Do BBL results really last?

Question

Why did I lose all the fat transferred to my buttocks and I am only 8 months post op? This is extremely disappointing. Is there an explanation? I think BBL on a small person like me does not have lasting results.

Johnny Franco, MD, FACS · Answer

This is a great question as patients want to know the long-term outcomes of their Brazilian Butt Lift.  It is important to know what you can expect from your butt augmentation surgery as this will help you make the best choice to achieve the results you desire from your surgery.
The Brazilian Butt Lift has become extremely popular because it transforms your entire shape.  The liposculpting of the abdomen, back and flanks will decrease the size of your waist, while the fat transfer to the butt and hips augments those areas.  The combination of the hip and butt augmentation with the liposculpting transforms a person shape from square to hourglass figure. 
  
The liposculpting will stay for years to come if you can maintain a healthy lifestyle and keep your weight stable.  That means you will be able to enjoy your new hourglass figure for years to come.  
  
The second part of the surgery is the fat transfer.  Fat transfer procedures are incredibly popular as we use your own fat for the augmentation.  The keys to fat transfer procedures are the amount of fat initially transferred and the post-operative care.
  
First of all, it is important that enough fat is transferred during your Brazilian Butt Lift as patients do lose some of the fat that is transferred over the first 6 weeks or so.  In general patients lose about 40% of the fat that is transferred.  Thus, it is important to transfer a significant amount of fat so that patients can still look amazing after a portion of the fat is absorbed.  
  
The second part of maintaining an incredible result is the post-operative care.  Patients who stay off their butt for the first six weeks after their surgery keep much more of the fat that was transferred after their Brazilian Butt Lift.  I can’t stress enough the difference it makes in the results of your butt augmentation if you avoid pressure on your buttock after surgery. 
  
I have patients that are years out from their Brazilian Butt Lift and still have an amazing result.  Patients that can maintain a healthy lifestyle and do a good job following the post-operative instructions tend to be very happy with their Brazilian Butt Lift results.

Gustavo Almanzar, MD · Answer

HelloIn most cases about 70 to 80% of the fat injected will remain. The other 20-3-% will be reabsorb by your body.In my practice i combine it with Platlet Rich Plasma (PRP) that Improves Fat Grafting Outcomes.The addition of PRP to fat grafts offers a better fat grafting survival, a less bruising and inflammation reaction, and easier application of fat grafts due to liquefaction effect of PRP. this way i can guarantee a more secure result. Good Luck

Germán Newall, MD, FACS, FICS · Answer

Thank you for your question! I am sorry to hear that you are not satisfied with your results. The Brazilian butt lift surgery is a long-lasting procedure. However, if
 you happen to lose weight, the fat will shrink – and if you gain 
weight, the fat will expand. In most cases, about 70% of the injected 
fat will remain in the area, and about 30% will be reabsorbed by the 
body.

Luis A. Mejia, MD · Answer

Hi... thank you for the question... sorry for how you feel... Generally fat transfer, 30-40% of fat can get re-absorbet, but the rest remain for years... This depends on the technique, your recuperation and the quality of the fat tissue that was harvested.

Zoran Potparic, MD · Answer

I am sorry to hear that your result have changed within 8 months. Usually about 50% of fat transferred (injected) in the buttocks will survive. Whatever is there 5-6 months after surgery should stay there for years. However, there are few thinks that you need to consider. Swelling, which is dominant in the period of 2-3 weeks after surgery will subside in 3 months and it will leave you with significant loss of initial volume, up to 50% in our experience. Second, it is very hard to estimate how much of fat volume is retained. If you have your before surgery photos you should compare them with current photos (try to make them similar for a good comparison) or ask your surgeon to show you before and after photos. Comparison of photos will give you some idea of how much improvement you have.In general, current volume 8 months after surgery should stay for years. If you want more augmentation, discuss your options with your plastic surgeon. Although we are learning about fat grafts every day and most of research in plastic surgery is about fat grafts survival, longevity, etc., we still know very little. Significant problem with fat grafting is their unpredictability.We as a plastic surgeons continue to search for the best methods of graft harvest, preparation, and injection in order to make our results more predictable and long lasting.

Tania Medina de Garcia, MD · Answer

Hello dear!!
Thanks for the question and provided information as well. 
Your results should last permanently, with exercise and a clean diet. Lifting, squats and lunges after a BBL will only help increase muscle bulk and definition and achieve a more projected buttocks.
If you have any concerns, I suggest you follow up close with your plastic surgeon.
Good luck :)

Melinda Lirag Lacerna-Kimbrell, MD, FACS · Answer

Unfortunately sometimes fat transfer doesn't take as well in some patients, whether they are big or little. Fat is subjective and if you've lost weight since the procedure that may be the culprit as to why your fat didn't survive. Everyone is different, if you have concerns as to why your results are not meeting your expectations, you should consult with your board certified plastic surgeon.Thank you for your question!Melinda Lacerna, MD FACS

Samir Shureih, MD · Answer

Fat Transfer to the buttocks is a graft like any other graft in the body. The success is based on proper diagnosis of the problem presented, the suitability of the patient to that specific procedure, and the expertise of the surgeon, the methodology of fat aspiration, fat preparation and the fat transfer methods used, Any surgery has inherent potential risks and complications. These risks are also dependent on the expertise and experience of the surgeon and execution of the surgery. If fat transfer did not meet your expectations, the other options available are Buttock implants. They have their own sets of risks complications and limitations. you need to understand all these to be able to make an informed consent.

Do BBL results really last?

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