How do I correct this overfilled/poorly sculpted BBL? BBL Revision/Reduction possible? (Photo)

Small asymmetries may be expected with any fat transfer since fat grafts take is very unpredictable even in the most experienced hands. Combination of conservative liposuction (sculpting of larger buttock) and conservative fat grafting, is usually the way to go. A board certified plastic surgeon with good reputation in BBL should be your next stop for consultation. Good luck.

Dear peakaboob,
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

Yes I am one of the few boarded Plastic Surgeons doing BBL Reductions. See direct message to you. In Florida required to use ultrasound guided system in ALL BBL surgeries. Best to virtual consult with...

Your buttock is large in all quadrants but luckily symmetrical. It would require removing fat from all areas to keep the roundness but reduce the size and projection. You must not over suction to reduce the risk of flaccidity or droopiness
Best wishes.

Unfortunately a fair number of plastic surgeons have a distorted view of what an attractive female body looks like. There’s a tendency to create these cartoon caricature representations especially at times of exaggerating the buttocks by purposely adding Liposuction to the outer thigh below with the buttocks. I called this the “lollipop look”.
If Liposuction was done on your outer thigh in an attempt to make your bottom look bigger than it will be much more difficult to correct this. If it’s just a matter of removing fat then it’s a little easier.
Still, revision work is many times more difficult than primary procedures.
If the problem is simply too much fat was graftd then removing fat shouldn’t be rocket science and shouldn’t be that difficult. It’s much more of a problem if inappropriate liposuction was done in conjunction.
Typically the best doctors to do revision work are the ones who do a lot of the primary procedures.
Especially the ones who do the procedures well.
For a vision work the process is basically the same in regards to finding the right provider. You’ll find providers may not have as many before and after pictures for a vision of work that they do it for primary procedures. There’s no particular person who exclusively specializes in revision work. All surgeons end up doing some revisions and generally what you’re looking for is someone who is simply talented and experienced and doing the primary procedure.
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