1 year post-op, 600cc - was this a good BBL outcome? (Photos)

Dear myperfectme,
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

In order to make an assessment we need quite a bit of information. I appreciate you posting the proper before and after pictures. Most patients don’t even bother doing that. From your pictures it looks like you’ve gained weight. If that’s the case then that can definitely lessen Liposuction results.

The BBL is actually two procedures done at the same time. When making an assessment in regards to candidacy patients need to be assessed for each individual procedure because you can be a candidate for Liposuction but not fat transfer and vice versa.

In some ways you are not an ideal candidate for Liposuction in other ways you were. The front of your abdomen has skin laxity and that lessens your candidacy. You were a good candidate for love handles waist and back but these were a bit under treated in my opinion.

It’s easy to play Monday morning quarterback and second guess other peoples outcomes. Like I mentioned earlier if you’ve gained weight then all bets are off in regards to judging the outcome.

Recognize that full body liposuction procedures typically create a net weight loss for people so in order to not have any way to change patients should technically be down a couple of pounds from the weight pre-procedure.

Perhaps your surgeon could’ve been a little more aggressive with fat transfer but you were certainly not the first patient to wish more fat survived after a fat transfer procedure. I would say this is pretty much the norm for this procedure.

Typically when making an assessment I don’t like to just do thumbs up or thumbs down. Each individual area needs to be assessed for what it is. For example the front of the abdomen did not have the potential for a great result from Liposuction but your love handles and the transition from your waist to your buttocks did.

I can tell you this. Delivering consistent high-quality liposuction and fat transfer results is much more difficult than people believe. This is true for both patients and plastic surgeons. Their results from both of the procedures vary immensely based on individual patients candidency and especially skill and experience of the provider.
I see plenty of patients disfigured from these procedures so count your blessings that you’re not in that category because you don’t have to look for unreal self to see people who wish they never had the procedure because their body became irreparably disfigured by having it.

If having to have a revision or secondary procedure is the worst that happens then count your blessings.

It’s not ideal but revision rates are actually pretty high in plastic surgery.

Either follow up with your provider or schedule proper second opinion consultations by scheduled in person consultations with other board-certified plastic surgeons.


Since a BBL is both Liposuction and fat transfer it would be useful to know how much fat was removed during the procedure. fat removed shouldn’t be in the or operative report and it’s typically separated into total volume aspirated of which certain part is fat and a certain amount is watery numbing solution.

Best,

Mats Hagstrom MD