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

Question

I'm transgender. Went from 264lbs to 153lbs, had a lot of excess skin & totally deflated butt, then had a tummy tuck. Was told at 153lbs I had no fat for BBL, so went to 195lbs & then had a BBL with 1600cc per side (Dec 2018), but my butt has no projection (5 months post-op, 195lbs). Second BBL might still not give me projection, maybe I still have excess skin on my butt. Should I get a traditional butt lift instead of second BBL next? Butt implants scare me; complications, long recovery.

Ryan A. Stanton, MD · Answer

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.

Kenneth Hughes, MD · Answer

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

Daniel Zeichner, MD · Answer

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...

Manuel Belen, MD - Account Suspended · Answer

Hello,
  
Thank you for sharing the information, it is a pleasure for me to answer your question.
  
Definitely the most appropriate is to start (tummy tuck, liposuction and BBL can also be included), you are a candidate perfect, for the procedure, with this you can eliminate all localized fat and flaccidity, you will get the best results and have a defined appearance according to your body. 
It is advisable to consult with a certified plastic surgeon, for a good evaluation, to provide you with all the information you need to know about the appropriate recommendations, so that you can achieve the desired goals in your body.
  
I hope this answer will help you
  
My best wishes for you...

Peter Fisher, MD (retired) · Answer

Hello and thank you for your question. Congratulations on your weight loss. I believe what need is a buttock lift with auto augmentation, that is using your own tissue as an implant ( not bbl ). Would also suggest going back down to that 153lb again. If you get a traditional lift your buttocks will be flattened even more that’s why I suggest the augmentation at the same time.Peter Fisher M.DPost massive weight loss body contouring specialist

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

Answers (5)

Answer: Tummy tuck candidate

Answer: Tummy tuck candidate

Answer: Butt lift

Answer: Butt lift

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Everything you need to know about Butt Lift

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

Answers (5)

Answer: Tummy tuck candidate

Answer: Tummy tuck candidate

Answer: Butt lift

Answer: Butt lift

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Recommended reading

Everything you need to know about Butt Lift

Our mission is to create a world where every investment in modern beauty is Worth It.