Is it possible to have BBL revision years later? (Photos)

Question

I had a BBL done at 22 years old back in 2021. The results did not come out as expected despite going to a board certified surgeon in California. The contour of my left buttocks is significantly deformed on side profile and has only worsened over the past few years. I do not feel comfortable seeking a revision with the same surgeon since I am deeply disappointed with my results. Is a revision even possible?

Luis A. Mejia, MD · Answer

Experiencing a progressive contour deformity after a Brazilian Butt Lift (BBL) can be deeply frustrating—especially after choosing a board-certified surgeon. It is completely reasonable and common to seek a second opinion and undergo revision with a different surgeon who specializes specifically in complex revision body contouring.

Yes, revision is possible. While revision surgery is more complex than a primary BBL due to underlying scar tissue, experienced revision plastic surgeons have several techniques to release, smooth, and re-balance distorted gluteal contours.
Dr. Luis Mejia
Let's make it better

Yasemin Aydinli, MD · Answer

Yes, a revision is possible years later, but I want to be honest with you, these revisions are among the more difficult procedures in body contouring. Liposuction over previously grafted and scarred tissue can cause the skin of the buttock to sag and can increase the appearance of cellulite, and a single session may not achieve full symmetry or a perfect contour, so staged treatment is sometimes needed. I would also draw your attention to your abdomen, because the skin there looks loose in your photos, and liposuction of that area could leave sagging skin and create the need for a tummy tuck later. Realistic expectations and a careful examination of your tissue quality are the keys to planning this safely.

Ryan A. Stanton, MD · Answer

Allow me to answer your question as best i can based upon your photos. 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, insignificant hip augmentation, 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.   Beware, if a surgeon asks you to purposely gain weight (i.e. fat) before BBL, know that the fat you lose first as you get back to your baseline weight after surgery is that very same fat that was transferred into your buttock, hence your new buttock shrinks first, the fastest, and the most...so please do not fall victim to this recommendation.

Important note, do not fall victim to anyone recommending fillers, such as Sculptra and hyaluronic acids,  for enhancement or augmentation of the buttock/hips because they are a rip-off and guaranteed to fail, period!

Buttock/hip implants, however, provide a more reliable, predictable, relatively safe, and permanent result, especially for adding projection to the hips and central buttock, and often help 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.

Is it possible to have BBL revision years later? (Photos)

Answers (3)

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