What can I do to fix this super uneven, weirdly contoured BBL? (Photo)

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.

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

Hi,

I'm sorry you're having difficulty achieving your desired results.

Depending on the amount of available fat I would suggest placing it along the lower outside portion of the buttock. The upper part of the buttock has a reasonable curve but it is lacking on the left buttock from the 7:o'clock to 9 o'clock position and on the right buttock from the 3 o'clock to 5 o'clock region. I often try to fat graft the upper part of the thigh as well to provide a natural contour between the thigh and buttock. Again, this is dependent on how much fat can be liposuctioned. Good luck.

Dear Thedollyd,
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 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

Hello, thank you for your question, we can do BBL revision.
If you want to check the doctor's Instagram page, I added the link, you can take a look and have an idea about the surgery.
We can offer you a virtual consultation for a better evaluation, please send us your full name and phone number on our email: hi@estherianclinic.com. We will contact you as soon as possible.
Hope it helped!

To make an accurate assessment regarding the outcome of any plastic surgery procedure we generally need to see a complete set of proper before and after pictures.
If you don’t have before, and after pictures, then ask your surgeon to forward the pictures they took.
Consider reposting it with proper before and after pictures.
Delivering consistent quality, liposuction and fat transfer results is more difficult than most people realize.
The number of plastic surgeons who truly mastered this procedure is pretty small.
Likewise, not everybody seeking Liposuction and fat transfer are good candidates for the procedure.
In the end, patient candidacy and provider selection are the two single most important variables that determine someone’s outcome.
I suggest you follow up with the provider who did your procedure and have them address your concerns.
Alternatively, schedule in person second opinion, consultations with other providers in your community who seem to have a lot of experience with liposuction and fat transfer.
For second opinion consultations come prepared to bring with you a complete set of proper before and after pictures And a copy of your operative reports.
These should be available from your current provider if you request them.
If you’ve had more than one procedure than I recommend bringing before, and after pictures from both of the previous procedures.
Best,
Mats Hagstrom, MD