Had BBL, doctor overfilled the bottom of my cheek where I had a fold. Can I use lipo/Kybella to get rid of fat pocket? (Photo)

Hello Psychedelickitten. Thank you for your question regarding what to do with a doctor who overfilled the bottom of your butt cheek where you had a fold and can you use lipo or Kybella to get rid of that fat pocket? Thank you for your history and your picture. Based on what you want to achieve, I would highly suggest you workout to exercise and develop your glutes and quads. To build up the glutes and quads, the best exercises are squats and stairmaster. I would give that about six months. If you don’t do not achieve the results you wish, then I would consider surgical intervention. The surgical invention that I would suggest would be liposuction to remove fat. If you want to smooth out some of the indentations and folds, I would then consider additional fat transfer or BBL. I would not suggest Kybella. Kybella is not very controllable and is very difficult to isolate the fat you want a dissolve. Liposuction is much more accurate than Kybella in fat resorption. In addition, liposuction is much more predictable than Kybella. Also, Kybella hurts and leads to swelling. Kybella also requires at minimum three treatments. Therefore, my vote is for exercise and then if your results still aren’t there, consider liposuction and possibly, even repeat BBL to fill some of the dents and folds. I hope I’ve answered your question regarding how to correct where a doctor overfilled the bottom of your cheek where you had a fold and whether liposuction or Kybella can get rid of that fat pocket. Good luck.
Sincerely,
Dr. Katzen

Hello! Unfortunately, that is a challenging problem to treat. I would not recommend Kybella anywhere near the butt as the results and fat resorption are unpredictable. Depending on the timeframe from the initial BBL, you can theoretically go back and use a small liposuction cannula to gently liposuction that area and then combine this procedure with a skin tightening modality (i.e. J-plasma, body tite, etc) to help tighten the skin after fat removal. May not be a perfect fix but definitely an improvement. Doing lower body squats and exercises will certainly help with the shape but that particular area may need a surgical intervention for better results.

A small area of liposuction like the one that concerns you can often be addressed in an office surgical suite under local anesthesia. This should improve your results. I've included a video on Awake Liposuction that I hope you find helpful.