Fell on BBL, now left with a lump. What can I do? (Photo)

Dear Neat469332,
it is hard to tell for sure without an examination. If you have fat necrosis, then removal of the dead fat is probably the best option. 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

Thanks for posting photos. Appears as a traumatic seroma. Best to obtain a scan ASAP. Might need lipo reduction or at worse excision of the area. Only in person or virtual consults can determine the options. I might try liposuction of area with injection of treated micro fat grafts with tetracycline antibiotics & specialized taping for 4-7 days. Followed with red light therapy to area. Fee $7,000 ranges.

In my opinion, you require major BBL revision not only to elminate the lump which is created from necrosed fat, called a blow out, as well as improving your buttock shape. To eliminate the blow out deformity, you need to have the fat necrosed fat removed and the cyst pocket eliminated. You should also consider fixing your buttock shape which needs elimination of lower lateral buttock prominence and repositioning of fat to the mid lateral buttock region and finally improvement of overall buttock contour and creation of smooth transitions between your buttock and lower back and buttock and lateral thighs. the BBL assessment tool is beneficial to help you achieve the optimal buttock shape and size.
The optimal BBL revision outcomes are achieved with: 1) use of VASER liposuction to harvest the fat since your fat has already been harvested 2) a closed looped system to process the fat in order to optimize transfer time and avoid your fat from becoming contaminated and 3) strategic micro-packet transplant technique that maximizes graft take. These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight. Finally, attention must be given to providing you the buttock shape that YOU desire. This means using our proprietary BBL assessment tool. As an official VASER trainer, I am routinely referred unhappy BBL patients. 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. Our buttock 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.

Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Did you pay for the second procedure? if so it would seem reasonable that they would do a free revision to remove the lump which most likely represents fat necrosis.

This could be done using local anesthesia in an office setting. For reference I do all of my body contouring procedures with patients awake using primarily local anesthesia with mild sedation.

The lump may represent dead fat, scar tissue, oil cyst and depending on what it is would alter the approach of how it should be removed.

Necrotic tissue and scar tissue may not always come out with using Liposuction and for this sometimes open surgery is required.

If it is an oil cyst then it should be able to be aspirated with a needle and syringe.

A little hard to make a proper assessment based on limited information.

It is a good idea to discuss each plastic surgeons revision policy during in person consultations. Surgeons have the right to charge for procedures and patients are free to choose who they go to.

Cavitation will most likely not be successful as a way to treat this.
When looking at the pictures I’m curious why you decided to have a BBL in the first place. My sense is that your body contour was probably fairly well endowed to start with.

Best,

Mats Hagstrom, MD