What can I do to resolve this unflattering diaper butt look? (photo)

You are in good company with many others who had high hopes for BBL but instead received disappointing results (lumpiness, unevenness, lack of projection in the central and/or lower buttock, post-deflation sagging, etc.). It is not quite as much the quality of the doctor but rather the quality of the procedure that is a large part of the problem. Thus, going back for round 2 BBL most often produces the same disappointing results but at another financial loss. Buttock implants indeed provide a more reliable, predictable, relatively safe, and permanent result, especially for adding projection and shape to the buttock and often smoothing out lumpiness. Occasionally a lower buttock tuck may be advantageous for lower buttock fold asymmetries and/or sagging. Please keep in mind that an extremely few number of board-certified plastic surgeons specialize in buttock implants so be sure to consult with one that is reputable and experienced. Unfortunately you may have to travel long and far away from home to find this particular surgeon. Glad to help.

Dear Pmendes7,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello and thank you for your questions and your picture. You could perhaps undergo a revision BBL with liposuction of the thighs and fat transfer in certain areas of your buttocks to help better contour them. It is difficult to adequately assess you with only 1 picture. Also, an in-person examination will provide much more needed information or at least a virtual consultation. I recommend you seek out a plastic surgeon that specializes in body contouring and can discuss in detail your various options. Best wishes!

To get a good understanding of Ju penus of the inner lower buttocks I suggest you look at a YouTube video posted by Dr. Mendieta called the Miami thong lift. In the video dr Mendieta describes the condition and how it is appropriately treated. It requires a tuck which means cutting out a strip of skin. It cannot be fixed through liposuction or fat transfer.

I suggest you consider posting before and after pictures if you want an assessment on the outcome of a procedure. If you don’t have before and after pictures ask your surgeon to forward the ones they took.

Best,

Mats Hagstrom MD