Does a sacral fat patch (chunk of fat above butt crack) typically/always get removed with BBL?

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.
Without a proper assessment or before/after photos it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment. Only after thorough examination you can get proper recommendations and advice.
I hope that helps!  Best of Luck!
Matthew J. Nykiel, MD
#CoreAesthetic
Butt Augmentation Specialist
Liposuction Specialist
Board Certified Plastic Surgeon

The central fat pad over the crack is called the Central Diamond and must be removed in order to achieve an ideal buttocks shape; in fact this sets the origin of the buttocks shaping. A consultation with a BBL specialist can help you appreciate the changes that can be achieved with a revision.