What type of procedure do I need to fix botched BBL? Clumps and knots on each side. Please help (Photo)

Question

I am currently 10 months postop, and after having complications with my BBL procedure in Miami, I lost 18 pounds in one month due to sepsis infection and loss of blood. I am needing to get correctional surgery, but everyone keeps denying to see me, I know surgeons doesn't like to go behind another surgeons, but please any suggestions would be helpful as my confidence has went all the way down. Prior to my BBL I did have a nice round plump butt, but I had hip dips and wanted them filled. Now I have fat sitting on both sides of my hip area that needs removing, but the area feels like hard chunks on the inside and lumpy. Thank you!

Ryan A. Stanton, MD · Answer

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.) as most of the fat melts away. It is not always quite as much the quality of the doctor nor liposuction technique 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 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.

Zoran Potparic, MD · Answer

In your case, revision of asymmetries should include combination of targeted liposuction and fat grafting; some deformities (banana roles) may require skin excision and fixation to recreate natural fold/crease. This should be done by an expert, board certified plastic surgeon, who has experience with this type of surgery. Good luck.

Daniel Barrett, MD · Answer

Dear Ice101,
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

Douglas Taranow, DO, FACOS · Answer

I cannot say I know how you might feel. Surgical complications are unavoidable and Unfortunate.  What you survived should give you reserve about having a revision procedure.  
The lower border of your buttocks would be improved with conservative liposuction. The lumps may be either injected with a steroid or excised (Surgically removed). 
Many surgeons may be resistant to placing more fat as there will be substantial scar tissues from your previous procedure and complication

Darryl J. Blinski, MD · Answer

Thanks for posting your photos. What chop shop clinic/doctor did you go to? I am one of the few boarded private practice Plastic Surgeons doing revision BBLs (using ultrasound guided injections & removal from the buttocks are required by the Florida board of medicine). I believe you will need 2 stages of surgery. Best to virtual consult with....(see private Real Self message...

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

From your photos it looks like you have blow out spots that are caused by areas where too much fat was grafted resulting in fat necrosis and subsequent stretching out of the skin as you demonstrate. The treatment for this is to excise the areas. Please consider a consultation from a BBL revision specialist.

Mats Hagstrom, MD (license on probation) · Answer

On a daily basis I post answers to patients questions and inevitably tell people several times a day to not travel for elective surgical procedures.
Patients do not appreciate the importance of having multiple in person consultations while in advance of scheduling surgery, the need for in person aftercare, the number of people who have issues and will need revisions or the complications actually happen.
In the end your surgeon is responsible for your outcome and you are responsible for choosing that surgeon.
If you want a second opinion consultation then you’ll need to schedule those. For a proper second opinion consultation they need to be done in person. They should be done properly by the patient forwarding copies of your operative report and all before and after pictures either before the visit or bringing them with you for the second opinion consultation.
Whenever posting use proper before and after pictures which are part of your medical record and available from your provider.There’s no point in seeing what you look like now if we don’t have a comparison with your before pictures.
Before and after pictures as well as your operative report are part of your medical record did you have a ride to my simply requesting.
Get the pictures and the operative report then start scheduling consultations with local board-certified plastic surgeons to see if you can find someone who is competent and can help you.
Revision work is many times more difficult than primary work so take that into consideration when it comes to setting expectations and the importance of finding talented and experienced providers.
Best,
 Mats Hagstrom, MD

What type of procedure do I need to fix botched BBL? Clumps and knots on each side. Please help (Photo)

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