Why do I have hip dips & still no volume in butt after BBL 8 months ago? (Photo)

Question

Hey am 29 year old female am 5 ft 1 and weight 127 kg i have black hair

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. Based on your pictures you appear to be a good candidate for a second round. After the liposuction we can my Dominican Butt Lift special technique of posterior body contour, developed after having done thousand of butt reshaping surgeries through the years in this field.
In this regard, the DBL is more advanced and sophisticated technique than the simple butt-fat-fill as the classic BBL is described.
Therefore, In the DBL, butt and hips are reshaped using Lipo sculpting techniques + fat transfer in specific butt areas and additional skin tightening treatment, attending the patient request.

Semih Yildiz, MD, FEPOBRAS · Answer

At 8 months, most of the BBL result is usually close to stable, although small changes can still occur. In the photo, the buttock projection looks limited and the outer hip-dip area is still visible, but one back-view photo cannot show how much fat survived, how much was transferred, or whether your anatomy limited the change.

The most common reasons are normal fat resorption, not enough safe donor fat placed in the lateral hip area, scar tissue, or a starting shape where the pelvis and muscle anatomy create a natural dip. At 5 ft 1 and 127 kg, safety is the first issue before any revision; many surgeons would recommend weight stabilization and medical optimization before another BBL or liposuction. An in-person exam with your original surgeon or a board-certified plastic surgeon can determine whether revision fat transfer, contouring, or weight loss first is the safest plan.

Alan Gonzalez, MD, FACS · Answer

Hello @capri0000, thank you for your question and showing you pictures. It is important to take into account several aspects among which is the surgical technique applied and to ask the specialist that performed the surgery. Best wishes! Alan Gonzalez MD, FACS.

Daniel Barrett, MD · Answer

Dear capri0000,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Jorge Galaz, MD · Answer

Various factors determine the result of a BBL, some of them are: amount of fat transfered and anatomy of the patient. In some patients you can inject the fat in an area (example: hip dip) and the skin will not expand.
Hope this helps,
Dr. Jorge Galaz

Darryl J. Blinski, MD · Answer

Good posted rear view photo. You were a "SKINNY BBL" - so you were limited in amount of transferrable fat available. This should have been told to you in initial consult with the surgeon. Sounds like you went to clinic setting and only saw surgeon 10 minutes before the surgery? So now either a round 2 lipo/BBL, if you have available fat? or Injection BBL using Radiesse/Sculptra in a few sessions? Best to virtual consult with...

Mats Hagstrom, MD (license on probation) · Answer

I suggest you follow up with your provider to discuss your concerns with him or her. In order to make an assessment on the outcome of a procedure we have to see proper before and after pictures. If you don’t have your before and after pictures then ask your surgeon to forward the ones they took.
Delivering consistent high-quality liposuction and fat transfer results is more difficult than most people believe in this is true for both patients and plastic surgeons. Most plastic surgeons think they are better at liposuction than they actually are. Liposuction and fat transfer has more variance or difference in outcome purely based on who does the procedure than any other surgical procedure I’ve ever seen. Being board-certified in plastic surgery with an overall good reputation is not sufficient to guarantee that somebody has mastered body contouring with liposuction and fat transfer. Personally I view the torso as a single anatomic unit and either treated the entire torso or don’t do Liposuction. There are of course exceptions but for the most part I believe in treating the entire torso. A full torso includes upper abdomen, lower abdomen, love handles all the way down to the hip dips, waist, the entire back and under arm area all the way to the side of the breast. this leaves people with a natural thin fat distribution without transition zones between treated and entrteded areas. I’ve viewed the BBL as an enhancement to body contouring creating an ideal feminine S-curve that goes from the armpit to the knee. I did not emphasize a large buttocks with liposuction of the outer thigh creating a big round butt on the small leg which I sometimes called the “lollipop look”. Instead I emphasize long smooth harmonious curves creating a slightly hyper feminized balanced figure. To find the most talented and experienced provider in your community I suggest having multiple in person consultations. I do not recommend patients travel for elective surgical procedures and I recommend patients whenever possible avoid virtual consultations. During in person consultations ask each provider to show their entire collection of before and after pictures of BBL results. Always confirm that after pictures were taken at least three months from the time of surgery. anybody who shows early postoperative pictures such as pictures with patients still showing surgical drawings on them, being in the operating room or any evidence of recently having had surgery should be immediately discounted as showing “.fake news”. Early fat transfer results can look very impressive but do not at all represent final results. Ask the provider to show you examples of excellent outcomes, average outcomes and less than outcomes. Specifically ask each provider to show as many pictures as possible‘s of patients who have similar body characteristics to your own. An experienced provider should have no difficulty showing you a minimum of 50+ sets of before and after pictures. Simply seeing a handful of pre-selected sample pictures which in reality most likely represent the best results of that providers career is insufficient to get a clear understanding of what average results look like for that provider. Highly experienced providers will have hundreds or even thousands of before and after pictures and should be willing to give you access during the consultation to see as many pictures as possible. If somebody claims to of done a lot of surgery but doesn’t have a lot of before and after pictures then you should ask yourself why? Do not commit to surgery or pay a down payment during the time of consultation until you’ve finished all your consultations and have given yourself plenty of time to think about your decision. The results from these procedures are permanent and irreversible. When in doubt slow down and schedule more consultations. Finally I recommend patients read all reviews on all various physician review websites avoiding providers for any significant number of justified negative reviews. The absence of justified negative reviews is more important and more telling and having an abundance of positive reviews. Plastic surgeons with the biggest social media profiles are not necessarily any more talented than those who have no websites at all. Famous or likable does not equal talented. Find the right plastic surgeon and everything falls into place. 
Good luck, 
Mats Hagstrom MD

Tarick K. Smiley, MD - Account Suspended · Answer

Hi! It’s possible your doctor focused more on your projection rather than your hips. There is only so much fat we can take and transfer safely. If you want to correct it, you may need to think about getting another transfer. Good Luck!

Why do I have hip dips & still no volume in butt after BBL 8 months ago? (Photo)

Answers (8)

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