Can I still have a 2nd round of BBL if I have fat necrosis on my butt?

Hello, thank you for your question. It is hard to tell without pictures, you may be a candidate for a second BBL, a physical examination is needed. I recommend you to schedule a consultation with a board certified plastic surgeon.

Fat and the crosses itself is a normal and not uncommon complication of BBL. Hence, on one hand, it does not unreasonably prevent you from having another round of BBL. However, on the other hand, you can expect more of the same with round two. Depending on your level of satisfaction with round one BBL, you may want to consider a more reliable, predictable, and permanent option with buttock and/or hip implants. Glad to be of help.

Dear EstrellaMasBella,
it is hard to tell for sure without an examination. Generally speaking, it is possible to get revision surgery after fat necrosis. 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

It is difficult to answer your question without photos or a consultation. You should consult a board certified plastic surgeon. A Skype or FaceTime consultation with a board certified plastic surgeon will help you get an accurate recommendation for your procedure and for pricing. 
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

You should be fine to have a second BBL. Without pictures we can’t make an assessment if this seems like an appropriate procedure or not. I’m guessing you had a consultation with your doctor number two so hopefully he or she confirmed everything is good to go.Best, Mats Hagstrom MD

Dear Ms EstrellaMasBella,Thank you for your question. Unfortunately,  it is difficult to answer you precisely without a examination and reviewing the operative report of your first BBL surgery.The reason why you feel a hard lump is that when fat is grafted it may not “take”. It is usually because the the fat particles did not receive enough blood supply to survive. It is normal that not all the transferred fat will not be incorporated into your tissue.The body usually absorbs this non viable fat. Occasionally if the amount of fat is larger than can be absorbed then the body “walls off” this tissue and and scar tissue forms around the non viable fat and is referred to as “fat necrosis”. Often these ares of fat necrosis can be broken up or removed. Technically to reduce fat grafting take and these hard lumps can be reduced by purifying the fat before injection, using smaller cannulaes during injection and injection of smaller amounts in several different planes (more passes). I suggest you first discuss your concerns/options with your original Plastic Surgeon. If you still desire another opinion  obtain a copy of your pre/postoperative photos and the operative report and bring with you to your consultation.Hopefully, you found this information helpful.My best,Robert A. Hardesty MD, FACSDiplomate and Certified by the American Bd. of Plastic SurgeryAwardee and Inductee RealSelf Hall of Fame4646 Brockton Ave.                           Riverside, Ca 92506wwwimagineplasticsurgery.com