat imjection to the butts by other surgeons. Fat injection to the butts is physiologically illogical. You can not expect large amount of fat that are shoved  into the butts, to survive without good circulation. Think about it, if fat injection would have been consistent and reliable, breast implants would have disappeared from the market... Last year, breasts implants were the number 1 cosmetic procedure in the USA. Your best option is butt implants. They do not disappear and in the right surgeon's hands, they appear very attractive and natural. Since you had you surgery 4 weeks ago, you will have to wait, 6 - 12 months for the swelling to go down and the scarring to soften up. Consult, only,  with board certified plastic surgeons who do lots of butt implants surgery in ann accredited surgery center, for your safety. Check their before and after pictures to make sure that they are numerous , consistent and you like them. There are different techniques, implants shape and softness, so do your due diligence. Check also the reviews for positive patients experience.                Best of luck,                                Dr Widder

Kenneth Hughes, MD · Answer

About 20 to 30% of the BBLs I perform in a given month are revisions of previous attempts.  I would have to see pictures of other areas of your body or examine you, but most revisions make a very big difference.  Select a plastic surgeon who
 performs hundreds of BBLs each year, has good reviews, and has good 
before and after pictures.Kenneth Hughes, MDLos Angeles, CA

Melinda Lirag Lacerna-Kimbrell, MD, FACS · Answer

I am so sorry to hear about your disappointment in results from your previous surgery. Typically waiting at least 3-6 months to evaluate yourself or for another surgeon to do so, is the best way to get a grasp of what can be done. I have found that after using fat grafting strictly from the arms, the fat isn't as hearty as the fat from abdomen and flanks. The alternative are buttock implants. Schedule a consultation with a board certified plastic surgeon to narrow down a plan to revise after you've fully healed so you can get the results you desire!

Kevin Tehrani, MD, FACS · Answer

Sorry to hear about your disappointment. First off, you should wait at least three months before you Evaluate your final result. While your buttocks will likely not grow, however, if you had liposuction in the flanks, this area is still likely swollen and will change the look of your bum relatively. After that look look for a board certified plastic surgeon with experience in BBL revisions to undergo additional BBL versus implants.

Steven Wallach, MD · Answer

At this point you have to let it heal and then re-evlaute at the 4-6 month mark. You can always get buttock implants if you want.  Best of luck.

I'm not happy with my BBL result. What should I do? (Photo)

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