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Does a BBL reduction cause loose skin? (Photos)

I had a bbl 11 years ago , also after had a seroma in my right glute. It was drained and now it’s a hollow empty space. However the bbl was too much for my frame , I was considering a revision with adding fat to lift the area the seroma was but also getting a reduction at the same time and fat taken from the top of my butt. Would this cause sagging? no matter how much weight I lose it’s still too big, I’m so upset I went through the seroma issue , im not sure if I have scar tissue. My ultrasound showed no fluid. To remove scar tissue does it require a big incision?

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