I had surgery for a BBL back in 2017 and I am looking to do a round 2 with a different doctor. I notice that I have a lump in my butt and it is most likely fat necrosis. I don't feel any pain at all and when I look in the mirror, there is no disinformation. Am I able to have a second round of BBL even if I have that? Will it complicate things? If it does, is a full body lipo ok to do with hip enhancement? Thank you all in advance!
May 25, 2020
Answer: BBL: Information 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
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May 25, 2020
Answer: BBL: Information 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
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Answer: BBL 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
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Answer: BBL 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
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