How to fix shape after butt lift dermal flaps? (Photo)

The dermal fat flap buttocks augmentation is kind of an awkward procedure and has inherent flaws.
It does give autologous volume but unfortunately often lacks in reach only to the upper part of the buttocks and limits how much does subcutaneous fat layer can be thinned in the lower back.
Any skin laxity will always limit liposuction and fat transfer results to some degree and despite having had the skin tightening procedure massive weight loss patients typically still have skin laxity in a horizontal direction and in other parts of their body.
Delivering consistent quality liposuction and fat transfer results is more difficult than most people believe and for that reason I recommend patients be very selective in choosing the right provider.
Do that by having multiple in person consultations at which time you should ask providers to show their entire collection of before and after pictures or at least as many as they are willing to show you.
Ideally you should ask to see as many pictures as possible of patients with similar body characteristics to your own. In your case that may be slightly challenging in regards to seeing lots of samples. Still, an experience provider should be able to show you at least 50 sets of quality before and after pictures of BBL patients and for sure some of those should be patients who’ve had at least previous tummy tucks.
Look carefully at all areas treated to make sure there are no skin irregularities. Ask the surgeon to go over specifically what areas were treated and what areas were not treated and look carefully at transition zones between treated and untreated areas.
Are usually view the torso as a single anatomic unit when it comes to liposuction and prefer to do a liposuction of the entire torso if I’m going to do a liposuction of any part of the torso.
A full torso includes upper abdomen, lower abdomen, love handles, waist, full back and under arms all the way to the side of the breast.
There are of course exceptions and this definitely includes people who’ve had previous procedures.
The goal is to leave people with a natural thin fat distribution that is consistent without transition zones.
Continue having consultations until you feel like you found the most talented or appropriate provider for your needs.
Best,
Mats Hagstrom MD
Ideally patients should be well-versed in what procedures can and can’t deliver through thorough in person consultations before deciding on the correct procedure or surgeon.
Liposuction and fat transfer may be appropriate.
I have not done a BBL and someone who has had your procedure previously despite having done over 8000 liposuction and fat transfer procedures to date.
I’m not sure if having had the flap procedure inhibits the ability to get a good BBL result but it’s probably worth trying and I would imagine in the hands of a talented provider you should get at least a modest improvement.