Considering reconstruction of buttock after seroma removal. Does a seroma capsule need to be entirely excised?

Hi, Sincere453190! Thank you for your question.
In some cases the injected fat may not succeed to live and accumulate in a certain place causing a liquid mass. This results in a capsule with seroma inside. The first attempt we do is to aspirate the seroma (and insert a drain if necessary) and apply a pressure garment to obliterate the potential space. If this does not solve the problem, then surgical excision of the mass with its capsule is necessary. Subtotal excision of the capsule usually results with complete cure, however the remaining capsule may still produce seroma in some circumstances.
So my recommendation is that you wait until the seroma problem is solved, and give an interval for your butt to have its last shape, then have your revision BBL:

This was my initial texted response, "I do many "fixing" of buttock deformities. You will need a few operations. First ex/incisional drainage of seroma pocket. Than 2-4 months healing with intense massaging. Finally lipo with fat grafting to give both buttock symmetry and a pleasing appearance. See private message." Attempt to removal the total seroma pocket capsule would leave a long mid buttock scar. I prefer my method to try to avid any buttock incision/scars...