Brazilian butt lift to fix my dents after buttock implant removal? (Photo)

Hello @soexotic, thank you for your question. It is important to develop a surgical plan that fits your possibilities, to fulfill your wishes for improvement and to take into account what can actually be achieved in a BBL. I recommend taking an ultrasound of the buttocks to determine the anatomical changes more precisely. Is best if consult one or several board certified plastic surgeon for more information and recommendations. Best wishes! Alan Gonzalez MD, FACS.

Thank you for your question. Yes it is possible to have this procedure done to fix the dents. I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results.

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Dear soexotic,
based on your photos, you look like a good candidate for a BBL. Liposuction of your abdomen, back and flanks should give you more curves and hourglass shape and fat transfer to buttocks should give you more projection. I would suggest you to consult a board-certified plastic surgeon because 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

Base on the 1 posted photo you need what I call "Composite BBL" . That is lipo 360 to obtain useable donor fat to inject under ultrasound guided injections (as required in Florida)/ BBL to gain shape? injection of Radeisee/Sculptra combo to try to eliminate the skin dents/dimples. Fees from $10,000-$20,000. Best to virtual consult with...

The contour irregularities look more like cellulite. Regardless if it’s cellulite or from scar tissue from your previous surgery looks like the contour irregularity comes from contractile forces or tissues pulling on your skin the way cellulite does.Regardless if the contour irregularities are caused by cellulite or scar tissue they will not respond well to adding volume and doing so can make the situation worse.
That is at least what it looks like to me. The surrounding areas that are not indented will project nicely from added volume with any volume inducing procedure such as fat grafting while the indented areas will stubbornly stay put and this is why adding volume can make the condition worse.
It’s not possible to give you an accurate assessment simply based on the limited information. I suggest having a few in person consultations but I would be very careful making sure you pick highly experienced talented providers.
Should you move forward with the BBL procedure the following is some general information I’ve included about my thoughts and how to approach the BBL.
Delivering consistent high-quality liposuction and fat transfer results is more difficult than most people believe in this is true for both patients and plastic surgeons. Most plastic surgeons think they are better at liposuction than they actually are. Liposuction and fat transfer has more variance or difference in outcome purely based on who does the procedure than any other surgical procedure I’ve ever seen. Being board-certified in plastic surgery with an overall good reputation is not sufficient to guarantee that somebody has mastered body contouring. Personally I view the torso as a single anatomic unit and either treated the entire torso or don’t do Liposuction. There are of course exceptions but for the most part I believe in treating the entire torso. A full torso includes upper abdomen, lower abdomen, love handles all the way down to the hip dips, waist, the entire back and under arm area all the way to the side of the breast. this leaves people with a natural thin fat distribution without transition zones between treated and entrteded areas. I’ve viewed the BBL as an enhancement to body contouring creating an ideal feminine S-curve that goes from the armpit to the knee. I did not emphasize a large buttocks with liposuction of the outer thigh creating a big round butt on the small leg which I sometimes called the “lollipop look”. Instead I emphasize long smooth harmonious curves creating a slightly hyper feminized balanced figure. To find the most talented and experienced provider in your community I suggest having multiple in person consultations. I do not recommend patients travel for elective surgical procedures and I recommend patients whenever possible avoid virtual consultations. During in person consultations ask each provider to show their entire collection of before and after pictures of BBL results. Always confirm that after pictures were taken at least three months from the time of surgery. anybody who shows early postoperative pictures such as pictures with patients still showing surgical drawings on them, being in the operating room or any evidence of recently having had surgery should be immediately discounted as showing “.fake news”. Early fat transfer results can look very impressive but do not at all represent final results. Ask the provider to show you examples of excellent outcomes, average outcomes and less than outcomes. Specifically ask each provider to show as many pictures as possible‘s of patients who have similar body characteristics to your own. An experienced provider should have no difficulty showing you a minimum of 50+ sets of before and after pictures. Simply seeing a handful of pre-selected sample pictures which in reality most likely represent the best results of that providers career is insufficient to get a clear understanding of what average results look like for that provider. Highly experienced providers will have hundreds or even thousands of before and after pictures and should be willing to give you access during the consultation to see as many pictures as possible. If somebody claims to of done a lot of surgery but doesn’t have a lot of before and after pictures then you should ask yourself why? Do not commit to surgery or pay a down payment during the time of consultation until you’ve finished all your consultations and have given yourself plenty of time to think about your decision. The results from these procedures are permanent and irreversible. When in doubt slow down and schedule more consultations. Finally I recommend patients read all reviews on all various physician review websites avoiding providers for any significant number of justified negative reviews. The absence of justified negative reviews is more important and more telling and having an abundance of positive reviews. Plastic surgeons with the biggest social media profiles are not necessarily any more talented than those who have no websites at all. Famous or likable does not equal talented.
Find the right plastic surgeon and everything falls into place.
Good luck, Mats Hagstrom MD