Why do I still have back fat/bra rolls, no hips, & a big belly after my Lipo 360/bbl procedure? (Photos)

Thank you for your question. Based on the pictures you appear to be candidate for a second round Liposuction and BBL. I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results.

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Dear Jubilant422493,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thanks for posting photos even if in panties. There are a few issues presented. You did not post or mention your preop BMI (Ht & WT?) I bet you were over a BMI of 30? Therefore lipo is limited to 4 liters max in Florida. Next the abdominal bulge is from internal fat or visceral/intestinal fat, this cAN NOT be lipo. Try loosing weight. The excess skin/?fat of back areas might not be able to improve. But only in person or virtual consult can determine. In general are you better off then pre surgery? If you used a private practice boarded PS these issues should have been discussed in your pre op evaluation. I suspect you used a chop shop clinic? Best to virtual with...

To make an assessment on the outcome of an operation we need to see proper before and after pictures.
Without before pictures we don’t have a reference to what you used to look like so there’s no way to know what impact the surgery had.
If you don’t have before and after pictures ask your surgeon to forward the ones they took.
Your pictures show a moderate amount of skin laxity on your back which is pretty common especially for people who have been overweight or of had weight fluctuations.
Your abdomen shows exes this role or intra-abdominal fat which can only be lost through weight loss.
Your abdomen shows exes this role or intra-abdominal fat which can only be lost through weight loss.
It’s also very important to know if someone has maintained their weight, got up and weight or lost weight since the date of surgery when assessing liposuction results.
It’s not uncommon for people to gain weight after liposuction. The brain seems to want to compensate for the fat removed.
Even in aggressive procedures when surgeons may take out up to 10 pounds it’s not uncommon for patients to come back six months later weighing exactly the same which means they gained 10 pounds.
In order to see the best results from Liposuction patients need to do their part and lose weight On top of the procedure.
Individuals with visceral fat should have this explained during in person consultations so they have a clear understanding what can and cannot be achieved with the procedure. That the same is true for having a clear understanding of skin laxity on the back. Loose skin often looks and feels like fat and definitely contributes to body contour but cannot be treated with Liposuction.
Best,
Mats Hagstrom MD