My right butt cheek is flatter 19 days post op BBL. Any suggestions? (photos)

Question

My right butt cheek is flatter 19 days post op BBL, is this normal? Will it round out or will i need a revision? I have not sat yet and been sleeping on my tummy. Please advise, please help

Robert F. Centeno, MD, FACS · Answer

Thank you for your question and photos.  Asymmetries after BBL can be due to a number of issues.  Some are temporary and resolve on their own, others can be adjusted and yet some cannot be fully resolved.  Temporary causes of asymmetry include asymmetric bruising or swelling which is common.  These usually resolve on their own.  A difference in how much fat was transferrred and where it was injected will not resolve without revision but could be fixed.  Other factors such as boney hip or skin asymmetries from one side to the next cannot be resolved completely.  Your photos suggest that you have some skin tightness in the central pole of the buttock.  It may not be possible to make it fully round, due to the tightness.  Without and examination and good preop photos, it is impossible to tell if preop anatomic issues are contributing to your current asymmetry.  Most surgeons inject the same amounts on both sides unless there is a pre-existing asymmetry.  It is best to give yourself some time to heal and swelling to resolve.  There after discuss your concerns with your surgeon.  Best wishes!  Hope that helps.

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

Since there has been a change in your post op course, please contact your surgeon so he/she can examine you and recommend the most appropriate treatment plan at this time.

The best way to assess and give
true advice would be an in-person exam.

Please see a board-certified
plastic surgeon that specializes in aesthetic and restorative plastic surgery.

Best of luck!

Dr. Schwartz

Steven Wallach, MD · Answer

At this early time it is difficult to say. You have to give it time to heal and allow for the swelling to subside.

Mats Hagstrom, MD (license on probation) · Answer

There are a variety of reasons patients can have an uneven results early after these procedures.It's much too soon to make any final assessments.Continue following your postop instructions and follow up with your plastic surgeon.Best,Mats Hagstrom M.D.

My right butt cheek is flatter 19 days post op BBL. Any suggestions? (photos)

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