How to avoid abdominal rippling and strange belly button after Brazilian Butt Lift?

Question

I would like to get a brazilian butt lift but in many of the before and after pictures I have seen there is rippling and strange looking belly buttons due to abdominal liposuction. How can I avoid this?

Luis A. Mejia, MD · Answer

hello thank you for your question and provided information as well;..based in your question its difficulted evaluate your case if the question dont have a picture, its recommended to get a consultation in personal with a plastic surgeon.

Eugene Kim, MD · Answer

The only way to avoid rippling or belly button distortion is finding a plastic surgeon who is experienced with liposuction.  There are many techniques that I use to help minimize rippling and contour deformities.  Look at your plastic surgeon's before and after photos and make sure you're happy with his/her results.

Roger Tsai, MD · Answer

Great question!  To avoid rippling, the surgeon should take time to be careful with the procedure itself.  The cause for rippling is either too much is taken out of one area or fat was taken out too close to the skin.  Additionally wearing compression garments consistently will prevent much of the rippling and will smooth some of these small tiny contour irregularities.  As far as the belly button goes, its not that the procedure itself causes a strange looking belly button, the fact is when volume is removed, often times you are left with extra loose skin.  The excess loose skin sometimes hangs over the top of the belly button causing it to look strange.  Liposuction is a volume not a skin procedure.  Often times, the compression garment with compress the skin and it will scar down tight.  However if this does not happen, patients can get skin tightening lasers to improve the appearance of the belly button.Best of luck and hope this information helps!- Dr. Roger Tsai  @DrRogerTsaiBoard Certified Plastic Surgeon

Daniel Barrett, MD · Answer

Dear thetravelgirl,While there is always a chance for contour irregularities with liposuction, someone who takes their time and uses the appropriate sized cannulas should give you a superb result.I have all my patients wear compression garments and I use multiple sized cannulas to feather out the result.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

Joshua A. Halpern, MD, PA · Answer

Unfortunately there are no pictures. If a patient has good quality tummy skin, then they should not have much of a problem with rippling of their tummy after a bbl and their belly button should look normal. (Please see the bbl video on our page) if one has loose tummy skin, liposuction may result in wrinkling of the tummy. If the laxity of the skin is minimal one may consider tightening the skin utilizing a radio frequency device like Renuvion J plasma. If the patient has a lot of loose skin, secondary to having children, I would recommend performing a tummy tuck first. (Please watch Malibu tummy tuck video on our page). I’m very excited about a new high tech device used to perform BBLs. It’s called the Vibrastat. For more information please watch the enclosed video.

Adolfo Sesto, MD · Answer

Hi. To avoid rippling and  strange belly button, or bad outcome from a Liposculpture + BBL, the first thing is to confirm during the evaluation that  there is no separation of the abdominal rectus muscles and excessive fat and skin in the abdomen, because this can only be corrected or improve by adding a Tummy Tuck to the BBL.
Those complications you are refering are  bad results from performing  lipo in the abdomen and BBL when a Tummy Tuck + Liposculpture + BBL is the right procedure to be  performed. Pictures must be provided to verify your condition.
International Member of the American Society of Plastic Surgeons (ASPS)
Member of the International Society of Aesthetic Plastic Surgery (ISAPS)
25 years experience

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

If you are an excellent candidate for a Brazilian Butt Lift (BBL), a combination of Vaser liposuction and Renuvion skin tightening will ensure that your abdomen is flawless. 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

Mats Hagstrom, MD (license on probation) · Answer

The answer to your question is very straightforward and easy one. Go to talented providers who know what they're doing and they will not leave you with disfiguring outcomes anywhere 
 Talented providers can anticipate the types of results you can obtain depending on what type of candidate you are for each procedure.

When reviewing plastic surgeons if you see disfigurements on there after pictures then avoid those providers.

My practice is devoted exclusively to liposuction and fat transfer procedures. 
 Earlier in my career and there were a challenging areas to get consistent perfect results on. These included arms, the belly button area and inner thighs. After many years of only doing liposuction and having the opportunity to perform approximately 400 liposuction cases per year my results continue to improve. I can now considtantly predict which pt will have a good outcome.  As well my revision rate is now very low compared to earlier in my career.

Not all providers have had the opportunity to obtain this type of experience. 
 The skill of a plastic surgeon comes from three components. The first is inherent talent, secondly their training and thirdly the experience or number of cases they have performed. 
 You should make a strong effort to find the most talented plastic surgeon you can. Be wary of those with strong social media and advertising campaigns.  The most talented plastic surgeons I know useb no advertising and some don't even have websites. They are busy, earn a solid living and take the best care of their patients of any doctor I know.

Bass, 
Mats Hagstrom M.D.

Edward J. Domanskis, MD (in memoriam) · Answer

A BBL should not cause disortio of your belly button. I do remove via liposuction, fat from the abdomen and all areas to get enough to put into the buttock after it is purified but it is unusual that liposuction would cause rippples, irregularities. I do revise a small amount of my patients but only at least one year after their surgery.

How to avoid abdominal rippling and strange belly button after Brazilian Butt Lift?

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