Would a second BBL or butt implants get me the best result and do I need a thigh lift?

You are in good company with many others after BBL. Going through round two BBL is likely to only give you more of the same without providing additional shape or fullness, especially in the lower half of the buttock, where the fat tends to survive relatively poor. The only more reliable, predictable and permanent way to achieve your desired outcome is with buttock implants. You may in fact benefit from additional body contouring of your front half by way of a tummy tuck with liposuction of the flanks.  Lastly a posterior thigh lift/lower buttock tuck may or may not benefit the area you describe as “saggy skin right under your butt”. All this can be further evaluated with a virtual consult and eventually confirmed with an in person physical exam. Glad to help.

The BBL results are highly surgeon dependent.  Some board certified surgeons can do almost anything and change the shape of anything.  You have to be creative.  There are some anatomic limits, but, for the most part, dramatic transformations can be achieved. Have the lipo and BBL first; three to six months later, have the TT.

Hello dear,Thanks for the question and photos. Yes, you're a great candidate for TT, Lipo and BBL revision.
In this regard, I recommend you TT, waist and back Liposculpture, getting better curves especially in the waist, improving your body contour.
Finally, I suggested take the fat we get and transfer to the buttocks and hips, to mold them and get better volume, contour and butt projection, is that we know as "Brazilian Butt Lift" (BBL).l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Good luck :)
Dr. Luis Mejia. 

Dear qwert678,
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, thanks for your questions and photos. You are a candidate for Liposuction with Tummy Tuck and BBL. This time, you can have a fat injection on the sides of the buttocks, for a better contour and an hourglass shape. Do not forget to consult a certified plastic surgeon in your area. Good Luck!

Between whatever fat you may have left in your back and the fat that can be taken from the abdomen during a tummy tuck, you can fill in the hip dips and get that heart shaped butt you want! You’re a great candidate for a revision BBL without the risk associated with implant displacement and possible infection. Best of luck.  

You will make an excellent candidate for a lower body lift that will include lateral thigh and buttock lift as well as our proprietary high definition tummy tuck. This procedure will allow you to smoothen your lower back and upper buttock contour as well as to provide you highlights of your muscles, maximal narrowing of your waistline, correct thighs, as well as optimally shape your buttocks to your wish list. I encourage you to use the Brazilian Buttock Assessment Tool to communicate your ideal buttock shape to your chosen doctor. Your wish pick is definitely possible. Please consider a complimentary virtual consultation so that you can get an accurate recommendation.

it seems like you would be a good candidate for a second or revision BBL pay on adding a volume more laterally would help quite a bit. Making your torso especially your back and armpit area smaller would help balance your appearance considering your somewhat thin thighs. I would keep the overall max volume proportionate to your thigh size. Your which pictures have much larger thighs and can handle the gluteal volume in those pictures. Excessive gluteal volume doesn’t balance having thin thighs because these two generally never go together in natural body shapes.I’m not sure why your surgeon was apprehensive about doing liposuction of your abdomen. This does however leave a virgin area with great fat to use for your second BBL. A tummy tuck would look great on you as well.Our practice has been devoted exclusively to Liposuction and fed transfer procedures for the last decade. We do our procedures with patients awake avoiding general anesthesia. This makes the procedure better and that results are improved from the ability to turn patients in different positions, safety profiles I am approved, recovery is better and there are cost savings to the patient.Follow up with your provider or have a few new in person consultations. Best, Mats Hagstrom MD

I think it is necessary to combine gluteal implants with fat graft placement in the upper, lateral and sub-gluteal grooves. Technique known as Hybrid Surgery.
To avoid making large incisions of a buttocks lift.