Do I need surgery or can I fix BBL results with exercise?

It is very unlikely that exercise will change what you have described. Most of the time there is still enough fat remaining for revisions.It is best that you consult with a plastic surgeon who is experienced in Brazilian butt lifts in person so that he/she can examine you and discuss your goals and options in detail. 

As a bodybuilder, I know that there are many things that can be accomplished with hard work.  However, a skilled surgeon can accomplish in 2 hrs what cannot be accomplished by a lifetime in the gym.Find a board certified plastic surgeon who performs hundreds of
Brazilian buttlifts each year. Look for great reviews and great before
and after pictures.Kenneth Hughes, MDLos Angeles, CA

Unfortunately with as much asymmetry that you've mentioned, exercise will not likely provide you with the results that you're expecting. I recommend contacting the board certified plastic surgeon who did your previous surgery about a revision. If you have reservations about using the same surgeon, find another in your area who is specialized in this specific procedure so that they can see you in person to do a thorough evaluation of all possible options. Thank you for your question!

Unsatisfactory results after Brazilian Butt Lift can not be corrected with exercise. You need a good examination and then one can discuss the options available to you.Choose your surgeon well because as you can see the correction is more difficult than a good result from the first time.Samir Shureih MD. FACSsshureih@msn.com

If you have lose skin, then perhaps more fat may be possible if you have enough donor sites.  Best to be seen in person.

Thank you for your question. You out going to need an evaluation, in most cases with just a revision of the BBL. If you have lose skin you probably a good candidate for a mini or regular tummy tuck.