Dents following BBL. Can this be fixed with weight loss or filler or CoolSculpting? (photos)

Hello and Great Question. I appreciate the time you are spending researching this procedure. My name is Dr. Matthew J. Nykiel. I am a Board Certified Plastic Surgeon, a Fellowship Trained Cosmetic Surgeon, and a Butt Augmentation Specialist.
Based off your photos you may need a BBL revision , I would definitely recommend doing an in person consultation with a board certified plastic surgeon who specializes in this procedure and who can suggest what is needed.
I hope that helps! Best of 
Luck! 
Matthew J. Nykiel, MD #CoreAesthetic Butt Augmentation Specialist Liposuction Specialist Board Certified Plastic Surgeon 

There are several ways to address cellulite depending upon depth of cellulite, location, elasticity of overall skin envelope, and subcutaneous fat layer. There is no uniformly successful method for treating it. My practice is now using BodyTite, a non-invasive procedure, that requires no down time to reduce the appearance of cellulite. The procedure combines different clinically proven modalities (radio frequency energy, deep tissue heating and suction coupled negative pressure) to distribute heat to the skin and underlying fat, causing the tissues to contract. Weekly sessions over an eight week period are recommended, but improvement is likely seen after the first few sessions.

This is a situation were an in person physical exam is really necessary to determine if the high points should be reduced with liposuction or the low points (“dents”) potentially filled in with focal fat grafting or a combination of both.  Whatever you do, do not waste your hard earned money on fillers such as Sculptra.  Glad to help. 

Dear Kdollj,
It is hard to tell for sure without an examination but based on your photos, it looks like your results might improve with a small revision. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

it's not uncommon for people to develop indentations on the back of the buttocks especially after fat transfer procedures.  These are usually represent bands of connective tissue that anchor the skin to the underlying muscle fascia. The same process that causes cellulite to Form. In your case it may be related to have the fat was grafted in regards to  The transition zone from grafted to on grafted area area.  I don't think any non-surgical approach is going to correct this better minor revision may help.  Best, Mats Hagstrom MD 

What you need unfortunately will be a BBL revision as your lateral hip junction needs to be filled with fat to create a natural transition between the buttocks and lateral hip region. This requires expertise with EVL (Expansion vibratory lipofilling) since this area can be tight and needs to be released. Similar maneuver is needed with your left medial buttock cheek. Based on your pictures, 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 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