Bad BBL job 3 years later. How can I fix this? (Photo)

Question

I got a fat transfer to buttocks 3 years ago. 3 issues that really bother me: 1. one cheek looks great and normal another has a weird lump noticeable through clothing, and look very obvious and deformed to me. 2.I have weird dent right on top of my belly button that never goes away 3. A dented line that goes from my lower left side to my back. How can I fix this?? I’ve researched cool sculpting, lipo cavitation, body sculpting, but now I’m just afraid they’ll leave me worse.

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. I think that from the photos you have a reasonable result (without being able to see "before" photos). The "issues" that you have deal with contour deformity and this is the most common problem after a liposuction procedure. These can be difficult to fix and usually require revision liposuction and/or fat grafting. In your case, I would say the margin of success of a revision procedure to make a significant improvement is very slim. The enemy of good is perfect.Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

Daniel Barrett, MD · Answer

Dear pioneers123,
it is hard to tell for sure without an examination, but based on your photos, you will most likely need a BBL revision surgery in order to achieve better results. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. 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

Kenneth Hughes, MD · Answer

I will tell you that a surgery can be executed perfectly, and healing can be less than perfect due to any number of factors.  I am not sure how fair it would be to comment without preoperative photos.  There are some individuals who have adherent bands to the underlying fascia, which create the appearance present on your abdomen. Lipo and fat grafting would be reasonable solutions to your concerns.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

Zoran Potparic, MD · Answer

Fat grafts sometimes end with creation of cyst like scars-lumps that are visible and deforming. You will need a liposuction contouring, possibly additional fat grafting to correct that deformity. Small liposuction on the back would correct that asymmetry. Liposuction to release deep scar, possibly fat grafting would correct abdominal dimple. In person evaluation is recommended. Good luck.

Tania Medina de Garcia, MD · Answer

Hello dear!
Thanks for the question and provided information as well.
Based on your pictures, you are a good candidate for a BBL revision to improve your buttocks, and I think you'll get very good results. In general, you need to be physically healthy and at a stable weight, have realistic expectations, be a non-smoker and your BMI needs to be 30 or less.
l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Good luck :)

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

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

Mats Hagstrom, MD (license on probation) · Answer

Are you listed multiple things. It's going to be difficult for anyone to give you an accurate assessment based on your post.  It's important to differentiate what the actual problem is. For example on your back that area is often related to skin laxity. You're not standing in a straight position with your arms in the same spot. This by itself will give a symmetry.  During an examination  i'm able to lift and put on the skin differentiating what's a skin and what's underlying fat. It's not possible to do this when responding on real self. Likewise, without seeing your before pictures it's difficult to give you an assessment in regards to the area above your bellybutton.  You may benefit from a revision. To determine how successful this could be or what type of intervention would be best you really need an examination.  Your first choice should be following up with your provider who did the BBL. Best, Mats Hagstrom MD

Manuel Belen, MD - Account Suspended · Answer

Hello,
  
Thank you for sharing the information, it is a pleasure for me to answer your question.
  
 Definitely the most appropriate is to start (liposuction and BBL can also be included), you are a candidate perfect, for the procedure, with this you can eliminate all localized fat and flaccidity, you will get the best results and have a defined appearance according to your body. 
It is advisable to consult with a certified plastic surgeon, for a good
  
evaluation, to provide you with all the information you need to know about the appropriate recommendations, so that you can achieve the desired goals in your body.
  
I hope this answer will help you
  
My best wishes for you...

Enriquillo Clime Rivera, MD - Account Suspended · Answer

Hi, and thank you for the question
  
Based on the information and photos you sent us, you are a great candidate for a liposuction combined with tummy tuck. This procedure could give you a excellent result.  As you can understand studies and test are needed to see if you are clear for surgery but in general, if you seek the attention of a certified plastic surgeon, you should have a great result and a normal life. So feel free to contact us for further evaluation.   
  
Thank you again and have a great day

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