Saggy bum 1 year post BBL. Is there a surgery to fix this? (Photo)

Question

I had a bbl 1 year ago however the middle of my bum sags and I absolutely hate it. It was a very genuine concern of mine. I spoke to the surgeon and outlined my desire for an upside down heart shaped bum asking would this do it, the bbl, and I was told yes it would. All it did was enhance the slight sag shape I had, so now it’s really prominent. My bum is slightly larger but the shape is terrible and I have no hips still. Is there a surgery or something to fix this middle sag. Please help

Ryan A. Stanton, MD · Answer

Allow me to answer your question as best i can based upon your photo. However, please keep in mind that an in-person, or at least a virtual, consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.

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, fatty necrotic cyst or scar tissue, etc.) as most of the fat melts away. It is not quite as much the quality of the doctor nor liposuction technique but rather the quality of the procedure that is a large part of the problem.  Thus, going back for additional rounds of BBL most often produces the same disappointing results but at another financial loss.

Fillers, such as Sculptra and hyaluronic acids,  for augmentation of the buttock/hips are a rip-off, period!

Buttock implants, however, 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.  When considering buttock implants make sure that the surgeon is going to be placing the implants within gluteus muscles , (a.k.a. “intramuscular pocket”), and that they are using anatomically correct, oval-shaped implants, such as Stanton Anatomic®️ implants. 
Please keep in mind that an extremely few number of board-certified plastic surgeons specialize in these 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.

Zoran Potparic, MD · Answer

It is obvious that you need more shaping of buttocks and hips, by means of addition of fat grafts. Also, your gluteal crease is creating droopy, square butt; this needs correction as well. In person or teleconference consultation with a board certified plastic surgeon with good reputation in boduy contouring surgery is recommended. Good luck.

Daniel Barrett, MD · Answer

Dear Sensible488811,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Geuris Cruz Quiroz, MD · Answer

Thanks for your question dear Sensible488811, sorry to hear your experience with your preview surgery, unfortunately this type of buttocks is call chicken butt and is very difficult to improve with another type of surgery that's not a BBL procedure, please keep in mind after plastic surgery your body anatomy have a lot of to do during your healing process, I definitely will recommend you to have a BBL and Hips revision with a board certified plastic surgeon. 
Good luck!

Francisco Rodriguez Rosario, MD · Answer

We would proceed to make a Liposculpture and then we proceed to make a total filling of the buttocks.

Mats Hagstrom, MD (license on probation) · Answer

I just watching a YouTube video called the Miami thong lift made by Dr. mendieta.
It explains condition and how it’s treated quite well.
Best,
Mats Hagstrom, MD

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