What is the best procedure for me to have a perkier rounder lifted butt? (photos)

You are in good company with many others who had high hopes for BBL but instead received disappointing results (lumpiness, unevenness, lack of projection in the central and/or lower buttock, post-deflation sagging, etc.). It is not quite as much the quality of the doctor but rather the quality of the procedure that is a large part of the problem. Thus, going back for round 2 BBL most often produces the same disappointing results but at another financial loss. Buttock implants indeed provide a more reliable, predictable, relatively safe, and permanent result, especially for adding projection to the buttock and often smoothing out lumpiness. Occasionally a lower buttock tuck may be advantageous for lower buttock fold asymmetries and/or sagging. Please keep in mind that an extremely few number of board-certified plastic surgeons specialize in buttock implants so be sure to consult with one that is reputable and experienced. Unfortunately you may have to travel long and far away from home to find this particular surgeon. Glad to help.

Hello, some of the fat melts after butt enlargement with fat injection and may cause inequality. It is normal for 40-60% of the fat to melt in butt enlargement with fat injection. The way to do this is to reach the desired size by injecting fat again. When fat is injected again instead of melted fat as a second time, the result is usually more permanent.

Hello, thank you for your question! There are a couple of different options that will help you achieve your goal of a lifted buttock. One procedure that can be done is a Sculptra butt lift. A Sculptra butt lift is a procedure where a filler is injected into the soft tissue of the buttocks and will ultimately enhance the shape and curve of the buttock. Please note that a sculptra butt lift typically needs multiple sessions in order to achieve desired results. Fat transfer, also known as a Brazilian butt lift, is another option that is recommended for patients who want a lifted buttock. As you know, a fat transfer procedure adds natural fat to enhance and add volume to an individual's buttock. This fat is usually taken from other areas of a patient's body such as, the abdomen or thighs. I hope this information is useful. Thank you!

Dear Sunshineparati,
based on your photos, you look like a good candidate for a BBL. Liposuction of your abdomen, back and flanks should give you more curves and hourglass shape and fat transfer to buttocks should give you more projection. I would suggest you to consult a board-certified plastic surgeon because 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

Hello and thank you for your pictures and your questions. Based on your photos and your description, it seems you may not have enough fat to augment the buttocks. However, you may consider combining buttock implants with some fat transfer to contour the buttocks and give you the look you desire. I recommend that you consult with a plastic surgeon that specializes in body contouring and can discuss your options in detail. Best wishes!

A second BBL is probably your best option. To get a better assessment I suggest posting it before and after pictures since you’ve had a previous BBL.

If you don’t have before and after pictures then I suggest you contact the surgeon who did the procedure and ask them to forward the ones they took.

You should also ask for a copy of your medical records especially the operative report which any future surgeon it will want to review before any potential upcoming procedure.

Once you’ve obtained your before and after pictures and medical records schedule multiple in person consultations with local board-certified plastic surgeons to get a more accurate assessment and better understanding of treatment options.

Best,

Mats Hagstrom MD

It would be helpful to see what your pre-op photos shows to assess how much improvement you have despite fat absorption. But regardless, a second fat transfer is your best option. I have found that in patients who have significant absorption following a fat transfer to the buttocks a second fat transfer usually lasts. Good luck!