Could a round 2 BBL help remove this scar? (Photo)

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, fatty necrotic cyst or scar tissue, etc.) as most of the fat melts away. It is not 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 additional rounds of BBL most often produces the same disappointing results but at another financial loss. This is especially true for areas of dense scar tissue, where fat survival is extremely poor.

Buttock implants, however, 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. When considering buttock implants make sure that the surgeon is going to be placing the implants within gluteus muscles , (a.k.a. “intramuscular pocket”), and that they are using anatomically correct, oval-shaped implants, such as Stanton Anatomic ®️ implants.
Please keep in mind that an extremely few number of board-certified plastic surgeons specialize in these 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.

Thank-you for your query. It is possible that you had some infection or fat necrosis resulting in some scar tissue. Micro fat grafting after some subcision should help restore your contours. Please discuss your options with you plastic surgeon who can help you make a decision. All the best!

Dear anitabaker117,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

The 1 posted photos demonstrates one of the complications of BBL, fat necrosis with cystic formation. First must obtain ultrasound of buttock to determine if any residual cyst or fat necrotic areas left. Then Round 2: lipo areas of body to obtain clean fat and release or removal of area of buttock issue with fat grafting under ultrasound guided injections. Fee $5,000+ Best to virtual consult with...

Anita (Baker…? Really??),
You are a good candidate for a revision BBL. The scar tissue from an infection is quite dense and requires the surgeon to release most of the bands before placing more fat. You cannot release all the bands (which everyone desires) because the area becomes an out pouching (looks like a half tennis ball lump that appears sometime after surgery…usually within a few days).
It will look much better with just one, but might require two more treatments.
Best wishes
Dr. Taranow

Based on what you described, I don’t think adding volume will correct the indentation on your buttocks. From what you describe, this is more related to contractile scar tissue and not simply a lack of volume.
Successful treatment will most likely require either removing the scar tissue, or at least releasing the contractile nature of the scar tissue. This may be challenging to accomplish.
You and then Tatian is now behaving more similar to what causes cellulite. Cellulite can be made worse from fat transfer, and so could your indentation.
Sometimes it’s better to except the outcome for what it is and sometimes secondary procedures or revision surgery is indicated. It’s important that you choose a provider who has a clear understanding of why the contour was created and understand the difference between contractile tissue, pulling on the skin compared to simply a loss of volume.
Talk to your surgeon about the outcome and see what they recommend.
Alternatively, schedule a second opinion in person consultations to get another review. I think you’ll find that the most experienced providers will recognize that this situation may be quite challenging to fix. But it’s not to say that improvement cannot be had. It is, however, a little more complex than just adding more volume.
To get an accurate assessment, requires an examination. My thoughts are based on basic concept based on certain assumptions as well as limited information.
Different providers may have very different views, and my opinion is just my opinion.
Best,
Mats Hagstrom, MD