5'7", 105lbs - options to fix sagging fold after liposuction? (Photos)

Question

Hello, I am small 5'7", 105lbs and had a very nice butt before I decided to try BBL. The BBL was a fail and resulted in an elongated sagging crease. Anyone with experience restoring volume in that area (fat, renuva, sculptra)???? Yes. I am aware of the butt tuck and I am yet to see a before/after with more than marginal outcomes. Yet I have seen some volume restoration out of asia, so looking for anyone with experience reversing (even partially) the issue that was created by the lipo

Ryan A. Stanton, MD · Answer

Buttock “sagging” is usually a combination of loss of volume or deflation and/or the effect of aging and gravity. So,  I personally first treat patients like you by restoring volume to the buttock with a buttock implant (BBL is a clearly not an option for you and bound for 100% failure, period). This will create a more desirable smooth and rounded perky buttock profile. If not adding volume with an implant, the buttock will be shortened but may appear more flat with just a buttock lift. A lower buttock tuck is usually then performed at six months following implants. In this sequence, the implants have fully settled into final position so that any remaining loose skin can be most accurately identified and removed with the lower buttock tuck. Note, Skin tightening devices such as J-plasma, ultrasound, laser, radiofrequency will all fail in your case. Please note, because an extremely few number of board certified plastic surgeons specialize in buttock implants, you may have to travel away from your local area to seek consultation with this particular type of surgeon.  Glad to help.

Daniel Barrett, MD · Answer

Dear Margarita97421,
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

Darryl J. Blinski, MD · Answer

I do many Sculptra revisions to buttocks, but after a "skinny BBL' the results are 50 vs 50% improvements. Especially in inferior lose of definition in skin inferior gluteal folds. As you can imagine if it improves your results then great if not - well you tried. Expect fees for 20 vials of Sculptra (10/side)to be in ranges of $5,900 to $15,000 depending upon area of USA. Good Luck.

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

This can be resolved using high definition vaser liposuction. You would benefit from an in person consultation to determine if a butt tuck is necessary. The definitive correction for liposuction deformities requires the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I encounter suboptimal liposuction outcome referrals weekly. VASER liposuction has been the only modality that has consistently corrected liposuction caused deformities. VASER liposuction ensures a smooth contour regardless of severity of contour irregularities by virtue of being able to remove any and all remaining fat comprehensively and uniformly. Finally, when skin redundancy irregularities are observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

Your post does not make it clear of what you had done or what your concern is.

I BBL is generally the volume increasing procedure not one that creates a lack of volume.

If you need volume fat transfer is the best option and if you need volume removed Liposuction is the way to do that.

To find a provider I suggest you start scheduling a series of consultations with local board-certified plastic surgeons who seem to have a knack at both Liposuction and fat transfer procedures.

During consultations you can get an assessment and an explanation of how each individual provider would address your problem.

Best,

Mats Hagstrom MD

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