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

Question

I had a bbl about a year ago. These are my before and afters if you can tell which is which. The doctor said he see interval changes. I don't see anything for a procedure I'm still paying for. He said trust the process and I did. Didn't sit for 4 weeks and had 15 massages. So disappointed and doctors never take any accountability for their very expensive work. Now hes saying I need a round 2 and a tummy tuck. The plan was always to get a tummy tuck after the bbl. Is this a good bbl? Only 600cc

Finny George, MD · Answer

Hi, thank you for sharing your question. You are a good candidate for revision 360Lipo with BBL. You have abdominal skin laxity and as you mentioned, a tummy tuck will be needed in the future, but at this time a revision procedure will help improve your results. I hope this helps.

Emmanuel Mallol Cotes, MD · Answer

Based on your pictures what you need is full tummy tuck with intense liposuction in your belly, waist, arms and upper and lower back also I suggested take the fat we get and transfer to the buttocks and hips, to mold them and get better volume, contour and butt projection, is that we know as "Brazilian Butt Lift" (BBL).

Kind regards,
Dr. Emmanuel Mallol Cotes.-

Kind regards,
Dr. Emmanuel Mallol Cotes.-

Daniel Barrett, MD · Answer

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

Darryl J. Blinski, MD · Answer

Appears as a very conservative lipo 360 and BBL result. I agree you can book a full Tt with 1 liter lipo of flanks and back with 500 cc fat transfer for projection and hip dips (the 1 liter is all allowed in Florida office surgery rues in a combination surgery BTW). The fees ranges are $8,500-$18,500.

Mats Hagstrom, MD (license on probation) · Answer

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

James Fernau, MD, FACS - Account Suspended · Answer

Hello, and thanks for your question. I cannot tell which is before and after in your pictures. However, many times, patients will need two rounds of BBL treatment to achieve their desired results. This is because only a certain amount of fat can be injected during one procedure.

Please see a board-certified physician for your consultation. Best of luck to you!

Sincerely, James Fernau, MD
FACS Aesthetic Surgery Certified, American Board of Plastic Surgery Certified, American Board of Otolaryngology/Head & Neck Surgery Member: American Society of Plastic Surgery (ASPS) American Society of Aesthetic Plastic Surgery (ASAPS) International Society of Aesthetic Plastic Surgery (ISAPS) American Academy of Facial Plastic Reconstructive Surgery (AAFPRS) American Academy of Otolaryngology/Head & Neck Surgery (AAOHNS) American Society for Laser Medicine and Surgery (ASLMS) The Rhinoplasty Society

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

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