Lost a lot of weight, butt has no projection after BBL. Should I get a traditional butt lift next? (photo)

On a patient like yourself, the only way to predictably, reliably, and permanently restore ample volume and thus projection is with buttock implants. More fat grafting will likely produce similar (disappointing) results. A traditional buttock lift will further flatten the buttock not add projection. Bottom line, buttock implants can be and are performed with a high level of safety and efficacy when done by an experienced reputable specialist. Very few plastic surgeons specialize in buttock implants but all know well how to perform BBL, thus BBL is so highly promoted and, frankly, overpromised.  As far as risks and complications, BBL has a much much higher risk of serious  complications such as death compared to buttock implants. Glad to help. 

Based upon the photos, removal of excess skin would probably generate the smoothest, best result.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

Hi and welcome to our forum!There is perhaps no single answer here, but from your photos, I see much better definition of the buttocks since your procedure, but there is significant  skin redundancy. Under these circumstances, I would recommend a beltectomy to lift the buttock and eliminate lax skin of the lateral thigh, hip, and buttock.Seek a consultation from a board certified plastic surgeon.Best wishes...