What could have caused pocket of fat on the side of my butt? 1 year post op (photos)

Hello, my name is Dr Burko, and I am a Plastic Surgeon at SY Aesthetics in NYC. It is difficult to say what is causing that without seeing you in person. However, it is possible that you may have either a fat oil cyst or fat necrosis that developed in that spot. It is best to see a plastic surgeon and discuss your options to help treat that area.

Dear Nechelle289,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

You are not botched! No need to feel botched. Fat transfer is always a little bit unpredictable. Maybe they grafted a little built more in that area or maybe a little bit more fat then expected survived in that specific area, or even more likely…. the skin in that area is looser so the fat bulges out easier. In any case it is an easy fix. A tiny bit of lipo, or any fat disolving agent like Kybella will fix your issue.\\

Best of luck and be happy! Other then this mall issue your results look great!

Dr. Miguel Mota

It is very likely that liposuction may be the way to treat this deformity. In person consultation with your surgeon or another board certified plastic surgeon is recommended. Good luck.

To make an accurate assessment regarding the outcome of any plastic surgery procedure we need to see a complete set of proper before and after pictures.
If you don’t have before and after pictures, then ask your surgeon to forward the pictures they took.
It looks to me your provider did liposuction on the upper part of the thigh, probably in order to make your buttocks look bigger.
To me that is not appropriate, unless someone has significant saddlebags.
Your result is a direct reflection of your candidacy for the procedure, and how the procedure was performed.
The result or outcome of those two variables.
To understand your candidacy we need to see before pictures and the results after that is what your surgeon was capable of.
The time to be critical of plastic surgeons is during the vetting process, while having multiple in person, consultations finding the right provider for your needs.
Consider reposting with a complete set of proper before, and after pictures, follow up with your provider or scheduled multiple in person second opinion consultations with other providers in your community.
For second opinion consultations come prepared to bring with you a complete set of before and after pictures and a copy of your operative report.
These are all part of your medical records that you can request from your current provider.
It’s difficult to make a quality assessment based unlimited information
Best,
Mats Hagstrom, MD