Can I use kybella to remove the small piece of protruding fat to get rid of the lumps? (photo)

Filling the areas will probably yield a more favorable result than any attempt at liposuction or using Kybella.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

Thank you for your pictures and questions. I can appreciate your concern as there is some contour deformity there. Conceptually, Kybella could dissolve some of the fat in those areas but it is questionable in how controlled that process can be. Dissolving some fat in one area risks creating contour deformity in the other direction. A surgical procedure to smooth out the area might be a better option. Discuss with a plastic surgeon who is board certified by the American Board of Plastic Surgery.Best of luck!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

NO! Your issues are areas of deficient fat causing a dent effect. If you do not desire a revision BBL than only could offer Sculptra or Renuva injections. Fee $600 per vial or mixed cc, yu will need 20+ or $12,000 worth to try to correct. You are NOT a candidate for KyBella injections.

In order to achieve perfection, you would require a lift to get rid of the slack. One of the most common reasons for disgruntled BBL patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons.  A buttocks assessment tool can be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring. A Skype or Facetime consultation with a BBL specialist can help you get an accurate recommendation and pricing.

regardless of what your wishes are the best option for this would be adding fat to the area of a deficit.  Alternatively you could have a revision with liposuction of the fact that project above the area of a deficit. Kybella it's not a great treatment in the first place. It is unpredictable and would be prohibitively expensive for what you're trying to achieve.  It's possible there is scar tissue or connective tissue bands restricting the area of volume deficit to expand like the surrounding area's.  I would follow up with your plastic surgeon who did your BBL and talk to him or her about a revision.  Best, Mats Hagstrom MD