3 months post-op BBL will I lose more volume?

Question

I’m officially 3 months post op for my bbl and I still hate my results. At about 13 day’s I asked the same question of will my Butt ever shrink down and I was told it’s early it’s from swelling. But I still feel the same way. I feel like my butt only went down a TINY bit. It’s still to big for me. From behind it looks great but my projection is just out of this world and it doesn’t even look natural. I’m already 3 months does that mean this is my permanent look? I never wanted it this big

Luis A. Mejia, MD · Answer

hello thank you for your question and provided information as well..based on your question, it is normal to mention the inflammation because the full body inflammation drops completely after o 6 months.

Kenneth Hughes, MD · Answer

I have observed volume loss in about the first 6 weeks.   The result stabilizes after that time unless weight or total body fat stores are reduced.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Carolina Restrepo, MD · Answer

Thank you for your question. With Brazilian butt lift we transfer fat from one area of the body to the other. These fat cells are transferred in microinjections throughout multiple planes in the buttock tissue so that they can gain new blood supply and live in their new home, providing increased volume and shape to the buttocks. After surgery there is a predictable swelling process that mostly resolves over two months, when the final result really settles in.  Around 70% of fat that is grafted is typically expected to survive long term. We also put a little extra to account for loss of fat post operative, which is reabsorbed gradually by the body.

Donovan Rosas, MD · Answer

I tell patients that they can expect resorption or graft loss on the order of 30-50% (at most; prepare for the worst and hope for significantly better). Additionally some harvest volume is lost in processing the fat graft prior to transfer. Thus I generally recommend that patients seeking even the most minimal volume increase have adequate reserves for grafting of 500 cc per cheek (at minimum).  This means that harvest will usually exceed 1 liter (assuming for processing loss).
Reaching this point of stability will vary from one patient to the next. 3-6 is the point at which patients often begin to take note of changes as swelling subsides and graft take stabilizes.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Tania Medina de Garcia, MD · Answer

Hello dear!!
Thanks for the question and provided information as well. 
After a BBL, only about 70% of the transferred fat cells will survive, so it is normal to see a minor reduction in your buttocks. If you have any concerns, I suggest you to follow up close with your plastic surgeon.
Good luck :)

Andrew Jimerson, MD · Answer

Thank you for your question,Typically at three months you still may be developing a blood supply but won’t be in the process of loosing much more fat afterwards.However , there are ways to increase the likelihood of losing fat. One of the ways is staying away from second hand smoke, staying off of the butt and no fat burning exercises. Still speak to your physcian.

Erika Sato, MD, FACS · Answer

We know that ~30-50% of the fat volume injected is lost over the first 3-6 months after surgery. Some patients have better take than others and we do not know really why this is. I would give it the full 6 months before undergoing another procedure.

3 months post-op BBL will I lose more volume?

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