Does a BBL with fat injected above the muscle yield cellulite and saggy results?

Hello dear!
Thanks for the pictures and provided information as well.
Based on your photos, you are a great candidate for liposuction and BBL and you'll get great results. 
Answering your question, yes, it's possible that you'll get cellulite but if you get proper massages, the possibility dicreases. 
In general, know that you need to be physically healthy and at a stable weight, have realistic expectations, be a non-smoker and your BMI needs to be 30 or less.
l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Good luck :)Dr. Luis Mejia.

Fat transferred to the buttocks can and does improve dimpling.  In the thousands of BBLs I have performed, I have not found the buttocks to look saggy as you heal. In general, the dimpling, which is different from true cellulite, is improved with the BBL and typically resolves with time as the fat becomes part of your body and swelling subsides.

Dear samjake,
based on your photos, you look like a good candidate for a BBL. Liposuction of your abdomen, back and flanks should give you more curves and hourglass shape and fat transfer to buttocks should give you more projection. I would suggest you to consult a board-certified plastic surgeon because 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

Fat injected above the muscle when not spread smoothly can give you irregularities on your skin but not necessary this is the case with every BBL with fat injected above yeh muscles.

Dear SJ,You appear to be a very good candidate for a BBL procedure.  Liposuction of your sides and lower back (and possibly the front of your abdomen) should yield quality fat to augment your buttocks.  The fat would be placed in the subcutaneous layers (not in the muscle as it is way too dangerous) and you should not have issues with cellulite or sagging.Dr T

After looking at your pictures you appear to be a great candidate for a BBL. There is always a possibility for post-op complications. However, the risk can be dramatically reduced with proper post-op care. Using high definition VASER liposuction, fat transfer is much more efficient. The fat is viable longer and is better at assimilating into the target region. A Skype or FaceTime consultation with a BBL specialist can help you get an accurate recommendation and pricing. 
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Fat transfer to the buttocks can definitely create cellulite or worsen it.certain parts of the body have connective tissue bands that stabilize the skin to the underlying muscle fascia. These tend to be areas that tolerate increased pressure like the soles of the feet, palms of the hands, pressure point on the buttocks or back of the thighs.These connective tissue bands lack pliability and don’t stretch much. When the surrounding volume increases beyond the length of the connective tissue bands indentations form similar to furniture that’s tufted with buttons. This is the inherent nature of cellulite. Because the connective tissue bands stretch between the muscle fascia and the skin adding increase the volume in this plane worsens cellulite. I can’t tell you for sure how much worse it is by grafting above the muscle only. Providers who graft into the muscle or used to do so in the past certainly grafted in all layers which included intramuscular.Generally speaking patients who don’t have any evidence of cellulite rarely form cellulite to the point of being an issue. Patients who have mild cellulite to start with should be Warned that it could worsen with this procedure. Some people also have a flat spot on the pressure point of their buttocks. It’s typically the lower inner part of the buttocks. People who have this often or at risk for having a perceived flat spot after the procedure. This is from the same mechanism that causes cellulite. These outcomes are predictable and should be pointed out by the provider.If you have smooth skin to start with then cellulite should not be a problem if the procedure is done well.Best, Mats Hagstrom MD

Hello,

Thank you for sharing the information, it is a pleasure for me to answer your question.

It is difficult to evaluate the options without seeing photos,
It is advisable to consult with a certified plastic surgeon, for a good evaluation, to provide you with all the information you need to know about the appropriate recommendations, so that you can achieve the desired goals in your body.

I hope this answer will help you

My best wishes for you...