Can I proceed with a BBL 2 years after Liquid Bbl HA (acid hyaluronic)? (Photos)

Question

Dear Doctor, Two years ago, I had hyaluronic acid injections (Genefill & Beadmax) in my hip dips to add volume, but the results lasted only one month. Today, I want to undergo a Brazilian Butt Lift (BBL). My surgeon asked me to get an MRI, and two years later, there is still some product present. MRI findings: - No thickening of the skin tissues in the area. - No evidence of bone abnormalities. - Integrity of the hip joints. - No peritrochanteric bursitis. - No pelvic mass syndrome. - Subcutaneous edema in the right and left trochanteric regions without signs of inflammation at this time. I am determined to proceed with my BBL. The radiologist advised against hyaluronidase injections and recommended letting the product resorb naturally. In your opinion, can I proceed with my BBL? If I need hyaluronidase to move forward with the BBL, how long after the injection should I wait? Will the product fully resorb? Thank you so much for your help.

Daniel Barrett, MD · Answer

Dear Enthusiastic890218,

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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Furkan Certel, MD · Answer

Hyaluronic acid (HA) fillers are often described as absorbable, but in reality, not all of the material disappears completely&mdash;especially when used in the body rather than the face. Over time, a portion of it will be absorbed, while some traces may remain permanently.As a surgeon, I generally do not recommend artificial fillers for body contouring. However, hyaluronic acid is considered one of the more physiological options among them&mdash;it integrates better with the body compared to other synthetic materials.If you previously had HA injections and your skin healed well&mdash;without inflammation, infection, or scarring&mdash;you can safely undergo a Brazilian Butt Lift (BBL) using your own fat. The transferred fat can integrate and survive naturally, even in areas where small remnants of HA are still present.In short, if everything looks healthy, a BBL remains a very good and safe option to achieve a natural, long-lasting result using your own tissue.

Mats Hagstrom, MD (license on probation) · Answer

Each plastic surgeon will have their own view doing this. Some plastic surgeons may be reluctant while others feel comfortable.
To me as long as there aren’t solid pockets of filler or empty spaces with liquid, I would be OK moving forward.
There may be some increased risk and the degree of this may have some uncertainty.
 There’s not a lot of data on if having previous HA fillers increases complication rates.
Most likely the most important variable is going to be provider selection, regardless of if you had previous fillers or not.
I recommend patients have several in person consultations before selecting a provider and
During in person consultations, you can ask each provider what your comfort level is.
You should also bring The MRI images and the radiology report.
Best,
Mats Hagstrom MD

Can I proceed with a BBL 2 years after Liquid Bbl HA (acid hyaluronic)? (Photos)

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