Why is my butt getting bigger as it heals after butt liposuction?

I had a BBL in June 2015 (1200 CC's in each cheek). Long story short, I was unhappy with the result because my butt was too large. I had butt lipo in May 2016 ( 800 CC's were removed from each cheek).I was very happy with my results 2-5 weeks after the fat removal. However, my butt started to get big again. I am now 3 months post op and my butt has gotten larger than it was a few weeks after the butt lipo. I thought it would get smaller as the swelling went down, not bigger. What is going on?

Doctor Answers 3

Why is my butt getting bigger as it heals after butt liposuction?

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Hello dear, thanks for your question and provided information as well.. This is the surgical procedure that revolutionized cosmetic surgery becoming one of the most performed cosmetic procedures. Subcutaneous tissue or fat is removed in order to contour the body in a way that is harmonious and pleasing to the senses. It can be performed in almost all regions of the body such as the neck, chin, abdomen, back, buttocks, thighs, arms and ankles. Usually done through a small incision in the skin through which a cannula connected to a vacuum is applied, it can be performed alone or in combination with other procedures. After liposuction your body is going to be really swollen for at least 2 to 4 months after your surgery. It is important for you to wear your compression garment for at least 6 months, the first 3 months 24/7 and then the last 3 months at least 12 hours per day for your body get use to not having the faja for so many time. When you remove it, your body can get swollen and also you can have pain. Remember to also compress your body to prevent a seroma which is an accumulation of liquid that has to be drained, it is hard to touch and also really painful. Bruises are completely normal for almost 3 months from surgery, that’s why is better for you to use a bruising cream and apply it all over your body 3 times a day. To prevent bad circulation and swollen legs, use compression socks. Brazilian butt lift can be performed with the same procedure and for a month it will be swollen and it will drop a little bit without losing it’s shape if you use your garment.. If you’re going to perform liposuction on your inner, outer, anterior, lateral, postetior thighs, be careful and consult with your surgeon what’s best for you, sometimes we have more extra skin than fat, that can cause severe sagginess on our legs, which can be only be reversed performing a thigh lift…

Dominican Republic Plastic Surgeon
4.5 out of 5 stars 442 reviews

Buttock size

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Swelling may fluctuate as you heal. But there can be many other causes of potential enlargement, like seroma, hematoma, infection, activity, weight gain to name a few.  You should see your surgeon for follow-up

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews


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It is difficult to guide you without photos. I recommend you have a discussion with your surgeon and review you pre and post op photos to help decide if it is truly larger. Also be sure to know how your current weigh compares with weight at time of initial surgery and revision surgery. Your weight can definitely have an impact on your result. Best wishes.

Erica Anderson, MD
Reston Plastic Surgeon
5.0 out of 5 stars 5 reviews

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