Can I get BBL to add more butt after butt implants? (Photos)

Question

I got butt implants 10 years ago. Can I get a bbl now to add more butt?

Semih Yildiz, MD, FEPOBRAS · Answer

A BBL after butt implants can be possible, but it is a more complex situation than a standard BBL. The photos show an existing implant contour, and the key issue is whether there is enough safe soft-tissue space and enough donor fat to add volume without disturbing the implant pocket.

You should be examined by a board-certified plastic surgeon experienced with both buttock implants and fat grafting. They may want imaging or operative details to confirm implant position, capsule condition, and whether there are signs of malposition, rupture, infection, or capsular contracture. Fat should be placed only in safe tissue planes and not into the muscle or implant pocket. If the implants are too superficial, poorly positioned, or causing problems, implant revision or replacement may be safer than simply adding fat.

Moises Salama, MD · Answer

Thanks for your question. Yes, patients can get a BBL when they have butt implants. I have performed many of these procedures at my practice. I recommend you schedule a consult for a proper evaluation. Make sure the surgeon you choose has extensive experience with BBLs and clean credentials. Always consult with a board certified plastic surgeon. Take care, Moises Salama MD, Board Certified Plastic Surgeon

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. Yes it is possible to have this procedure done. I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results.

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Daniel Barrett, MD · Answer

Dear AmandaMariexo777,
it is hard to tell for sure without an examination. Generally speaking, it is possible to get fat transfer after butt implants. 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

Nicholas Jones, MD, FACS · Answer

Yes, you can get a BBL after butt implants. There is a small risk of implant rupture as a result of fat transfer. Because most gluteal implants are submuscular, the risk is low. You must also have enough fat to harvest in order to complete a fat transfer. Many patients that elect implants do so because they do not have enough fat!

Make sure you consult with a board certified plastic surgeon.

Make sure you consult with a board certified plastic surgeon.

Cagil Meric Erenoglu, MD · Answer

Hi! Yes, you can get a bbl operation now after your butt implant. I need to see more of your photos so we can inject your butt so we can see your body fat percentage, so I can make a more accurate assessment. After the evaluation by considering that you had a butt implant surgery, if you are suitable for the operation, I especially recommend that the Ultrasonic Safe and Natural BBL method in order to position the injected fats in the right places, to make the fats much more permanent and to be performed in the safest way. Best regards.

Peter Andolina, DO · Answer

It is not uncommon to combine fat transfer with implants either during the initial surgery or later. However after reviewing your imaging there is something that concerns me or that needs to be addressed. Based on your imaging, it seems as if your implants are above the muscle in the subcutaneous space. If this is in fact the case, you must be careful during any sort of fat transfer that the implants do not get punctured. I would strongly recommend an ultrasound assisted BBL to help minimize any risk to the implants but just know that implant damage is a risk.

Mats Hagstrom, MD (license on probation) · Answer

Having gluteal implants should not prevent you from having a fat transfer procedure.
Different plastic surgeons May have different opinions. 
The success of the procedure is summer dependent on how much fat can be harvested from Liposuction as well as how much host tissue there is available to support the grafted fat. In the radiographic image the soft tissue layer between the skin and implant is relatively thin. you could potentially double the thickness of that soft tissue layer with a single round of fat transfer.
To get an accurate assessment and also that providers regarding skills and experience I suggest having multiple in person consultations with local board-certified plastic surgeons who seem to have experience with this procedure.
I recommend patients avoid virtual consultations whenever possible.
During in person consultations ask providers to open up their portfolio and show you their entire collection of before and after pictures.
Ideally you should ask surgeons to show you as many pictures as possible to previous patients who had similar body characteristics to your own.
Recognize that a BBL is two procedures done at the same time.
You should be assessed and you should also vet plastic surgeons for both Liposuction and fat transfer.
Providers may have limited numbers of before and after pictures of patients who also have gluteal implants.
You can still get an idea regarding competency for fat grafting in general, aesthetic views and Liposuction skills but carefully reviewing numerous before and after pictures.
Bring pictures of your own body taken the same way plastic surgeons take before and after pictures and use those for reference when reviewing before and after pictures.
Look carefully at all areas treated with Liposuction to make sure there are no skin contour irregularities anywhere.
Delivering consistent quality result with both Liposuction and fat transfer is more difficult than most people believe.
There is substantial variation and outcomes based on who does the surgery.
I suggest patients have multiple consultations to help find the most qualified provider.
There’s no correct number of consultations needed but I suggest patients start with at least five consultations and consider scheduling more to help select the best provider.
The results from liposuction and fat transfer should be considered permanent and irreversible.
Poor outcomes are often irreversible and not possible to correct or improve upon.
Select your provider carefully.
Best,
Mats Hagstrom MD

Can I get BBL to add more butt after butt implants? (Photos)

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