What are the options for a butt reduction?

About 75% of my practice is revision surgery on patients from other PSs.  Some patients will benefit from liposuction of the upper pole of the buttock with fat transfer to the middle.

Dear Dreamygal,
It is unlikely that your result will improve with time so if you are not satisfied with the results, you can consider another surgery to improve your results. Based on your photos, it looks like you would benefit from liposuction. 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

Thank you for posting your questions. My name is Dr.Javier Soto. I am a Board Certified Plastic Surgeon from Colombia
In the Brazilian Butt Lift we liposuction fat from problem areas and inject it back into the areas we want to enhance. Typical sites for liposuction include the abdomen, flank or love handle areas, back, or thighs. In this case we can lipo your buttocks trying to remove as much fat as we can in order to offer you a natural appearance, You would need a physical exam by a Board Certified Plastic Surgeon in order to determine how much fat you would need to remove. 
Please keep giving us feedback about your process, and I hope my answer comes to help.
Javier Soto, MD
Plastic & Reconstructive Surgeon
Cartagena Colombia

It is important for all patients to know and understand that asymmetry is normal with our body. Even before surgery no two aspects of our body are perfectly symmetrical. It is normal and a known entity that with fat transfer 30-50% of the solid fat volume transferred will be lost over the first 3-6 months after your surgery. This means the two buttocks can lose a different amount of fat and/or lose it in a different distribution, leaving you with even more asymmetry that you started with. This should all be discussed pre-op or may have been in the paperwork you signed as part of your consents for surgery. As far as the size of the buttocks, what is considered proportional or a good outcome varies from patient to patient. That is why having a good rapport with your surgeon and them spending time with you to understand your specific goals is important. Some patients want a more natural results while others want a dramatic result. 

Thanks for writing,I am sure your plastic surgeon will be happy to talk to you about revising your BBL. Everybody is asymmetrical and all plastic surgeons as a general rule make every attempt to even things out as much as possible. Good luckStephen M. Davis, MD, FACS
Certified: American Board of Plastic Surgery
Member: American Society for Aesthetic Plastic Surgery
Member: American Society of Plastic Surgeons
Member: RealSelf Hall of Fame
VERIFIED: Plastic Surgeon

Hello! If you are not happy with your BBL results, then you should seek a follow-up with your plastic surgeon. Revisions are not uncommon to get the perfect results. That being said, you need to be crystal clear with your doctor about the outcome you're looking for. Hope that this helps.

you should talk to your provider and discuss your results with him or her.  I'm sure they're happy to talk to you about a revision.  Most people are asymmetrical and you are not an exception.  Weather equal amounts of fat should be grafted on both sides is something different plastic surgeons differ on.  We don't have before pictures to compare it to so cannot speak on behalf of how your procedure was performed.  Please contact your provider. I'm sure he or she wants you to be happy.  Best, Mats Hagstrom MD