Is it safe to get BBL with Lipoma? Will I develop more Lipomas if i get another BBL?

Hello, and thank you for the question. Safety first. I would advise you to make sure that all the issues that you are describing are well-taken care of before you consider round 2 BBL. This includes treatment of the lipoma, which might require surgery. Also, make sure that you are well-healed and recovered from the fistula surgery, and also that the cause of the infection in your right buttock is identified and eliminated. I wish you the best of luck. Vasileios Vasilakis, MD. Fellowship-trained plastic surgeon.

Dear Dreamy83,
it is hard to tell for sure without an examination. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. 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

In general, it is safe to undergo BBL with a lipoma in your buttock. However by your description and which are quite common after BBL, it sounds more as if you may have a fatty necrotic cyst. These usually require excision.

Regarding your consideration for round two BBL, it would be very helpful to view some photos of your current anatomy. That being said, you are in good company with many others who had high hopes for BBL but instead received disappointing results (lumpiness, unevenness, lack of projection in the central and/or lower buttock, etc.). It is not quite as much the quality of the doctor but rather the quality of the procedure that is a large part of the problem. Thus, going back for round 2 BBL most often produces the same disappointing results but at another financial loss. Buttock implants indeed provide a more reliable, predictable, relatively safe, and permanent result, especially for adding projection to the buttock and often smoothing out lumpiness. Please keep in mind that an extremely few number of board-certified plastic surgeons specialize in buttock implants so be sure to consult with one that is reputable and experienced. Unfortunately you may have to travel long and far away from home to find this particular surgeon. Glad to help.

Dear Dreamy,
There are no contraindications (restrictions) for doing a BBL with a lipoma present. I used to suction lipomas out, however, there is a higher incidence of re-occurrence with liposuction of a lipoma vs excision. They do take a long time to regrow if they do come back.
Dr. T

Most plastic surgeons I’ve spoken to do not recommend removing lipomas with liposuction. It’s possible your surgeon may liposuction through the lipoma. That is something you should talk to your provider about.

Sometimes fat transfer can help with shape and sometimes shape is limited because of underlying connective tissue that does not allow the skin to project more. Without a picture we cannot make an assessment in regards to your candidacy or the outcome of your first procedure.

I suggest you discuss all your concerns with your provider before your surgery.

Best,

Mats Hagstrom MD