Why Do my Brazilian Butt Lift Results Look Like Sponge Bob Square Butt? (photo)

I had a breast lift and augmentation and a brazilian butt lift all in the same procedure 14 weeks ago. The results with my butt for the first few weeks looked great however, it appears that the fat that was orginally sitting more towards the middle has now gravitated out to my hip area. I know I was square when I went in but I didn't expect to be square coming out. Is it possible the fat moved because I was required to lie on my back for 4 weeks? I am also below my goal weight.

Doctor Answers 6

Improved Shape, From Square to Hour Glass

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Thank you for your question.  

The transformation from a square shape to more of an hour glass shape comes from several factors.  First is how and where the liposuction is performed.  This is really the key to improving the waist and shape of the mid-section.  

Second is the actual transfer of the fat.  The fat does not migrate, it will stay where it is placed during the operation.  Because one the fat becomes incorporated it is just like any other fat that you would have in your buttock.

Some of the initial size and shape that you liked was probably secondary to the swelling. The good news is that your shape can still be further improved.  

I would recommend that you get another consultation from a board certified plastic surgeon that can guide you.

Brazilian Butt Lift

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In reviewing your results I partially agree with you. You have a good not great result. There is a clear improvement on your BEFORE photograph. Further improvement can be achieved with a touch up lipo of the hips / upper outer buttocks. You are only 3 months from your surgery and things will continue to improve. Things may go from Sponge Bob to Betty boop. 

Peter A. Aldea, MD
Memphis Plastic Surgeon

Sponge Bob Square Butt!!!! I love Sponge Bob! ....But, wouldn't want his butt!

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It appears as though you have a significant increase in the size of your buttocks.  You do have more fullness at the top than you do at the bottom, kind of what some people call a heart shape.  If you are below your goal weight, then I would recommend that you gain some weight.  You may gain some in the lower areas of your buttocks, making it more proportionate.  You will also probably find that over the next year or so that your fat may settle some.  This will probably result in less volume at the top and more volume at the bottom.  I would not recommend liposuction of your hip area yet.  Give it a year and gain some weight and see what happens.  You might find yourself very happy with your results. 
Good Luck

Sponge bob.

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I agree that your after photo is a bit square. It looks as though you could use a bit more lipo so shape the area to a more round silhouette. I would recommend you meet with your surgeon and let him know that your are not content with your results to see if there is something he can do to help fix your situation. Best of luck.

Jaime Perez, MD
Tampa Plastic Surgeon
4.8 out of 5 stars 81 reviews

Brazilian Butt Lift

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The causes could be many .

However now you need some liposuction to the hips , the area at the end of your tattoo. Below that you have a depression that need to be filled with fat. The preoperative picture showes also you probably have a saggy butt to begin with. The buttock crease goes all the way accross, a sign of saggy butt.

Samir Shureih, MD
Baltimore Plastic Surgeon

Concerned with your result?

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Thank you for your question!  It is still to early to judge your results, your still healing.  Make sure your wearing your garment and following all of your doctors post op instructions! Best of luck!

Dr Dhaval Patel
Double Board Certified
Plastic Surgeon
Hoffman Estates
Oak Brook

Dhaval M. Patel, MD
Hoffman Estates Plastic Surgeon
4.8 out of 5 stars 99 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.