Bbl deformation. Chicken butt? Square bottom. Advice? (Photos)

Question

I'm 35 i had a bbl 2 years ago i was left with this flat square bottom. Chicken butt?! Can it be fixed and how? Is there anything I can do to fix it. Or it it a surgical fix? I'm miserable as I feel people look straight at it . I think its noticeable with clothes on. Please help any constructive criticism , advice welcome. Please help!! Would another bbl help ? What can I ask my surgeon to do in this case . ?!

Ryan A. Stanton, MD · Answer

Unfortunately BBL is often not effective in enhancing/impacting the lower buttock. Additionally, some before photos would very helpful is assessing your outcome.

That all being said, 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, post-deflation sagging, etc.). It is not quite as much the quality of the doctor but rather the quality of the procedure that is a large part of the problem.  Thus, going back for round 2 BBL most often produces the same disappointing results but at another financial loss.   Buttock implants indeed provide a more reliable, predictable, relatively safe, and permanent result, especially for adding projection to the buttock and often smoothing out lumpiness.  Please keep in mind that an extremely few number of board-certified plastic surgeons specialize in 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.

Leyla Arvas, MD · Answer

Hello for this case I can make body contouring operation by using Vaser Liposuction and fat transfer to the butt. It's also important for us to make a consultation to see your skin quality -to make a better decision if you need a skin lifting as well.

Daniel Barrett, MD · Answer

Dear shes_a_bad_mama_jama,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Mats Hagstrom, MD (license on probation) · Answer

Fat transfer adds volume. That’s all it does. It doesn’t address skin laxity and it doesn’t address bone structure. These other components have a fairly major impact and shape and contour.

The chicken butt is treated with a surgical tech and is not treated or caused by fat transfer. The best explanation for the treatment I’ve seen is given by Dr. Mendieta in Miami. He has a YouTube video called the Miami thong lift.  Watch that video to get an explanation for the treatment options. It’s not done with adding fat. It’s also not caused by adding fat.

The overall squareness is your pelvic shape. The one thing I may have done different is to also graft fat along your lateral thigh to build up volume in that area to create more of an S-curve. Your clothing is covering your bottom so it’s hard to tell what a true shape is.Possibly removing more fat or lowering the transition to where the love handles are could improve your contour to some degree.

Best,

Mats Hagstrom MD

Bbl deformation. Chicken butt? Square bottom. Advice? (Photos)

Answers (4)

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