1 year since initial BBL, left with dents, uneven hips and fat loss - would I benefit from a revision? (photos)

Allow me to answer your question as best i can based upon your photos. However, please keep in mind that an in-person, or at least a virtual, consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.


You are in good company with many others who had high hopes for BBL but instead received disappointing results (lumpiness, unevenness, lack of projection in the central and/or lower buttock, insignificant hip augmentation, post-deflation sagging, fatty necrotic cyst or scar tissue, etc.) as most of the fat melts away. It is not quite as much the quality of the doctor nor liposuction technique but rather the quality of the procedure that is a large part of the problem. Thus, going back for additional rounds of BBL most often produces the same disappointing results but at another financial loss. Beware, if a surgeon asks you to purposely gain weight (i.e. fat) before BBL, know that the fat you lose first as you get back to your baseline weight after surgery is that very same fat that was transferred into your buttock, hence your new buttock shrinks first, the fastest, and the most...so please do not fall victim to this recommendation.

Fillers, such as Sculptra and hyaluronic acids, for augmentation of the buttock/hips are a rip-off, period!

Buttock/hip implants, however, provide a more reliable, predictable, relatively safe, and permanent result, especially for adding projection to the hips and central buttock, and often help smoothing out lumpiness. Occasionally a lower buttock tuck may be advantageous for lower buttock fold asymmetries and/or sagging. When considering buttock implants make sure that the surgeon is going to be placing the implants within gluteus muscles , (a.k.a. “intramuscular pocket”), and that they are using anatomically correct, oval-shaped implants, such as Stanton Anatomic ®️ implants.
Please keep in mind that an extremely few number of board-certified plastic surgeons specialize in these buttock implants so be sure to consult with one that is reputable and experienced. Unfortunately you may have to travel long and far away from home to find this particular surgeon. Glad to help.

Dear xnegrita,
it is hard to tell for sure without an examination. Based on your photo, it looks like you would benefit from revision surgery. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thanks for your question. The benefit of a second round BBL is to enhance your previous result. The second round can help to further improve the shape and increase the size of your butt and hips. The second round is often used to correct specific concerns such as any areas of imperfection and/or asymmetry. It is also good to note that the fat retention in the second round tend to be much better than the first round.If you feel that your initial round of bbl did not provide the desired results, then a second round my provide the opportunity to improve symmetry, enhance contours and give you overall improved satisfaction.

To make an assessment on the outcome of a plastic surgery procedure we generally need to see a complete set of before and after pictures. If you don’t have before and after pictures to ask your surgeon to forward the pictures they took. A second BBL is going to add volume, and it’s important to identify the exact concerns you have or what changes you’re hoping to achieve. As efficiently experienced an honest surgeon should be able to tell you what they can, or cannot accomplish with a secondary procedure. It’s very difficult to make an assessment without seeing before and after pictures. I suggest you follow up with your provider and discuss your concerns with him or her. Alternatively, schedule a second opinion consultations. For a second opinion, consultations patient should come prepared bringing with them a complete set a before and after pictures and preferably a copy of your operative report. These are available from your previous provider if you request them.
Best,
Mats Hagstrom, MD