2 months post op, how can I correct this dent after BBL? (photos)

Question

Im 2 months PO after lipo and BBL (this was my rd2) I noticed a dent on my right cheek 2 weeks after sx. Would that dent go away by itself? Or do you think it can be fixable by doing massage or I have to go back for revision? Im so depressed because I didn’t have that prior to surgery!! Any suggestions?

Kenneth Hughes, MD · Answer

Either a scar release or transfer of fat into the area would correct the dent.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

Ryan A. Stanton, MD · Answer

This is a common dilemma for many post BBL patients. They feel as though they did not get the projection, especially in the mid and lower buttock, they wanted or were promised from BBL. It just does not seem to survive well in these two particular areas...and can appear as a dent. Hence they are now considering going back for a second round. The real question is, why would you repeat the exact same thing again if it did not work the first time?   Only buttock/hip implants can provide relatively safe,  predictable, permanent and stable long term results for buttock/hip enhancement. Glad to help.  And by the way, there is absolutely no scientific peer reviewed journal published BBL research showing any particular method of fat harvest and/or preparation and/or injection that produces ultimate results anywhere close to 80+% long term survival.

Raffy Karamanoukian, MD, FACS · Answer

There are many factors in a BBL that can be corrected. When we look at the harvest donor site, we often see large scars that are dark or raised. These can be improved with our pigmentation protocols. In terms of the BBL itself, we have found it useful to either add more fat, remove and sculpt fat, recontour the buttocks, or remove fat necrosis lumps. In some cases, the indentations seen require a combination of Venus Legacy, Exilis, or Brazilian Cellulite Treatments to remove the indentation. 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Michael L. Spann, MD · Answer

This is likely an area of poor fat take and is unlikely to improve without another procedure. I would recommend a limited fat harvest and focal grafting. This can usually be done under local and should improve the area.Best wishes.

Arian Mowlavi, MD, FACS (license on probation) · Answer

For stubborn butt dents, Vaser shape is the only modality that will help correct your dent.You are an excellent candidate for a Brazilian Butt Lift (BBL) revision. The optimal BBL 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 ban 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

2 months post op, how can I correct this dent after BBL? (photos)

Answers (5)

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