Is filler a good solution for my butt augmentation revision? (photos)

Dear yasmin23,
I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment. Only after 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

I have unfortunately had many patients come to me after having their high hopes for buttock augmentation crushed by measly Sculptra results or other "fillers" such as Renuva and Juvederm, etc. Other than the fact that these are not FDA approved for buttock injections, here are some critical points of awareness: 1) they all are temporary, lasting 1.5 - 2 years at very most, 2) if done correctly dermal fillers like Sculptra ir Renuva are cost prohibitive for 99% of potential buttock augmentation patients. In order to create a significant/noticeable result with a dermal filler, at least 200 mls of product must be injected into each buttock cheek for a total of 400 mls. At $1000 per ml, this equates to a minimum price of $400,000.00. Thus if your doctor is recommending to put in ONLY 20 or 40 mls of these fillers you will pay $20,000-$40,000 and get an insignificant miniscule result! (eg. like a “drop in the ocean” effect), 3) Do not let anybody tell you that the product is so special that it's going to magically grow over the following months or years...this just doesnt happen to any noticeable degree!, 4) dermal fillers, when injected in large quantities, have a relatively high infection rate, guaranteed tendency to migrate away from the original area they were injected into, and almost always stimulate a lot of inflammation with a subsequent and disastrous amount of scar tissue/hardening, and 5) the one very serious complication that can rarely (< 1%) happen is "embolism" in which some of the filler gets into the blood stream and travels up into the lungs, heart, and/or brain causing serious problems, including death.Hope I at least saved you some money and maybe even your life.

Thank you for your question.Unfortunately your pictures are not very conclusive. Regarding permanent fillers to the buttocks, this sounds extremely appealing to many patients but form a surgical perspective is dangerous.If a problem occurs with a permnent filler, and this is not at all infrequent, the problem will also be permanent. And very difficult to fix. You cannot simply remove a filler without potentiallly great collateral damage. Therefore not a good idea.Resorbable fillers like hyaluronic acid are accpetable but are extremely expensive and have to be redone. Acceptable, but not usually a goodoption.If a patient has a reasonable result from a BBL but wants it more dramatic, I recommend a second of fatgrafting or buttock implants. That is much more efficient and rewarding , with minimum risk.Hope that helps.