Flat spot/indent after BBL - will this go away or do I need more fat injected there? (Photos)

Question

I’m 4.5 weeks post op bbl, but I just recently noticed a flat spot on my lower right butt cheek. I followed all of my surgeons post op instructions and didn’t sit for the first 3 weeks, and am now sitting on a boppy pillow and still sleeping on my front. Will this flat spot go away or do I need more fat injected into this area?

Daniel Barrett, MD · Answer

Dear jwvng,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

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your pictures.  Your result looks excellent.  You can have some irregularities but you are early in your recovery.  Give the result 6 months to settle and heal.  If there is a contour deformity after 6 months then repeat fat grafting is warranted.

Stanley Okoro, MD · Answer

Thanks for your question and photos. That indentation may be due to some pressure you are putting on our lower buttocks in some way. Your garment? Your bobby pillow too high on your thighs? Your underware? I would make sure you are not putting any pressure on that area. If the area does not go away by 3 months, it may warrant revision with additional fat to the area. Be sure to discuss your concerns with you board certified plastic surgeon.

John Reilly, MD, FACS · Answer

Hi,
The indentation may change over the next few months but somewhat unlikely. Your surgeon would not likely consider this the appropriate time to "touch it up". Pillows offer little benefit at 4.5 months. Good luck.

Leonard Tachmes, MD · Answer

Hi and welcome to our forum!
After liposuction and fat transfer, the inflammation of healing causes massive swelling in the operative areas, which initially obscures the entire result. There will be lumpiness and unevenness. 60-80% of the swelling will subside by the 6th week, with the remainder dissipating over 6-12 months. 
At this time, one cannot discern between swelling versus true contour irregularity. It is far too early to assess the result. If the indentation persists at 6 months, a simple revision can correct the problem. 15% of cosmetic surgery procedures require a secondary touchup.
Continue followup with your plastic surgeon.
Best wishes.

Flat spot/indent after BBL - will this go away or do I need more fat injected there? (Photos)

Answers (5)