Will I see a difference with 180cc on each side? (Photo)

Question

I had first round lipo, bbl 7 years Ago. I wanted to do a second round because I wanted to have a little more lateral And a little more projection. I did tummy tuck and lipo on my back with a small fat transfer to my hips and butt. The doctor said it was very hard to harvest fat since I barely had fat. He said he did 180cc on each side. IHowever my quality fat wasn’t that great it was more reddish than yellow. From your experience will I see a minor change. At the moment I don’t.

Ryan A. Stanton, MD · Answer

Although before and after photos would be very helpful, 180 cc in each side is a reasonable and recommended safe amount. That being said, even if 50% of the fat survives this only yields 90 cc, which is equivalent to only 3 ounces. In most patients buttocks this will be hardly noticeable, if at all.

Let me just say this, 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, post-deflation sagging, 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 round 2 BBL most often produces the same disappointing results but at another financial loss.   Buttock implants indeed provide a more reliable, predictable, relatively safe, and permanent result, especially for adding projection to the buttock and often smoothing out lumpiness. Please keep in mind that an extremely few number of board-certified plastic surgeons specialize in 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.

Ajaya Kashyap, MD · Answer

Thank-you for your query. It is difficult to answer your question without any pictures or knowing your height and weight. The small amount of fat augmentation you have mentioned, however, will fill out some hollows but may not be enough to make a big change in your contours. It would be best if you have your Plastic surgeon examine you and see how much fat you have available and how much improvement you are looking for, before deciding upon a second BBL procedure. All the best!

Daniel Barrett, MD · Answer

Dear Pinknani,
it is hard to tell for sure without an examination. 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

Mats Hagstrom, MD (license on probation) · Answer

Without pictures we can not make an assessment.
Try posting before and after pictures. If you don’t have them then ask your surgeon to forward the ones they took.
180cc sounds very conservative. For those who don’t have much fat we usually harvest from multiple areas. 1) full torso Inc full back and underarm area, 2) arms, 3) inner and anterior thigh etc. 
Best,
Mats Hagstrom, MD

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