Is there anyway to correct the divots and unevenness in my hips after my lower body lift and BBL? (Photos)

Question

I had gotten 360 lipo, lower body lift and fat transfer to hip a little over a year ago. My bbl did not retain at all. I had lost 90lbs pretty quickly and wanted to get rid of my loose skin. So, I thought “if I’m already going under the knife, might as well fill in my hip dips.“ I didn’t have much fat removed, it was around 700cc in total. I think that it might’ve even made my hips look a bit worse. I kind of just feel like I look “lumpy” in that area. I’d like to add that the first two photos are of me whatever I have there to smooth it out. Don’t know if that means anything. Is there any way I can fill/smooth that area in?

J. Timothy Katzen, MD, FACS · Answer

Hello Bright580686, Thank you for the question regarding whether there is any way to correct the divots and unevenness in your hips after your lower body lift and BBL. Thank you for your history and pictures. In analyzing your pictures, I see that you have indentations or divots. To fill indentations or divots, you need augmentation or filler. Unfortunately, you do not have much, if any, fat. The fat you are pinching/holding in the second picture is not much fat at all. Therefore, you do not have enough fat available for transfer. Your options include weight gain and then fat transfer. I do not recommend this procedure due to your weight loss history of 90 lbs. Another option would be fillers like Sculptra. However, Sculptra is expensive, unpredictable, and takes a long time to see the results. Your best option for you would be Alloclae, or cadaveric fat, for several reasons. First, you have no fat. Second, there is an unlimited amount of Alloclae. Third, many plastic surgeons perform Alloclae injections or grafting in their offices. Fourth, there is minimal down time. For the irregularities, I recommend liposuction. I hope this information helps. Good luck. If you have any more questions regarding the lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy, please contact an experienced plastic surgeon. Since the body lift is a big procedure, please seek an experienced, board-certified plastic surgeon with significant experience performing the lower body lift. Do your research. Make sure they have performed at least 150 circumferential lower body lift surgeries and have the before-and-after pictures to prove it. Carefully examine their before-and-after pictures and check their reviews on RealSelf. If you cannot find an experienced, lower body lift surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen (President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery). RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)

Jeffrey M. Darrow, MD · Answer

Thank you for your photos. The small depressions that you have would likely best be treated with a fat-based filler such as alloClae. This product is a FDA approved product made from donor cadaveric fat and has both fat cells and extracellular matrix in a 60/40 ratio. It gives immediate volume restoration and the matrix in the product acts as a scaffolding for additional collagen to grow and help maintain the result. Especially appealing is this product is an off-the-shelf treatment that requires only local anesthesia to place the injection of alloClae and no other surgery. This would be a minimally invasive, excellent way to help treat your concerns. Speak to your plastic surgeon regarding this option. Best wishes.

Mustafa Aydinol, MD · Answer

Hello, thank you for sharing your photos and history.
Overall, you appear to have healed very well. After a lower body lift, liposuction and fat transfer, a small degree of contour irregularity or lumpiness can be completely normal, especially after significant weight loss.
During this type of surgery, it is important not to be overly aggressive with liposuction or fat transfer, both for tissue safety and to reduce the risk of complications. This can sometimes leave minor uneven areas.
The good news is that the area you are concerned about appears relatively easy to improve. Depending on the examination, it may be corrected with a small amount of fat grafting, limited liposuction, scar-tissue release, or a combination of these. In some cases, this can even be performed under local anesthesia while you are awake.
A physical examination would be needed to determine whether the main issue is a small depression, fibrosis, or uneven fat distribution, but this does not appear to require another major surgery.
Dr. Mustafa Aydınol Plastic, Reconstructive and Aesthetic Surgeon

Luis A. Mejia, MD · Answer

Thank you for your question, you should schedule an in-person evaluation with a board-certified plastic surgeon or an experienced aesthetic injector specializing in body contouring. Have them palpate the hip dips to check whether the lumps are firm scar tissue or soft fat pockets. If donor fat is unavailable, Sculptra is widely considered the gold standard non-surgical solution for blending hip dip contours and evening out post-liposuction irregularities., for more Details contact us 829-745-2440
Dr. Luis Mejia
Let's make it better

Camille Cash, MD · Answer

Yes you can return for some touch ups to improve the contours that concern you.  Fat grafting in combination with liposuction can be used to help smooth the area. Overall it appears you have a nice result and some minor revisions can be used to improve your concerns.

Is there anyway to correct the divots and unevenness in my hips after my lower body lift and BBL? (Photos)

Answers (5)

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