I did 2 rounds of Venus Bliss with zero result. What butt procedure do I need? (Photos)

Thank you for posting your question here!My answer is based on the limited information and pictures provided, for a detailed and bespoke plan I would recommend consulting with your plastic surgeon in person.
The circles include the banana roll area and some posterior thigh cellulite. Fro the cellulite aspect of it the best treatment on the market right now in the states and the only FDA approved one is Avelli which works great!, as for the banana roll are the treatment of the area is tricky , the fat in that area is usually described in literature as being the pillar that holds the buttock in place and that over resection of the fat in that area can lead to buttock sagging. Sometimes judicious liposuction can work , but you have to keep in mind that there is a risk of buttock sagging which if it happens you can have a lower buttock tuck. The other thing that can improve the aesthetics of the area is restoring buttock volume and improving fat distribution which is usually done with fat grafting (BBL) or an implant .I hope this helps, best of luck!

Allow me to answer your question as best i can based upon your photos. However, please keep in mind that an in-person, or at least a virtual, consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.

First and foremost, i’m very sorry to hear that you wasted good money after a bad use of Venus Bliss for this particular area of concern. Venus Bliss and any other “minimally invasive skin tightening device/procedure” are not effective for this problem.

Here is what i can tell you, buttock “sagging” is usually a combination of loss of volume or deflation (after weight loss, liposuction, or post-BBL) and/or the effect of aging and gravity. So, I personally first treat patients like you by restoring volume to the buttock with a buttock implant. This will create a more desirable smooth and rounded perky buttock profile. If not adding volume with an implant, the buttock will most certainly always appear more flat with just a buttock lift from above. A lower buttock tuck is usually then performed at six months following implants. Coincidentally, a lower buttock tuck also doubles as a thigh lift, by also removing any loose skin and folds from the back of the upper thigh. In this sequence, the implants have fully settled into final position so that any remaining loose skin can be most accurately identified and removed with the lower buttock tuck. Please note, because an extremely few number of board certified plastic surgeons specialize in buttock implants, you may have to travel away from your local area to seek consultation with this particular type of surgeon. Getting it done right the first time around is not only the best chance for success, but also will save you from a lot of headaches and money in the future. Glad to help.

Dear Sociable293681, thanks you for sharing your concerns and pictures, after evaluate your case you will be benefit from a Liposuction on your abdomen, flanks and back, ultrasound guided BBL and an inferior cut to get rid of the '' Banana rolls'' under your buttocks, this will provide you an amazing shape and smooth results. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.

You will need a lateral thigh lift, which pulls the greatest amount laterally and will define the buttocks crease better. I do not recommend liposuction as the skin will hang and look even worse.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question and photos. Based on your photos and circled areas, you are a great candidate for the GoldIncision procedure. The areas circled, are deep fibrous attachments of the skin to the muscle fascia. The GoldIncision procedure is done awake under local anesthesia and involves injection of biostimulators and detachment of the fibrous attachments. I am the only licensed plastic surgeon in the US for this procedure. Liposuction and fat grafting will not work for the circled areas, matter of fact you can expect a worse outcome. You already found out that Venus Bliss will never correct this. There's no downtime with the GoldIncision, patients can fly out in 1-2 days if out of town. A second touchup treatment is done at 90 days at no charge if needed.

Based on these photos a combination of liposuction and fat grafting would be an option to consider. In person consultation with a board certified plastic surgeon with good reputation in body contouring surgery is recommended. Good luck.

Hello
I would recommend Controlled Vaser Liposuction for the hips and banana fold, and Renuvion J Plasma to reduce skin laxity.

When you signed up for Venus Bliss, did the providers show you any before and after pictures of previous patients who had similar problems in the before pictures? The areas you’ve pointed out a really difficult to fix and in reality that really is no good treatment for those areas.
Neither Liposuction nor a fat transfer is good at treating those particular areas.
Before signing up for any more procedure, especially surgery, which can make things worse. You should always insist that the provider shows you and impressive collection of before, and after pictures of previous patients who has similar body characteristics.
An experience provider should have no shortage of before, and after pictures if they claim their treatment can fix these problems.
The problems need to be in the same anatomic areas because those areas are really hard to fix.
Personally I’d probably not recommend any treatment for you.
I know you want to improve your body I think spending money on things that don’t help or potentially make things worse less option than trying when the potential outcome is not good.
Not everybody or every part of the body is good for either liposuction, fat transfer or both.
Best,
Mats Hagstrom MD