I'm lost and not sure what to do about my botched BBL/ butt implant surgery. Please help me

Question

I got a bbl with butt implants 2 years ago (intramuscular) and it came out asymmetrical and saggy. I can feel the right implant is placed higher than the left and it bothers me a lot. Last year I went to the same Dr to get it fixed. He performed another bbl on me but did not want to touch the right implant because he said it was only a centimeter high , and it would be a risky procedure. After I healed I noticed it is still asymmetrical and saggy. What do I do to fix this ? What are my options?

Daniel Barrett, MD · Answer

Dear Micros,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ryan A. Stanton, MD · Answer

Allow me to answer your question as best i can without any photos. However, please keep in mind that an in-person, or at least a virtual, consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.

One thing for sure is that placement problems with buttock implants cannot be fixed with BBL and/or trying to fat graft over and around them.  In this case, a revision of the buttock implants usually needs to be performed. This means that the implants may need to be repositioned into a better intramuscular pocket and/or a better shaped implant may be required (i.e. round and some silicone gel implants are not the natural shape of the buttock muscles, as opposed to Stanton Anatomic®️ buttock implants which are more anatomically correct).

Please note that an extremely few number of board certified plastic surgeons specialize in these buttock implants, so you may need to travel far and away from home to find this particular surgeon.  Glad to help.

Ajaya Kashyap, MD · Answer

Thank you for your query. It is difficult to give a proper opinion without pictures. However, a small amount of asymmetry can be corrected with fat injections from another part of your body.   However, if the asymmetry is more, you may need replacement of the implant. Please discuss your concerns with your Plastic surgeon who should be able to help you. Otherwise do seek a second opinion. All the best!

Mats Hagstrom, MD (license on probation) · Answer

To make an accurate assessment regarding the outcome of any plastic surgery procedure, we generally always need to see a complete set of proper before and after pictures.
If you don’t have before and after pictures and ask your surgeon to forward the pictures they took.
Without seeing pictures, we can’t begin to understand the problem or recommend a course of treatment.
Best,
Mats Hagstrom MD

I'm lost and not sure what to do about my botched BBL/ butt implant surgery. Please help me

Answers (4)